DR. DAVID C KOON (NPI# 1528043205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528043205 |
| Entity Type | Individual |
| Full Name | DR. DAVID C KOON |
| Credential | M.D. |
| Practice Address |
1040 Nw 22nd Ave Suite 320 Portland OR 97210-3057 |
| Practice Telephone | 5034136294 |
| Practice Fax Number | 5034137780 |
| Mailing Telephone | 5034136294 |
| Mailing Fax Number | 5034137780 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | MD23367 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 287563 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205134491 | David Koon | Pharmacist | 9055 Katy Fwy # 424, Houston, TX 77024-1624 | 2011-03-11 |
| 1073577037 | David Edwin Koon Jr. | Orthopaedic Surgery | 300 Palmetto Health Pkwy Ste 201, Columbia, SC 29212-1762 | 2006-04-14 |
| 1770699720 | David E Koon Sr. | Family Medicine | 6439 Garners Ferry Rd, Wjb Dorn Va Medical Center, Columbia, SC 29209-1638 | 2006-08-22 |
| 1619954377 | David T Koon Jr. | Family Medicine | 123 Main St, Summerton, SC 29148 | 2005-12-23 |
| Street Address |
1040 NW 22ND AVE SUITE 320 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97210-3057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093717852 | Raylene Dianne Coleman | Nurse Practitioner | 1040 Nw 22nd Ave, Suite 420, Portland, OR 97210-3057 | 2005-08-11 |
| 1386204980 | Dorian Ariel Zeidenweber | Student in an Organized Health Care Education/Training Program | 1040 Nw 22nd Ave, Portland, OR 97210-3057 | 2019-06-17 |
| 1982194429 | Katherine Crawford | Dietitian, Registered | 1040 Nw 22nd Ave, Portland, OR 97210-3057 | 2018-05-10 |
| 1720537111 | Legacy Health | General Acute Care Hospital | 1040 Nw 22nd Ave, Suite 110, Portland, OR 97210-3057 | 2016-09-26 |
| 1053779801 | Tasha Nicole Searles | Clinical Nurse Specialist | 1040 Nw 22nd Ave, Suite 520, Portland, OR 97210-3057 | 2016-02-08 |
| 1497120380 | Martha Rissmiller | Physical Therapist | 1040 Nw 22nd Ave, Suite 520, Portland, OR 97210-3057 | 2015-12-03 |
| 1427436971 | Claire Hanway | Nurse Practitioner | 1040 Nw 22nd Ave, Suite 520, Portland, OR 97210-3026 | 2015-05-15 |
| 1629401963 | Pui Yi Boey | Ophthalmology | 1040 Nw 22nd Ave, Suite #200, Portland, OR 97210-3057 | 2013-08-09 |
| 1366783631 | David Larson Demill | Ophthalmology | 1040 Nw 22nd Ave, Portland, OR 97210-3057 | 2013-03-11 |
| 1639414410 | Dewi Kae De Jarnett | Nurse Anesthetist, Certified Registered | 1040 Nw 22nd Ave, Portland, OR 97210-3057 | 2012-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109086 | Joseph Francolino | Massage Therapist | 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 | 2020-03-17 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1649769480 | Dipesh Patel | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 | 2018-05-08 |
| 1760987234 | Meghan Teague | Student in an Organized Health Care Education/Training Program | Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 | 2018-03-27 |
| 1205349172 | Paul M Storm | Acupuncturist | 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 | 2017-11-14 |
| 1740703750 | Audra K Berning | Massage Therapist | 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 | 2017-07-21 |
| 1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
| 1659829836 | H&s Pearl, LLC | Massage Therapist | 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 | 2016-09-15 |
| 1255785796 | Cortez Natural Medicine, Inc. | Acupuncturist | 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 | 2016-04-21 |
| 1932563616 | Vincent Chen | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 | 2016-04-08 |
| Find all providers in zip 97210 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457987836 | Gurleen K Grewal | Physical Medicine & Rehabilitation | 402 Nw 12th Ave, Portland, OR 97209-2907 | 2020-03-18 |
| 1558842054 | Ryan Thomas Willoughby | Physical Medicine & Rehabilitation | 15640 Nw Laidlaw Rd Ste 202, Portland, OR 97229-3828 | 2018-08-23 |
| 1659874238 | Karrie Silva, Lmt | Physical Medicine & Rehabilitation | 1427 Nw 23rd Ave Ste 1, Portland, OR 97210-2645 | 2018-03-09 |
| 1477921021 | Kara Rich | Physical Medicine & Rehabilitation | 1706 Ne 114th Ave, Portland, OR 97220 | 2015-09-11 |
| 1003135658 | New Leaf Physical and Massage Therapy, LLC | Physical Medicine & Rehabilitation | 4050 Ne Broadway St, Portland, OR 97232-1828 | 2010-05-21 |
| 1427381029 | Heather Block | Physical Medicine & Rehabilitation | 13243 Se Buford Ct, Portland, OR 97236-3186 | 2009-09-14 |
| 1386873040 | Bessie Joy Perkey | Physical Medicine & Rehabilitation | 507 Ne 47th Ave Ste 102d, Portland, OR 97213-2236 | 2009-07-02 |
| 1609002492 | Paul Gerrard | Physical Medicine & Rehabilitation | 110 Marginal Way, Portland, ME 04101-2442 | 2009-06-08 |
| 1013112721 | Stephanie K Liu | Physical Medicine & Rehabilitation | 10940 Sw Barnes Rd # 375, Portland, OR 97225-5368 | 2007-06-21 |
| 1982807590 | John Halisey Kennedy | Physical Medicine & Rehabilitation | 4040 Sw 53rd Pl, Portland, OR 97221-2015 | 2007-06-09 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.