DAVID T KOON JR. (NPI# 1619954377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619954377 |
| Entity Type | Individual |
| Full Name | DAVID T KOON JR. |
| Credential | MD |
| Practice Address |
123 Main St Summerton SC 29148 |
| Mailing Address |
Po Box 10 123 Main St Summerton SC 29148-0010 |
| Practice Telephone | 8034852240 |
| Practice Fax Number | 8034852219 |
| Mailing Telephone | 8034852240 |
| Mailing Fax Number | 8034852219 |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2007-11-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 19651 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 196512 | 05 | |
| SC | MEDICARE | 7161 | 01 |
| SC | MEDCOST | A7980 | 01 |
| SC | AETNA | 7382016 | 01 |
| SC | CAROLINA CARE | 0141069 | 01 |
| SC | COMPANION | 5161 | 01 |
| 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 |
| 1528043205 | David C Koon | Physical Medicine & Rehabilitation | 1040 Nw 22nd Ave, Suite 320, Portland, OR 97210-3057 | 2005-12-14 |
| Street Address |
123 MAIN ST |
| City | SUMMERTON |
| State | SC |
| Zip Code | 29148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740725100 | Summerton Primary Care | Nurse Practitioner | 123 Main St, Summerton, SC 29148 | 2016-12-21 |
| 1114052255 | Dale Scurry Barwick | Nurse Practitioner | 123 Main St, Po Box 69, Summerton, SC 29148 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225288517 | Clarendon Memorial Hosptial | Family Medicine | 1056 Felton Street, Summerton, SC 29148 | 2008-09-24 |
| 1043348923 | Linwood Ashwell Robinson Jr. | Dentist | 9 South Duke Street, Summerton, SC 29148 | 2007-03-01 |
| 1093707416 | Summerton Family Medicine LLC | Family Medicine | 107 Main Street, Summerton, SC 29148 | 2005-08-22 |
| 1467582270 | Summerton Drug Inc | Durable Medical Equipment & Medical Supplies | 115 Main Street, Summerton, SC 29148 | 2007-03-07 |
| 1477698447 | Ernest Eugene Phillips | Pharmacist | 115 Main Street, Summerton, SC 29148 | 2007-02-20 |
| 1619012697 | Harold R Waynick Jr. | Pharmacist | 115 Main Street, Summerton, SC 29148 | 2007-02-20 |
| 1306910997 | Ernest Eugene Phillips IIi | Pharmacist | 115 Main Street, Summerton, SC 29148 | 2006-11-17 |
| 1669519518 | Clarendon One | Local Education Agency (LEA) | 12 South Church Street, Summerton, SC 29148-0038 | 2007-01-31 |
| 1053506568 | Heart Star Medical Transportation | Ambulance | 5 South Church Street, Summerton, SC 29148-0143 | 2007-09-07 |
| 1588645709 | Clarendon Memorial Hospital | Skilled Nursing Facility | 1527 Urbana Rd, Summerton, SC 29148-1159 | 2005-11-07 |
| Find all providers in zip 29148 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225288517 | Clarendon Memorial Hosptial | Family Medicine | 1056 Felton Street, Summerton, SC 29148 | 2008-09-24 |
| 1518904135 | Katherine Silliman Coffey | Family Medicine | 1056 Felton St, Summerton, SC 29148-7169 | 2006-06-01 |
| 1093707416 | Summerton Family Medicine LLC | Family Medicine | 107 Main Street, Summerton, SC 29148 | 2005-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495841 | Neuro Health Sc LLC | Family Medicine | 108 Commons Blvd Ste A, Piedmont, SC 29673-7766 | 2020-10-21 |
| 1811595499 | Laura Coolidge | Family Medicine | 1528 Seacroft Rd, Charleston, SC 29412-8113 | 2020-10-15 |
| 1154928570 | Lexington Health Inc | Family Medicine | 146 E Hospital Dr Ste 500, West Columbia, SC 29169-4842 | 2020-10-08 |
| 1477150340 | Meghan Hodapp | Family Medicine | 623 Awendaw Lakes Blvd, Awendaw, SC 29429-6407 | 2020-10-05 |
| 1033716253 | Proactive Md Tindall Spartanburg Health Center | Family Medicine | 2273 Hayne St., Spartanburg, SC 29301 | 2020-10-01 |
| 1851906267 | Avneet Nagra | Family Medicine | 162 Montauk Dr, Lexington, SC 29072-6776 | 2020-09-11 |
| 1134732753 | Ovp Health Care, Inc. | Family Medicine | 101 S Catawba St, Lancaster, SC 29720-2411 | 2020-08-24 |
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1841801149 | Palmetto Primary Care Physicians, LLC | Family Medicine | 1200 Two Island Ct Unit E, Mt Pleasant, SC 29466-7418 | 2020-08-11 |
| 1922617950 | Fred E Hill | Family Medicine | 1033 Jervey Point Rd, Charleston, SC 29492-8372 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
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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.