DR. JASON T KOO


Address: 13249 Cascade Glen Dr, Draper, UT 84020-7146
Phone: 8015725226

DR. JASON T KOO (NPI# 1720005317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720005317
Entity Type Individual
Full Name DR. JASON T KOO
Credential MD
Practice Address 13249 Cascade Glen Dr
Draper
UT 84020-7146
Practice Telephone 8015725226
Mailing Telephone 8015725226
Enumeration Date 2006-07-17
Last Update Date 2010-07-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
M1188 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 173049102 05

Office Location

Street Address 13249 CASCADE GLEN DR
City DRAPER
State UT
Zip Code 84020-7146

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194322776 Chase Larsen Dmd Pllc Dentist 723 E 12200 S, Draper, UT 84020 2020-10-06
1780222380 Derek Cragun Counselor 11706 700 E, Draper, UT 84020 2019-12-13
1720629371 Own My Health Medical Clinic/Center 12371 900 E, Suite 102, Draper, UT 84020 2019-10-04
1508418856 Thomas Mifflin Physician Assistant 721 East 12200 South, Draper, UT 84020 2019-07-16
1124670872 Necia Dalley Registered Nurse 11800 S State St, Draper, UT 84020 2019-07-12
1285100784 Tracey M Williams Psychologist 13200 S 1601 E, Draper, UT 84020 2018-10-23
1275008328 Amoni Paeahelotu Finau Community Health Worker 13703 Wheatfield Way, Draper, UT 84020 2018-10-04
1891275525 Cynthia Mae Bolton Psychologist 1192 E Draper Parkway # 447, Draper, UT 84020 2018-08-21
1164908026 Headin' Home Inc. Community/Behavioral Health 12300 S. 150 W., Draper, UT 84020 2018-07-13
1366932576 Forest Hulet Dentist 219 E 12300, Ste I-5, Draper, UT 84020 2018-05-14
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Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689906976 Premier Plastic Surgery Group of Utah Surgery 11762 S State St Ste 220, Draper, UT 84020-7156 2010-02-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720122583 Christopher P Kelly Surgery 11464 S Parkway Plaza Dr Ste 300, South Jordan, UT 84095-6053 2007-02-16
1437216306 Kimball M Crofts Surgery 385 W 600 N, Lindon, UT 84042-1330 2007-01-02
1508878372 Jayant Prasad Agarwal Surgery Division of Plastic Surgery Administrative Office, 30 North 1900 East 3b205, Salt Lake City, UT 84132-0001 2006-08-12
1295705697 Todd B Engen Surgery 1735 N State St, Provo, UT 84604-1010 2006-01-26
1538151063 Allisyn Okawa Surgery 4700 Harrison Blvd, Ogden, UT 84403-4303 2005-08-19
1346633203 University of Utah Dental Services Surgery 50 N Medical Dr, Salt Lake City, UT 84132-0100 2015-03-16
1275937088 University of Utah Adult Services Surgery 50 N Medical Dr, Salt Lake City, UT 84132-0001 2014-10-22
1538572169 Vincent Surgical Arts, LLC Surgery 6710 S Blackstone Rd, Suite 201, Cottonwood Heights, UT 84121-6072 2014-06-11
1073729943 Lauren Opal Florence Surgery 1250 East 3900 South, Suite #301, Salt Lake City, UT 84124-1362 2007-05-15
1851506786 Seth A Riddle, M.d. P.C. Surgery 1055 N 300 W Ste 401, Provo, UT 84604-3306 2007-05-14
Find all providers with the same taxonomy

Competitor

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City DRAPER
Zip Code 84020

Improve Information

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Dataset Information

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.

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