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DAVID T KOON JR. MD
NPI 1619954377
Family Medicine in Summerton, SC

Active since December 23, 2005
123 MAIN ST, SUMMERTON, SC 29148(803) 485-2240(803) 485-2219 Get Directions Write a Review

NPPES record last updated: November 15, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David T Koon Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID T KOON JR. MD (NPI 1619954377) is an individual family medicine provider in Summerton, South Carolina, licensed in South Carolina (19651) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1619954377
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDAVID T KOON JR.Credential: MD
Location Address123 MAIN STSummerton, SC 29148
Mailing AddressPo Box 10, 123 Main StSummerton, SC 29148-0010 · (803) 485-2240 · Fax (803) 485-2219
Phone(803) 485-2240
Fax(803) 485-2219
Sole ProprietorYes
Enumeration DateDecember 23, 2005
Last NPPES UpdateNovember 15, 2007
✔ NPI 1619954377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · 19651
Definition
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.
123 MAIN ST, Summerton, SC 29148
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Other Identifiers 7

Other7161SC · Medicare
Other7382016SC · Aetna
Medicaid196512SC
OtherA7980SC · Medcost
Other0141069SC · Carolina Care
Medicare UPINF89192
Other5161SC · Companion

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DALE SCURRY BARWICK ANP
Nurse Practitioner (Adult Health)
123 MAIN ST, PO BOX 69
SUMMERTON, SC 29148
Clarendon County (803) 488-8888
SUMMERTON PRIMARY CARE
Nurse Practitioner (Adult Health)
123 MAIN ST
SUMMERTON, SC 29148
Clarendon County (803) 488-8888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Koon's NPI number?

The NPI number for David Koon is 1619954377. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Where is David Koon located?

David Koon practices at 123 Main St, Summerton, SC 29148. The listed phone number is (803) 485-2240.

What is David Koon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for David Koon was last updated on November 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.