Organization Active NPI

Dr Peter Ko PLLC

  • Family Medicine Physician
  • Lexington, KY
National Provider Identifier
1164685434
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34165 Issued in KY
Legal business name
DR PETER KO PLLC
Practice address
3260 Blazer Parkway
Suite 102
Lexington, KY 40509-2116
Phone
(859) 263-4817
NPI assigned
Jul 8, 2008
Last updated
Jul 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Peter H Ko, MDNPI 1730145012
Title
Owner
Phone
(859) 263-4817

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34165 KY Primary

Addresses

Primary practice location

3260 Blazer Parkway
Suite 102
Lexington, KY 40509-2116

Mailing address

3260 Blazer Parkway
Suite 102
Lexington, KY 40509-2116
Phone (859) 263-4817

Other identifiers 1

IdentifierTypeStateIssuer
7293OtherMEDICARE GROUP ID

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1164685434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 BLAZER PARKWAY",
            "address_2": "SUITE 102",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092116",
            "telephone_number": "859-263-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 BLAZER PARKWAY",
            "address_2": "SUITE 102",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092116",
            "telephone_number": "859-263-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PETER KO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-263-4817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "34165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "7293",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.