Tak-Ming Ko MD, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

6953 Issued in AK

Legal business name

TAK-MING KO MD, LLC

Practice address

2480 S Woodworth Loop Ste 180
Palmer, AK 99645-7408

Phone

(907) 373-8281

Fax

(855) 212-0736

NPI assigned

Aug 6, 2013

Last updated

Dec 26, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tak-Ming Ko, M.D.NPI 1003995713

Title

President

Phone

(907) 373-8281

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Tak Ming Ko, MD

  • Surgery Physician
  • Palmer, AK
  • NPI 1003995713
  Authorized official Same address or phone
• Daniel R Johnson, D.O.

  • Orthopaedic Surgery Physician
  • Fairbanks, AK
  • NPI 1053341594
  NPD (past)

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545782400000",
    "number": "1235561861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 E MERIDIAN LOOP STE E",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547273",
            "telephone_number": "907-373-8281",
            "fax_number": "855-212-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 S WOODWORTH LOOP STE 180",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996457408",
            "telephone_number": "907-373-8281",
            "fax_number": "855-212-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAK-MING KO MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-06",
        "last_updated": "2018-12-26",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "TAK-MING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-373-8281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AK",
            "license": "6953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1585323",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Summit Psychiatry Associates
• Summit Psychiatry Associates
• Susitna Surgery Center LLC
• Terrence F Svoboda, M.A.
• Roger Lynn Swingle, MD
• Amanda Jo Taylor, D.V.M
• Brent Taylor, MD
• Telerad Account Management of Alaska LLC
• Tender Journeys Matter Behavioral Health LLC
• Darlett Thackeray

• Surgery Physician in Palmer, AK
• Providers in Palmer, AK by specialty
• Surgery Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; 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.