Tony W. Ku, MD, LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

MD424249 Issued in PA

Legal business name

TONY W. KU, MD, LLC

Practice address

625 Clark Ave
Suite 17a
King of Prussia, PA 19406-1438

Phone

(610) 857-7771

Fax

(610) 857-7772

NPI assigned

Jun 10, 2013

Organization subpart

No

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

Authorized official

Name

Tony W Ku, MDNPI 1346283637

Title

Owner

Phone

(610) 857-7771

Specialties & licenses 2

Addresses

Other names 1

• Innovative Pain Solutions Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tony Wen-Wei Ku, MD

  • Pain Medicine (Anesthesiology) Physician
  • Paoli, PA
  • NPI 1346283637
  Medicare reassignment NPD Authorized official
• Michelle Goodsir, DC

  • Chiropractor
  • Devon, PA
  • NPI 1912015801
  NPD (past)

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1669810859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 CLARK AVE",
            "address_2": "SUITE 17A",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061438",
            "telephone_number": "610-857-7771",
            "fax_number": "610-857-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 CLARK AVE",
            "address_2": "SUITE 17A",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061438",
            "telephone_number": "610-857-7771",
            "fax_number": "610-857-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONY W. KU, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "KU",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-857-7771",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD424249",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "PA",
            "license": "MD424249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Pain Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teana Tittle
• TLC Management (Delaware Valley), LLC
• Kimberly Todisco, BCBA
• Josette A Tomety-Fotzeu, PHARMD
• Gwendolyn Tomlin-Hawk
• Thomas John Too, RPH
• Ashlyn Torres, LCSW
• Margaret Kavetski Toth, C.R.N.P.
• Totum Counseling and Consulting Services LLC
• Lauren Trace, RBT

• Pain Medicine Physician in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Pain Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.