NPIMap

Organization Active NPI

Ko, Michael

  • Specialist
  • Greenwood, MS
National Provider Identifier
1740471127
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
17150 Issued in MS
Legal business name
KO, MICHAEL
Practice address
1401 River Rd
Greenwood, MS 38930-4030
Phone
(662) 455-9595
NPI assigned
Aug 9, 2007
Organization subpart
Yes
Parent organization
KO'S BILLING OFFICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Dr. Michael KoNPI 1821127804
Title
Radiologist
Phone
(662) 455-9595

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 17150 MS Primary

Addresses

Primary practice location

1401 River Rd
Greenwood, MS 38930-4030

Mailing address

1401 River Rd
Greenwood, MS 38930-4030

Other identifiers 1

IdentifierTypeStateIssuer
09015666MedicaidMS

National Provider Directory

National Provider Directory
Part of
Kos Billing Service

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1740471127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 RIVER RD",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 RIVER RD",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304030",
            "telephone_number": "662-455-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KO, MICHAEL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KO'S BILLING OFFICE",
        "enumeration_date": "2007-08-09",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "RADIOLOGIST",
        "authorized_official_telephone_number": "662-455-9595",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MS",
            "license": "17150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015666",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.