Active NPIIndividual provider

Dr. David S Ko, DO

Family Medicine in Putnam, Connecticut

NPI Number1356720049
Practice location
330 Pomfret St, Putnam, CT 06260-3803
Fax
—
Last updated
April 21, 2026

David Song Ko is a Family Medicine based in Putnam, CT. David Song Ko practices in Putnam, CT and has the professional credentials of DO. The NPI Number for David Song Ko is 1356720049 and holds a License No. op61443176 (WA). The current practice location address for David Song Ko is 330 Pomfret St, Putnam, CT 06260-3803 and can be reached out via phone at 860-928-2736.

Provider Profile Details

NPI Number
1356720049
Provider Name
David Song Ko
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
330 Pomfret St, Putnam, CT 06260-3803
Phone Number
860-928-2736
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
May 27, 2015
Last Update Date
April 21, 2026
Certification Date
April 21, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
330 Pomfret St
Putnam, CT 06260-3803
City
Putnam
Zip
06260-3803
Phone Number
860-928-2736
Putnam, CT 06260Get directions →

Provider Business Mailing Address Details

Address
Po Box 746871
Atlanta, GA 30374-6871
City
Atlanta
State
GA
Zip
30374-6871

License Information

License Number (1)
op61443176
License State (1)
WA
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
0102205469
License State (2)
VA
Taxonomy (2)
Family Medicine · 207Q00000X · Primary
License Number (3)
82804
License State (3)
CT
Taxonomy (3)
Family Medicine · 207Q00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. David S Ko, DO?

The NPI number of Dr. David S Ko, DO is 1356720049. It was assigned on May 27, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. David S Ko, DO?

Dr. David S Ko, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in WA under license number op61443176.

Where does Dr. David S Ko, DO practice?

The practice location is 330 Pomfret St, Putnam, CT 06260-3803. The office can be reached at 860-928-2736 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356720049 directly on the NPPES registry website.

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