Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Timothy Allen Ko, RPA-C

Individual provider Physician Assistant · NPI 1164757258

Mr. Timothy Allen Ko, RPA-C is a Physician Assistant in Syracuse, New York. Qualified in 2009, 17 years ago. Practices with Middle Tennessee Surgical Specialists, LLC, a 9-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2009
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

739 Irving Ave Ste 600
Syracuse, NY 13210-1651
Phone: (315) 701-2550
Fax: (315) 701-2551
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 013607 (NY)

Record details

NPI number1164757258
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedOctober 7, 2009
Last updated in NPPESMarch 15, 2021
Certification dateMarch 15, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Middle Tennessee Surgical Specialists, Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Syracuse