DR. GEORGE MICHAEL KOUMARAS (NPI# 1407981855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407981855 |
| Entity Type | Individual |
| Full Name | DR. GEORGE MICHAEL KOUMARAS |
| Credential | DDS |
| Practice Address |
143 Bogey Ln Salem VA 24153-6858 |
| Practice Telephone | 5403893655 |
| Mailing Telephone | 5403893655 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DS021549-L | PA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154377901 | George Koumaras | Psychologist | 11770 Bernardo Plaza Court, Suite 370, San Diego, CA 92128-2426 | 2006-05-25 |
| Street Address |
143 BOGEY LN |
| City | SALEM |
| State | VA |
| Zip Code | 24153-6858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001228 | Paul Mcguire | Student in an Organized Health Care Education/Training Program | 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 | 2020-04-06 |
| 1386114965 | Dynamic Medical LLC | Clinical Medical Laboratory | 1201 Texas Street, Salem, VA 24153 | 2018-11-27 |
| 1134607898 | Renew Psychiatry Services | Psychiatry & Neurology | 177 Electric Rd, Salem, VA 24153 | 2018-08-03 |
| 1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
| 1518409762 | Melissa Ward | Case Manager/Care Coordinator | 1380 Southside Dr, Suite 100, Salem, VA 24153 | 2016-11-04 |
| 1154729051 | Allison Marie Parry | Physician Assistant | 1336 W Main St., Salem, VA 24153 | 2014-12-09 |
| 1598199457 | Stacy Stanley | Occupational Therapy Assistant | 4812 Moore Rd, Salem, VA 24153 | 2013-08-28 |
| 1366888034 | Dolores Hager | Speech-Language Pathologist | 1851 Harrogate Dr, Salem, VA 24153 | 2013-05-21 |
| 1073850764 | Joel Aaron Nickerson | Specialist/Technologist | 400 Spartan Dr., Salem High School, Salem, VA 24153 | 2013-01-15 |
| 1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
| Find all providers in zip 24153 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831686468 | Jev A. Clark, Dmd, Md, LLC | Dentist | 120 Ramsgate Sq S Ste 110, Salem, OR 97302-5870 | 2018-04-19 |
| 1164712022 | Travis Jon Hamilton | Dentist | 250 Church St Se Ste 102, Salem, OR 97301-3758 | 2011-04-12 |
| 1124242813 | Dennis Douglas Johnson | Dentist | 410 Lancaster Dr Ne, Suite A, Salem, OR 97301-4794 | 2007-04-12 |
| 1578666426 | John C Tackett | Dentist | 102 N Harrison St, Salem, IN 47167-1426 | 2006-09-06 |
| 1609878172 | James M. Eyre Jr. | Dentist | 250 Church St Se, Ste 102, Salem, OR 97301-8500 | 2005-08-13 |
| 1588665723 | David Wesley Howerton | Dentist | 2266 Mission St Se, Salem, OR 97302-1267 | 2005-08-10 |
| 1447258223 | Gary Theodore Pederson | Dentist | 1565 Liberty St Se, Salem, OR 97302-4345 | 2005-07-14 |
| 1174520548 | Martin J. Mehr | Dentist | 120 Ramsgate Sq S, Suite 110, Salem, OR 97302-5868 | 2005-06-30 |
| 1972996197 | Southwest Virginia Oral & Maxillofacial Surgery, Pllc | Dentist | 1940 Braeburn Dr, Suite A, Salem, VA 24153-7383 | 2015-03-12 |
| 1386041358 | Erda Carmel Pradel | Dentist | 3490 Lancaster Dr Ne, Salem, OR 97305-1356 | 2014-11-19 |
| Find all providers in SALEM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.