DR. KRISTINA GOUTSOULIAK (NPI# 1447690938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447690938 |
| Entity Type | Individual |
| Full Name | DR. KRISTINA GOUTSOULIAK |
| Credential | MD |
| Practice Address |
2596 F Rd Grand Junction CO 81505-1443 |
| Mailing Address |
Po Box 1727 Grand Junction CO 81502-1727 |
| Practice Telephone | 9702543180 |
| Practice Fax Number | 9702543198 |
| Mailing Telephone | 9702632619 |
| Mailing Fax Number | 9702632691 |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2020-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
DR.0061682 | CO | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
DR.0061682 | CO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 E Lancaster Ave, Wynnewood, PA 190963450 | 4844766843 | |
| 2351 G Rd, Grand Junction, CO 815059641 | 9702543180 | 9702543198 |
| Street Address |
2596 F RD |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81505-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033117643 | Gayle Patrice Miller | Radiology | 2596 F Rd, Grand Junction, CO 81505-1443 | 2005-07-08 |
| 1861039604 | Colorado West Healthcaresystem, Inc | Family Medicine | 2596 F Rd, Grand Junction, CO 81505-1443 | 2019-11-27 |
| 1487130670 | Courtney Fulton | Surgery | 2596 F Rd, Grand Junction, CO 81505-1443 | 2018-07-11 |
| 1164918488 | Stephanie Lee Evangelisti | Pharmacist | 2596 F Rd, Grand Junction, CO 81505-1443 | 2018-07-10 |
| 1811398324 | Colorado West Healthcare System | Internal Medicine | 2596 F Rd, Grand Junction, CO 81505-1443 | 2014-09-16 |
| 1225355670 | Jack Ryan Bagley | Radiology | 2596 F Rd, Grand Junction, CO 81505-1443 | 2010-04-26 |
| 1356506265 | Jonathan D King | Internal Medicine | 2596 F Rd, Grand Junction, CO 81505-1443 | 2008-07-21 |
| 1841454048 | Sudy Elizabeth Jahangiri | Internal Medicine | 2596 F Rd, Grand Junction, CO 81505-1443 | 2008-07-16 |
| 1538209606 | Heather Ashley Steele | Internal Medicine | 2596 F Rd, Grand Junction, CO 81505-1443 | 2007-02-07 |
| 1457457020 | Ruth Higdon | Obstetrics & Gynecology | 2596 F Rd, Grand Junction, CO 81505-1443 | 2006-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954061 | The Center At Foresight, LLC | Skilled Nursing Facility | 2594 Patterson Road, Grand Junction, CO 81505 | 2020-05-27 |
| 1457864845 | Haley Shae Oberst | Physician Assistant | 604 25 Rd, Grand Junction, CO 81505 | 2017-11-08 |
| 1780107896 | Robert Rogers | Registered Nurse | 2351 G Rd., Community Hospital, Grand Junction, CO 81505 | 2017-07-20 |
| 1952834871 | Carol Joy Graham | Counselor | 585 25 1/2 Rd. Sp 175, Grand Junction, CO 81505 | 2017-04-07 |
| 1356894059 | Amel Med, LLC | Anesthesiology | 2460 Patterson Rd #4, Grand Junction, CO 81505 | 2016-07-28 |
| 1528479649 | Adam Neff | Specialist/Technologist | 2188 I Road, Grand Junction, CO 81505 | 2014-05-12 |
| 1689003766 | Canyon View Asc, LLC | Clinic/Center | 2373 G Road, Suite 180, Grand Junction, CO 81505 | 2013-11-08 |
| 1700220993 | Grand Mesa Spine and Sport LLC | Pain Medicine | 201 West Park Dr, Grand Junction, CO 81505 | 2013-04-18 |
| 1295026409 | Nuclear Care Partners, LLC | Case Management | 631 24 1/2 Road, Suite C, Grand Junction, CO 81505 | 2011-04-21 |
| 1265734883 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 630 24 Rd, Grand Junction, CO 81505 | 2010-12-02 |
| Find all providers in zip 81505 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811398324 | Colorado West Healthcare System | Internal Medicine | 2596 F Rd, Grand Junction, CO 81505-1443 | 2014-09-16 |
| 1134127434 | Donna Lee Mcfadden | Internal Medicine | 750 Wellington Ave, Grand Junction, CO 81501-6132 | 2005-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801237276 | John Moore Merrill | Internal Medicine | 40515 County Road 69a, Suite B, Hayden, CO 81639-9504 | 2013-07-12 |
| 1639206659 | Mark W Gillaspie | Internal Medicine | 5122 S Xenophon Ct, Littleton, CO 80127-1529 | 2007-02-27 |
| 1851301881 | Hesky Fisher Luknic Mdspc | Internal Medicine | 2005 Franklin St Ste 170, Denver, CO 80205-5402 | 2006-08-09 |
| 1669461281 | Scl Health Front Range, Inc | Internal Medicine | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2005-10-17 |
| 1073501292 | David Scott Brantley | Internal Medicine | 2312 N Nevada Ave Ste 400, Colorado Springs, CO 80907-5320 | 2005-10-11 |
| 1871592642 | Henry M Heller | Internal Medicine | 1800 E 3rd Ave, Suite 104, Durango, CO 81301-5016 | 2005-07-14 |
| 1700490299 | Scl Health Medical Group - Denver, LLC | Internal Medicine | 3550 Lutheran Pkwy Ste 100a, Wheat Ridge, CO 80033-6013 | 2020-09-02 |
| 1871113159 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 900 Potomac St, Aurora, CO 80011-6716 | 2020-04-16 |
| 1588290332 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 1800 N Williams St Ste 300, Denver, CO 80218-1238 | 2020-03-12 |
| 1083249171 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 10101 Ridgegate Pkwy, Lone Tree, CO 80124-5522 | 2020-03-09 |
| Find all providers with the same taxonomy | ||||
| City | GRAND JUNCTION |
| Zip Code | 81505 |
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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.