DEBRA L. KOUTNIK (NPI# 1467441006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467441006 |
| Entity Type | Individual |
| Full Name | DEBRA L. KOUTNIK |
| Credential | MD |
| Practice Address |
628 N Main St Ashland OR 97520-1710 |
| Mailing Address |
2620 E Barnett Rd Suite H Medford OR 97504-8344 |
| Practice Telephone | 5412014930 |
| Practice Fax Number | 5412014931 |
| Mailing Telephone | 5417894281 |
| Mailing Fax Number | 5417892558 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2014-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
MD19083 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
628 N MAIN ST |
| City | ASHLAND |
| State | OR |
| Zip Code | 97520-1710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871971333 | Jennifer Banner Hill | Registered Nurse | 628 N Main St, Ashland, OR 97520-1710 | 2015-05-15 |
| 1356415053 | Stephen Bruce Strum | Specialist | 628 N Main St, Ashland, OR 97520-1710 | 2006-11-17 |
| 1710967062 | Allen Duane Johnson | Internal Medicine | 628 N Main St, Ashland, OR 97520-1710 | 2006-01-20 |
| 1952390593 | Donna M Bradshaw | Pediatrics | 628 N Main St, Ashland, OR 97520-1710 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390435 | Susan Kathleen Phelps | Massage Therapist | 280 E. Hersey St., Suite B17, Ashland, OR 97520 | 2020-06-08 |
| 1891276101 | William Charles Southworth | Internal Medicine | 866 Blaine St.., Ashland, OR 97520 | 2018-08-24 |
| 1326545625 | Daniel Jordan Decillis | Dentist | 1144 Iowa St Ste A, Ashland, OR 97520 | 2018-04-12 |
| 1730690959 | Eleyah Knight | Acupuncturist | 850 Siskyou Blvd. #6, Ashland, OR 97520 | 2017-10-15 |
| 1881117752 | Elizabeth Kristine Follett | Speech-Language Pathologist | 3265 Biddle Road, Medford, OR 97520 | 2017-07-21 |
| 1457895955 | Graham Collins Inc. | Counselor | 1600 Tolman Creek Rd, Ashland, OR 97520 | 2016-12-19 |
| 1720538010 | Kate Preskenis, Lmt, LLC | Massage Therapist | 823 Siskiyou Blvd., Ashland, OR 97520 | 2016-10-11 |
| 1366899445 | Nadejda Ioana Razi Robertson | Social Worker | 246 Second Street, Ashland, OR 97520 | 2016-05-19 |
| 1225496193 | Teena Summers | Marriage & Family Therapist | 200 Ohio St., Ashland, OR 97520 | 2016-02-05 |
| 1114392016 | Amanda Rose | Doula | 2233 Villard St Apt 203, Ashland, OR 97520 | 2015-12-04 |
| Find all providers in zip 97520 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902109291 | Dolores Orfanakis | Pediatrics | 18650 Stafford Rd, Lake Oswego, OR 97034-7662 | 2010-12-08 |
| 1477616845 | Charlene Sabin | Pediatrics | 5441 Sw Macadam Ave Ste 200, Portland, OR 97239-3822 | 2006-12-18 |
| 1558430512 | Lawrence T Krupa | Pediatrics | 18650 Nw Cornell Rd Suite 315, Hillsboro, OR 97124-9712 | 2006-11-06 |
| 1215963160 | Robert E Nickel | Pediatrics | 901 E. 18th St, Eugene, OR 97403-5254 | 2006-06-23 |
| 1285604173 | Donna K Kirchoff | Pediatrics | 1675 Sw Marlow Ave, Ste 200, Portland, OR 97225-5104 | 2006-01-24 |
| 1114116969 | Michele Raddish | Pediatrics | 830 Ne 47th Ave, Providence Neurodevelopmental Center for Children, Portland, OR 97213 | 2007-10-17 |
| 1700077088 | James C Ledbetter | Pediatrics | 1510 Division St., Sutie 280, Oregon City, OR 97045 | 2007-08-05 |
| 1457579914 | Gisela Porras Serna | Pediatrics | 2801 N Gantenbein Ave Ste 2225, Portland, OR 97227-1623 | 2007-04-23 |
| 1568680239 | Martine Richardson Sacks | Pediatrics | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2007-04-20 |
| 1245455450 | Randall Alan Phelps | Pediatrics | 901 E 18th Ave, Eugene, OR 97403-1354 | 2007-04-14 |
| Find all providers with the same taxonomy | ||||
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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.