ALEXANDER GOUGOUTAS (NPI# 1821154790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821154790 |
| Entity Type | Individual |
| Full Name | ALEXANDER GOUGOUTAS |
| Credential | MD |
| Practice Address |
1560 N 115th St Ste 206 Seattle WA 98133-8414 |
| Mailing Address |
Po Box 50095 Seattle WA 98145-5095 |
| Practice Telephone | 2063686746 |
| Mailing Telephone | 2065205700 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2017-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
MD60276102 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1821154790 | 05 | |
| WA | MEDICARE PIN | 8909038 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3400 Spruce St, 1 Maloney Building, Philadelphia, PA 191044206 | 2156627659 |
| Street Address |
1560 N 115TH ST STE 206 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98133-8414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339388 | Marni Lynn Hanig | Occupational Therapist | 1900 N 170th St., Shoreline, WA 98133 | 2019-10-29 |
| 1871074807 | Minju Kim | Counselor | 14332 Burke Ave N, Seattle, WA 98133 | 2018-08-27 |
| 1821582941 | Hana Alema Misgina | Registered Nurse | 927 N 199th St, Shoreline, WA 98133 | 2018-06-21 |
| 1588177729 | Julie Benefiel | Pharmacist | 1536 N 115th St. Suite 100, Seattle, WA 98133 | 2017-11-09 |
| 1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
| 1750801072 | Zoe Ana Cavnar-lewandowski | Counselor | 10700 Meridian Avenue N, Suite G-11, Seattle, WA 98133 | 2017-06-27 |
| 1851820211 | Adam Lee Gardner Sr. | Acupuncturist | 925 N 163rd Street, Unit B, Shoreline, WA 98133 | 2017-06-08 |
| 1376085209 | Pamela Ashby | Counselor | 2111 N. Northgateway, 212, Seattle, WA 98133 | 2016-11-09 |
| 1225584956 | General Dentistry | Dentist | 20109 Aurora Ave N, Ste D, Shoreline, WA 98133 | 2016-09-01 |
| 1144672668 | Aaron Neubauer | Behavioral Analyst | 13407 Greenwood Ave N, 216c, Seattle, WA 98133 | 2016-07-08 |
| Find all providers in zip 98133 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699337865 | Mert Calis | Surgery | 4800 Sand Point Way Ne, O.b.9.520, Seattle, WA 98105 | 2019-07-08 |
| 1114580396 | Christina Beck | Surgery | 325 9th Ave, Seattle, WA 98104 | 2019-04-15 |
| 1356760664 | Stephen Lee Viviano | Surgery | 1959 Ne Pacific St, Seattle, WA 98195-2425 | 2014-04-15 |
| 1447592282 | Howard Wang | Surgery | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2013-03-19 |
| 1982970513 | Eugene Oh | Surgery | 1550 N 115th St, Seattle, WA 98133 | 2012-03-28 |
| 1134435787 | William P Schmitt | Surgery | 1100 9th Ave, Seattle, WA 98101-2756 | 2010-08-20 |
| 1225342991 | Shannon Margaret Colohan | Surgery | 1959 Ne Pacific St, Uwmc Division of Plastic Surgery, Seattle, WA 98195-0001 | 2010-08-04 |
| 1073835427 | Downey Plastic Surgery Tr | Surgery | 1536 N 115th St, Suite 105, Seattle, WA 98133-8400 | 2010-02-25 |
| 1548402308 | Janelle Dubbins Sousa | Surgery | 1959 Ne Pacific St, Box 356410, Seattle, WA 98195-0001 | 2009-03-25 |
| 1528225810 | Joshua M Cooper | Surgery | 1536 N 115th St, Suite 105, Seattle, WA 98133-8400 | 2008-05-22 |
| Find all providers in SEATTLE | ||||
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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.