DR. ANASTASIA BAKOULIS (NPI# 1922380203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922380203 |
| Entity Type | Individual |
| Full Name | DR. ANASTASIA BAKOULIS |
| Credential | D.O. |
| Practice Address |
3 Edmund D Pellegrino Rd Stony Brook NY 11794-2594 |
| Mailing Address |
Stony Brook Surgical Associates Hsc T19, Room 20 Stony Brook NY 11794-8191 |
| Practice Telephone | 6316381000 |
| Practice Fax Number | 6316380720 |
| Mailing Telephone | (631) 444-5976 |
| Mailing Fax Number | 6314446348 |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2017-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 284277 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
3 EDMUND D PELLEGRINO RD |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11794-2594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881690980 | Sylvia K Wood | Nurse Practitioner | 3 Edmund D Pellegrino Rd, Stony Brook, NY 11794-1008 | 2005-06-23 |
| 1437492782 | Krystal Danielle Airola | Radiology | 3 Edmund D Pellegrino Rd, Stony Brook, NY 11794-8160 | 2013-04-04 |
| 1679866909 | Jennifer Lyn Fitzgibbon | Dietitian, Registered | 3 Edmund D Pellegrino Rd, Stony Brook, NY 11794-1008 | 2011-05-19 |
| 1952619512 | Lynette Leola Leepack | Nurse Practitioner | 3 Edmund D Pellegrino Rd, Stony Brook, NY 11794-9460 | 2010-09-16 |
| 1942435417 | Rubin Guo | Nurse Practitioner | 3 Edmund D Pellegrino Rd, Stony Brook, NY 11794-1008 | 2009-05-27 |
| 1801039789 | Minyi Tan | Anesthesiology | 3 Edmund D Pellegrino Rd, Stony Brook Anaesthesiology - Pain Management Center, Stony Brook, NY 11794-9464 | 2009-04-08 |
| 1770744286 | Michael Abramov | Radiology | 3 Edmund D Pellegrino Rd, Stony Brook, NY 11794-8206 | 2008-06-18 |
| 1336308626 | Laura Elaina Hogan | Pediatrics | 3 Edmund D Pellegrino Rd, Stony Brook, NY 11794-8111 | 2008-06-03 |
| 1295992667 | Julia Scheuermann | Nurse Practitioner | 3 Edmund D Pellegrino Rd, Stony Brook, NY 11794-0001 | 2008-05-21 |
| 1477596997 | Edward Chan | Pediatrics | 3 Edmund D Pellegrino Rd, Stony Brook, NY 11794-9448 | 2006-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619506714 | Ryan John Kottmeier | Physician Assistant | 101 Nicolls Road Suny Stony Brook Hospital, Dept of Orthopedics Hsc T18, Room 080, Stony Brook, NY 11794 | 2020-04-02 |
| 1699302109 | Michael Trentalange | Student in an Organized Health Care Education/Training Program | Department of Surgery, Health Sciences Center Level 19, Room 030, Stony Brook, NY 11794 | 2020-03-25 |
| 1164985156 | Lauren Kate Harris | Student in an Organized Health Care Education/Training Program | Stony Brook Medicine, Department of Ob/gyn, Hsc T9, 101 Nicolls Road, Stony Brook, NY 11794 | 2019-04-08 |
| 1851851448 | Kathy Tin | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc 16 Suny Stony Brook Hospital, Stony Brook, NY 11794 | 2019-03-21 |
| 1174083703 | Arham Khan | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc Level 16, Suny Stony Brook Hosp, Stony Brook, NY 11794 | 2019-03-20 |
| 1396221982 | Aman Bhojani | Student in an Organized Health Care Education/Training Program | Suny At Stony Brook Dental School, South Drive, Stony Brook, NY 11794 | 2018-07-17 |
| 1699265629 | Belliny Phaeton | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Hospital, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-15 |
| 1629568969 | Rachel Herold | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Department of Pediatrics, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-11 |
| 1598254419 | Nora Ann Diraimondo | Nurse Practitioner | Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 | 2018-05-07 |
| 1386140705 | Ryan Christopher Corn | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine, Hsc Level 16-020, Suny Stony Brook, Stony Brook, NY 11794 | 2018-04-04 |
| Find all providers in zip 11794 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760740492 | Benjamin James Flink | Surgery | Health Sciences Center T-19, Stony Brook, NY 11794-1059 | 2012-05-01 |
| 1114285988 | Viola Huang | Surgery | Health Science Tower Level 19, Room 020, Stony Brook, NY 11794-1000 | 2012-04-30 |
| 1558691154 | Salvatore Docimo Jr. | Surgery | Hst T19, Room 053, Stony Brook, NY 11790-8191 | 2010-01-04 |
| 1427200930 | David Alberto Vivas | Surgery | Hsc T19-020 Stony Brook Medicine, Stony Brook, NY 11794-8191 | 2008-10-15 |
| 1548410657 | George C Angelos | Surgery | Hst Level 18 Rm 046b, Stony Brook, NY 11794-8191 | 2008-09-25 |
| 1952508038 | Georgios V Georgakis | Surgery | Lauterbur Drive Hospital Pavilion Level 5w, Stony Brook, NY 11794-3955 | 2007-07-02 |
| 1609913979 | Kinga A Powers | Surgery | Sbumc, Hsc Level 19, Rm.053, Stony Brook, NY 11790-0989 | 2007-01-30 |
| 1336223221 | Aurora Dawn Pryor | Surgery | Hsc 18 040, Stony Brook University Medical Center, Stony Brook, NY 11794-0001 | 2006-10-25 |
| 1790706513 | Marc J Shapiro | Surgery | 100 Nicolls Road, L5 University Hospital, Stony Brook, NY 11794 | 2006-07-21 |
| 1588694673 | Mark A Talamini | Surgery | Hst 19 020, Stony Brook, NY 11794-8191 | 2006-07-04 |
| Find all providers in STONY BROOK | ||||
| City | STONY BROOK |
| Zip Code | 11794 |
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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.