Ioannis G Koutlas (NPI# 1447361332, PAC ID# 7719084391) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1447361332 |
| PAC ID by PECOS | 7719084391 |
| Professional Enrollment ID | I20070515000570 |
| Full Name | Ioannis G Koutlas |
| Organization Legal Name | REGENTS OF THE UNIVERSITY OF MINNESOTA |
| Address |
515 Delaware St Se Minneapolis MN 55455-0357 |
| Gender | M |
| Credential | DDS |
| Medical School | UNIVERSITY OF MINNESOTA SCHOOL OF DENTISTRY |
| Graduation Year | 1993 |
| Primary Specialty | ORAL SURGERY |
| Secondary Specialties | PATHOLOGY |
| Group Practice PAC ID | 7416856059 |
| Number of Group Practice Members | 59 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 515 Delaware St Se, Minneapolis, MN 55455-0357 | REGENTS OF THE UNIVERSITY OF MINNESOTA |
| Organization Legal Name | REGENTS OF THE UNIVERSITY OF MINNESOTA |
| Physicians | 77 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Nicole Lalonde | Physical Therapy | Regents of The University of Minnesota | 164 Pillsbury Dr Se, Minneapolis, MN 55455-0279 |
| Alicia A Grund | Clinical Social Worker | Regents of The University of Minnesota | 2001 Bloomington Ave, Minneapolis, MN 55404-3074 |
| Jeannette Staubus Risdahl | Internal Medicine | Regents of The University of Minnesota | 410 Church St Se, Minneapolis, MN 55455-0222 |
| Claudia V Weber | Clinical Psychologist | Regents of The University of Minnesota | 1035 University Dr, Duluth, MN 55812-3031 |
| Rajaram Gopalakrishnan | Oral Surgery | Regents of The University of Minnesota | 515 Delaware St Se, Minneapolis, MN 55455-0357 |
| Michele L Allen | Family Medicine | Regents of The University of Minnesota | 2001 Bloomington Ave, Minneapolis, MN 55404-3074 |
| Andrea C Davis | Nurse Practitioner | Regents of The University of Minnesota | 2001 Bloomington Ave, Minneapolis, MN 55404-3074 |
| Michael J Aylward | Internal Medicine | Regents of The University of Minnesota | 2001 Bloomington Ave, Minneapolis, MN 55404-3074 |
| Lisa Ann Miles | Nurse Practitioner | Regents of The University of Minnesota | 2001 Bloomington Ave, Minneapolis, MN 55404-3074 |
| April L Wolfson | Nurse Practitioner | Regents of The University of Minnesota | 2001 Bloomington Ave, Minneapolis, MN 55404-3074 |
| Street Address |
515 DELAWARE ST SE |
| City | MINNEAPOLIS |
| State | MN |
| Zip | 55455-0357 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rajaram Gopalakrishnan | Oral Surgery | Regents of The University of Minnesota | 515 Delaware St Se, Minneapolis, MN 55455-0357 |
| Mansur Ahmad | Oral Surgery | Regents of The University of Minnesota | 515 Delaware St Se, Minneapolis, MN 55455-0357 |
| James Q Swift | Maxillofacial Surgery | Regents of The University of Minnesota | 515 Delaware St Se, Minneapolis, MN 55455-0357 |
| Estephan J Moana-filho | Oral Surgery | Regents of The University of Minnesota | 515 Delaware St Se, Minneapolis, MN 55455-0357 |
| Rachel M Uppgaard | Oral Surgery | Regents of The University of Minnesota | 515 Delaware St Se, Minneapolis, MN 55455-0357 |
| Laurence R Gaalaas | Oral Surgery | Regents of The University of Minnesota | 515 Delaware St Se, Minneapolis, MN 55455-0357 |
| Donald R Nixdorf | Oral Surgery | Regents of The University of Minnesota | 515 Delaware St Se, Minneapolis, MN 55455-0357 |
| Patricia A Rake | Oral Surgery | Regents of The University of Minnesota | 515 Delaware St Se, Minneapolis, MN 55455-0357 |
| Robert A Nadeau | Oral Surgery | Regents of The University of Minnesota | 515 Delaware St Se, Minneapolis, MN 55455-0357 |
| Constance A Bromaghim | Physical Therapy | Regents of The University of Minnesota | 515 Delaware St Se, Minneapolis, MN 55455-0357 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeannette Staubus Risdahl | Internal Medicine | Regents of The University of Minnesota | 410 Church St Se, Minneapolis, MN 55455-0222 |
| Margaret M Hilgemann | Nurse Practitioner | Regents of The University of Minnesota | 410 Church St Se, Minneapolis, MN 55455-0222 |
| Neelu K Hira | Optometry | Regents of The University of Minnesota | 410 Church St Se, Minneapolis, MN 55455-0222 |
| Michelle I Ansorge | Family Medicine | Regents of The University of Minnesota | 410 Church St Se, Minneapolis, MN 55455-0222 |
| Kelsey N Carignan | Psychiatry | Regents of The University of Minnesota | 410 Church St Se, Minneapolis, MN 55455-0222 |
| Eleonore T Okosdinossian | Family Medicine | Regents of The University of Minnesota | 410 Church St Se, Minneapolis, MN 55455-0222 |
| Bruce J Anderson | Family Medicine | Regents of The University of Minnesota | 410 Church St Se, Minneapolis, MN 55455-0222 |
| Max P Hergott | Optometry | Regents of The University of Minnesota | 410 Church St Se, Minneapolis, MN 55455-0222 |
| Jennifer A Krzmarzick | Family Medicine | Regents of The University of Minnesota | 410 Church St Se, Minneapolis, MN 55455-0222 |
| Christine J Janty | Optometry | Regents of The University of Minnesota | 410 Church St Se, Minneapolis, MN 55455-0222 |
| Find all physicians in zip 55455 | |||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
| Specialty | ORAL SURGERY |
| City + Specialty | MINNEAPOLIS + ORAL SURGERY |
Please comment or provide details below to improve the information on Ioannis G Koutlas.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.