ALEXANDER GOUGOUTAS MD NPI 1821154790

NPI Information

NPI: 1821154790
Provider Name: ALEXANDER GOUGOUTAS, MD
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
1229 MADISON ST # 1660
SEATTLE, WA
ZIP 98104
Phone: (206) 860-5582
Get Directions

Alexander Gougoutas, MD is a plastic and reconstructive surgery surgery in Seattle, WA with 18 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. Alexander Gougoutas, MD NPI is 1821154790. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduation Year:2006

The provider's business location address is:

1229 MADISON ST # 1660
SEATTLE, WA
ZIP 98104-586
Phone: (206) 860-5582

The NPI 1821154790 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 9/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery	MD60276102	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1821154790	MEDICAID	WASHINGTON
2	8909038	OTHER	WASHINGTON	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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