Dr. Theodore C Koutlas, MD
Dr. Theodore C Koutlas, MD is a Cardiac Surgery in Spokane, Washington. Graduated from University of Washington School of Medicine in 1987, 39 years ago. Practices with Providence Health and Services-Wa, a 25-clinician group and accepts Medicare assignment. Licensed in Idaho, North Carolina and Washington.
- Years since qualifying
- 39
- Trained at
- University of Washington School of Medicine
- Licensed in
- ID, NC, WA
- In the registry since
- 2005
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
62 W 7th Ave Ste 110Spokane, WA 99204-2321
Phone: (509) 456-0262
Fax: (509) 462-5059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) | Taxonomy 208G00000X · Licence MD60367366 (WA) |
|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | Taxonomy 208G00000X · Licence M-12098 (ID) |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | Taxonomy 208G00000X · Licence 36754 (NC) |
Record details
| NPI number | 1902898331 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | August 22, 2005 |
| Last updated in NPPES | June 16, 2021 |
| Certification date | June 16, 2021 |
| Mailing address | 62 W 7th Ave Ste 110, Spokane, WA 99204-2321 |
Medicare enrollment
| Medicare specialty | CARDIAC SURGERY |
|---|---|
| Medical school | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduated | 1987 (39 years in practice) |
| Group practice | Providence Health And Services-Wa — 25 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Spokane
-
Matthew Donavon Forrester, MD
62 W 7th Ave Ste 110, Spokane, WA 99204-2321 · (509) 456-0262
-
Kai A Ihnken, MD
122 W 7th Ave Ste 110, Spokane, WA 99204-2301 · (509) 462-6485
-
Dr. Michael A Judd, MD
122 W 7th Ave Ste 110, Spokane, WA 99204-2349 · (509) 456-0262
-
Dr. Jack J. Leonard, MD
122 W 7th Ave Ste 110, Spokane, WA 99204-2349 · (509) 456-0262
-
Alexi Matousek, MD
62 W 7th Ave Ste 110, Spokane, WA 99204-2321 · (509) 456-0262
-
Dr. Steven J. Nisco, MD
62 W 7th Ave Ste 110, Spokane, WA 99204-2321 · (509) 456-0262
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Providence Health & Services-Wa
62 W 7th Ave Ste 110, Spokane, WA 99204-2321 · (509) 456-0262