Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Alexander Gouttsoul, PA-C

Individual provider Medical Physician Assistant · NPI 1306154653

Mr. Alexander Gouttsoul, PA-C is a Physician Assistant in Salt Lake City, Utah. Qualified in 2010, 16 years ago. Practices with University of Utah Adult Services, a 1,740-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
16
Licensed in
UT
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

30 N 1900 E
Salt Lake City, UT 84132-0002
Phone: (801) 585-1935
Fax: (801) 587-5872
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7776119-1206 (UT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 7776119-1206 (UT)

Record details

NPI number1306154653
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 21, 2010
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice University Of Utah Adult Services — 1740 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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