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

Individual provider Physician Assistant · NPI 1952704561

Olivia Jean Koukoularis, PA-C is a Physician Assistant in New London, Connecticut. Qualified in 2014, 12 years ago. Practices with The William W Backus Hospital, a 247-clinician group and accepts Medicare assignment. Licensed in Connecticut and Rhode Island.

Years since qualifying
12
Licensed in
CT, RI
In the registry since
2014
Specialties on file
3
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

415 Ocean Ave
New London, CT 06320-4716
Phone: (860) 437-1100
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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 3202 (CT)
Physician Assistant Taxonomy 363A00000X · Licence PA00783 (RI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 3202 (CT)

Record details

NPI number1952704561
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 28, 2014
Last updated in NPPESSeptember 11, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice The William W Backus Hospital — 247 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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