DR. HRAIR A KOUTNOUYAN (NPI# 1063499937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063499937 |
| Entity Type | Individual |
| Full Name | DR. HRAIR A KOUTNOUYAN |
| Credential | MD |
| Practice Address |
1505 Wilson Ter #270 Glendale CA 91206-4071 |
| Practice Telephone | 8182412101 |
| Practice Fax Number | 8182412166 |
| Mailing Telephone | 8182412101 |
| Mailing Fax Number | 8182412166 |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2013-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | G79321 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 040017113 | 01 | |
| RAILROAD MEDICARE | CJ8786 | 01 | |
| RAILROAD MEDICARE | CJ8787 | 01 | |
| CA | 00G793210 | 05 | |
| CA | MEDICARE ID | W14884 | 01 |
| TRICARE | B004 | 01 | |
| CA | GR0088300 | 05 | |
| RAILROAD MEDICARE | 040017111 | 01 | |
| CA | BLUE SHIELD | ZZZ56084Z | 01 |
| CA | BLUE SHIELD | ZZZ61447Z | 01 |
| Street Address |
1505 WILSON TER #270 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91206-4071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750380622 | Donald J Williams Md A Professional Corporation | Specialist | 1505 Wilson Ter, Suite 155, Glendale, CA 91206-4071 | 2005-07-21 |
| 1386001261 | Los Angeles Hematology Oncology Medical Group | Pharmacy | 1505 Wilson Ter, Suite 200, Glendale, CA 91206-4071 | 2016-01-22 |
| 1306214242 | Vladimir Aratan Camarce | Nurse Practitioner | 1505 Wilson Ter, Suite 250, Glendale, CA 91206-4071 | 2015-09-09 |
| 1912265166 | Sondra Kay Samples | Audiologist | 1505 Wilson Ter, Glendale, CA 91206-4071 | 2012-04-25 |
| 1396027892 | Gerald M. Pohost, Md, Inc. | Specialist | 1505 Wilson Ter, Suite 150, Glendale, CA 91206-4071 | 2011-09-12 |
| 1245527555 | Isaac Nef | Acupuncturist | 1505 Wilson Ter, Ste 250, Glendale, CA 91206-4071 | 2011-07-07 |
| 1336440940 | Jacob E. Tauber, Md, A Professional Corporation | Non-Pharmacy Dispensing Site | 1505 Wilson Ter, Suite 310, Glendale, CA 91206-4071 | 2010-11-12 |
| 1477867257 | Lynnette Tatosyan, Do Inc | Internal Medicine | 1505 Wilson Ter, 315, Glendale, CA 91206-4071 | 2010-08-04 |
| 1609196245 | Kirk Medical Incorporated | Obstetrics & Gynecology | 1505 Wilson Ter, Suite 220, Glendale, CA 91206-4071 | 2010-06-05 |
| 1780911271 | Ami N. Patel, M.d., Inc. | Internal Medicine | 1505 Wilson Ter, Suite # 155, Glendale, CA 91206-4071 | 2009-11-04 |
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|---|---|---|---|---|
| 1922611003 | Skyla L Bergin | Behavior Technician | 741 Glenvia St., Suite 200, Glendale, CA 91206 | 2020-08-28 |
| 1861017303 | Scm Nutrition Diet Inc | Dietitian, Registered | 2437 Bywood Drive, Glendale, CA 91206 | 2020-06-10 |
| 1336761295 | Glendale Whole Health | Family Medicine | 230 N Maryland Aave #110, Glendale, CA 91206 | 2020-05-14 |
| 1467010801 | Rebecca Bautista | Counselor | 223 North Jackson Street, Glendale, CA 91206 | 2019-05-31 |
| 1689132920 | M4l Transport Inc | Non-emergency Medical Transport (VAN) | 336 N Louise St #4d, Glendale, CA 91206 | 2019-03-05 |
| 1376042705 | Eileen Wong, Md Inc. | Physical Medicine & Rehabilitation | 2664 E Glenoaks Blvd, Glendale, CA 91206 | 2018-02-12 |
| 1629507900 | Aleksan Chakhoyan | Registered Nurse | 501 N. Glendale Ave., Glendale, CA 91206 | 2017-06-08 |
| 1851793343 | Sevak Olmessekian | Pharmacist | 230 N. Maryland Ave., Suite 307, Glendale, CA 91206 | 2014-09-16 |
| 1558762575 | Zyanya Mendoza | Clinical Neuropsychologist | 1560 E Chevy Chase Dr Ste 140, Glendale, CA 91206 | 2014-09-09 |
| 1629488358 | Nina Behdin | Surgery | 1560 E Chevy Chase Dr Ste 430, Glendale, CA 91206 | 2014-05-02 |
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| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134214851 | Richard P Pearlstein | Otolaryngology | 18700 N 64th Dr Ste 201, Glendale, AZ 85308-7112 | 2006-10-04 |
| 1609881077 | Ascension Medical Group - Southeast Wisconsin, Inc. | Otolaryngology | 400 W River Woods Pkwy, Glendale, WI 53212 | 2006-07-31 |
| 1053381533 | David L Simms | Otolaryngology | 5750 W. Thunderbird Rd, Suite A-100, Glendale, AZ 85306-4660 | 2006-01-25 |
| 1184607004 | Sudhir P Agarwal | Otolaryngology | 5757 W Thunderbird Road, Suite W301, Glendale, AZ 85306-4641 | 2005-11-23 |
| 1073506077 | Isabel Feinstein | Otolaryngology | 5750 W Thunderbird, Suite A-100, Glendale, AZ 85306 | 2005-08-24 |
| 1205146990 | George B. Stoneman, Md, A Professional Corporation | Otolaryngology | 800 S Central Ave, Suite 204, Glendale, CA 91204-4370 | 2010-10-14 |
| 1194054015 | Eric J Yavrouian | Otolaryngology | 1505 Wilson Terrace, 270, Glendale, CA 91206-4078 | 2009-12-24 |
| 1144402405 | Susan L Chobanian | Otolaryngology | 1510 S Central Ave, 100, Glendale, CA 91204-2500 | 2007-11-28 |
| 1962608281 | Sarah Rossmiller Carroll | Otolaryngology | 1505 Wilson Ter, Suite 270, Glendale, CA 91206-4071 | 2007-06-23 |
| 1013051085 | Medical Clinic and Surgical Specialities of Glendale | Otolaryngology | 1510 South Central Ave, Suite #100, Glendale, CA 91204-2582 | 2007-02-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.