Debra L. Koutnik, MD

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

License

MD19083 Issued in OR

Practice address

628 N Main St
Ashland, OR 97520-1710

Phone

(541) 201-4930

Fax

(541) 201-4931

NPI assigned

Oct 17, 2005

Last updated

Jul 8, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: debra.koutnik@jhie.net

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1467441006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 E BARNETT RD",
            "address_2": "SUITE H",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048344",
            "telephone_number": "541-789-4281",
            "fax_number": "541-789-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 N MAIN ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201710",
            "telephone_number": "541-201-4930",
            "fax_number": "541-201-4931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUTNIK",
        "first_name": "DEBRA",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "OR",
            "license": "MD19083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marijana Knez, LCSW
• Guenther O. Knoblich, MD
• Carole Taylor Kohn, LPC
• Kolpia Counseling Service
• Kolpia Counseling Services Inc
• Chris Kovash, LPC
• Marilyn Elllen Kovtunovich, LCSW
• Sharon Kraus, L.AC.
• James Burnell Krick, PHARM.D.
• Kristen M Engstrom Crna LLC

• Developmental - Behavioral Pediatrics Physician in Ashland, OR
• Providers in Ashland, OR by specialty
• Developmental - Behavioral Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.