Stavros Iosef Koundourakis, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

287083 Issued in OH

Practice address

10 Penfield Ave
Akron, OH 44310-2912

Phone

(330) 762-6110

NPI assigned

Jun 29, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1881045094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 S BROADWAY ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081529",
            "telephone_number": "330-762-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PENFIELD AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443102912",
            "telephone_number": "330-762-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUNDOURAKIS",
        "first_name": "STAVROS",
        "middle_name": "IOSEF",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "287083",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR16192000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dhatri Kotekal, DO
• Cheryl Ann Kotkowski
• Julie A Kotowski, PA-C
• Bradley Kou
• Peter Anthony Koulianos
• Anastasia S Koutrodimos, OT
• Kara Kovach, PA-C
• Diane M Kovachik, PA
• Monica Lee Kovacs
• Maria C Kovalchin

• Registered Nurse in Akron, OH
• Providers in Akron, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.