ANTHONY W BOUTT MD PC (NPI# 1073939732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073939732 |
| Entity Type | Organization |
| Organization Name | ANTHONY W BOUTT MD PC |
| Practice Address |
1522 Pine Grove Ave Ste C Port Huron MI 48060-3382 |
| Practice Telephone | 8109873556 |
| Practice Fax Number | 8109875090 |
| Mailing Telephone | 8109873556 |
| Mailing Fax Number | 8109875090 |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-03-05 |
| Authorized Official Name | DR. ANTHONY W BOUTT (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 8109873556 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 4301070173 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
1522 PINE GROVE AVE STE C |
| City | PORT HURON |
| State | MI |
| Zip Code | 48060-3382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| 1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
| 1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
| 1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
| 1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
| 1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
| 1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
| 1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
| 1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
| Find all providers in zip 48060 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
| 1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
| 1952410987 | Kimberley Carol Clark-paul | Surgery | 1221 Richardson St, Port Huron, MI 48060-3548 | 2006-08-30 |
| 1558972794 | Hope Surgical, Pllc | Surgery | 1221 Richardson St, Port Huron, MI 48060-3548 | 2020-08-12 |
| 1114236353 | Mercy Surgery Care Network | Surgery | 2609 Electric Ave, Suite B, Port Huron, MI 48060-6589 | 2010-10-06 |
| 1962628198 | Erina Kansakar | Surgery | 1216 Washington Ave, Port Huron, MI 48060-3555 | 2007-04-17 |
| 1356464770 | Karen Nichole Mcfarlane | Surgery | 1221 Richardson St, Port Huron, MI 48060-3548 | 2007-04-09 |
| 1871667071 | Walid Demashkieh | Surgery | 2609 Electric Ave, Suite B, Port Huron, MI 48060-6589 | 2006-11-20 |
| 1760556914 | Huron Surgical Clinic, P.C. | Surgery | 1522 Pine Grove Ave, Suite C, Port Huron, MI 48060-3382 | 2006-11-20 |
| 1457425670 | Zubin Bhesania | Surgery | 1522 Pine Grove Ave, Suite C, Port Huron, MI 48060-3382 | 2006-11-20 |
| Find all providers in PORT HURON | ||||
| City | PORT HURON |
| Zip Code | 48060 |
Please comment or provide details below to improve the information on ANTHONY W BOUTT MD PC.
| 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.