BISMARCK SURGICAL ASSOCIATES LLC (NPI# 1487814356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487814356 |
| Entity Type | Organization |
| Organization Name | BISMARCK SURGICAL ASSOCIATES LLC |
| Practice Address |
106 E Greenfield Ln Bismarck ND 58503-6578 |
| Practice Telephone | 7012212299 |
| Practice Fax Number | 7013554331 |
| Mailing Telephone | 7012212299 |
| Mailing Fax Number | 7013233338 |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2019-10-24 |
| Authorized Official Name | DR. ATTAS BOUTROUS (ADMINISTRATOR) |
| Authorized Official Telephone | 7012212299 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
ND | Ambulatory Health Care Facilities | |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R28938 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | RAILROAD MEDICARE | 490004061 | 01 |
| ND | 10864 | 05 | |
| ND | BCBS | 8618 | 01 |
| Street Address |
106 E GREENFIELD LN |
| City | BISMARCK |
| State | ND |
| Zip Code | 58503-6578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255339628 | Bismarck Surgical Associates, LLC | Clinic/Center | 106 E Greenfield Ln, Bismarck, ND 58503-6578 | 2005-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356951503 | Community Options for Residential and Employment Services, Inc | Community/Behavioral Health | 4909 Shelburne St, Bismarck, ND 58503 | 2020-08-03 |
| 1104460476 | Brittany Lee Feil | Registered Nurse | 808 N Washington St., Bismarck, ND 58503 | 2019-10-30 |
| 1760030670 | Rachel Lees | Technician | 1727 Valley Drive, Bismark, ND 58503 | 2019-09-04 |
| 1700444619 | St Alexius Medical Center | Non-Pharmacy Dispensing Site | 807 East Main Suite A, Bismarck, ND 58503 | 2019-06-05 |
| 1881162972 | White Drug Co of Jamestown Inc | Pharmacy | 900 Ne 43rd Ave, Bismarck, ND 58503 | 2018-11-06 |
| 1104347137 | Adapt, Inc. | Counselor | 1720 Burnt Boat Drive, Suite 108, Bismarck, ND 58503 | 2017-06-29 |
| 1679010953 | Optimum Therapies of North Dakota, Inc | Physical Therapist | 4204 Boulder Ridge Rd, Suite 100, Bismarck, ND 58503 | 2017-01-25 |
| 1972954162 | Ava Burckhard | Speech-Language Pathologist | 4501 Coleman St N Suite #103, Pediatric Therapy Partners, Bismarck, ND 58503 | 2016-06-29 |
| 1306292842 | Margaret Williams | Nurse Practitioner | 4315 Ottawa St, Bismarck, ND 58503 | 2016-05-13 |
| 1649638958 | Horizon Chiropractic & Wellness PC | Chiropractor | 4535 Northern Sky Dr., Bismarck, ND 58503 | 2016-02-01 |
| Find all providers in zip 58503 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083196505 | Thrive Anesthesia Services, Incorporated | Nurse Anesthetist, Certified Registered | 2000 Schafer St Ste E, Bismarck, ND 58501-1204 | 2018-08-31 |
| 1629433982 | Preston Wilbert Huber | Nurse Anesthetist, Certified Registered | 718 San Angelo Dr, Bismarck, ND 58504-7440 | 2015-12-30 |
| 1194743542 | Cathy M Schmitz | Nurse Anesthetist, Certified Registered | 600 N 9th St, Bismarck, ND 58501-4112 | 2006-07-17 |
| 1598795767 | Kathryn Mae Kovar | Nurse Anesthetist, Certified Registered | 108 Redstone Dr, Bismarck, ND 58503-1463 | 2006-07-04 |
| 1336772839 | Deanne Hice | Nurse Anesthetist, Certified Registered | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-02-13 |
| 1699306423 | Chelsea Lingle | Nurse Anesthetist, Certified Registered | 300 N 7th St, Bismarck, ND 58501-4439 | 2020-01-30 |
| 1447897897 | 701 Anesthesia Associates, Pllc | Nurse Anesthetist, Certified Registered | 401 N 9th St, Bismarck, ND 58501-4530 | 2019-12-04 |
| 1841754983 | Jacob Szajkowski | Nurse Anesthetist, Certified Registered | 900 E Broadway Ave, Bismarck, ND 58501-4586 | 2019-01-23 |
| 1598203895 | Nathan Roehrich | Nurse Anesthetist, Certified Registered | 300 N 7th St, Bismarck, ND 58501-4439 | 2017-02-07 |
| 1659816395 | Kari A. Emery | Nurse Anesthetist, Certified Registered | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2017-01-04 |
| Find all providers in BISMARCK | ||||
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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.