PAIN TREATMENT CENTER ANESTHESIOLOGISTS PC (NPI# 1780707836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780707836 |
| Entity Type | Organization |
| Organization Name | PAIN TREATMENT CENTER ANESTHESIOLOGISTS PC |
| Practice Address |
202 E Greenfield Ln Ste 100 Bismarck ND 58503-6597 |
| Practice Telephone | 7012237822 |
| Practice Fax Number | 7012237844 |
| Mailing Telephone | 7012237822 |
| Mailing Fax Number | 7012237844 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-09-24 |
| Authorized Official Name | ATTAS BOUTROUS II (PRESIDENT) |
| Authorized Official Telephone | 7012237822 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | BCBS GROUP | 05349001 | 01 |
| ND | 1463006 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912270729 | Pain Treatment Center Anesthesiologists PC | Clinic/Center | 600 N 9th St, Suite 3, Bismarck, ND 58501-4107 | 2012-02-10 |
| Street Address |
202 E GREENFIELD LN STE 100 |
| City | BISMARCK |
| State | ND |
| Zip Code | 58503-6597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912925876 | Lori Klabunde | Physician Assistant | 202 E Greenfield Ln Ste 100, Bismarck, ND 58503-6597 | 2006-07-18 |
| 1346362423 | Attas Boutrous II | Anesthesiology | 202 E Greenfield Ln Ste 100, Bismarck, ND 58503-6597 | 2007-04-06 |
| 1649392739 | Ronald M Knutson | Anesthesiology | 202 E Greenfield Ln Ste 100, Bismarck, ND 58503-6597 | 2007-04-06 |
| 1093837197 | Hugh S Carlson | Anesthesiology | 202 E Greenfield Ln Ste 100, Bismarck, ND 58503-6597 | 2007-04-06 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316580343 | Moos Family Chiropractic LLC | Clinic/Center | 517 S 5th St, Bismarck, ND 58504-5702 | 2019-10-22 |
| 1225503972 | Central Dakota Forensic Nurse Examiners | Clinic/Center | 1929 N Washington St Ste W, Bismarck, ND 58501-1616 | 2018-10-09 |
| 1194095331 | R&r Chiropractic PC | Clinic/Center | 4903 Pumice Loop, Bismarck, ND 58503 | 2012-01-05 |
| 1063742864 | Sims Creek Chiropractic | Clinic/Center | 3712 Lockport St Ste B, Bismarck, ND 58503-1220 | 2009-12-30 |
| 1346299336 | Medcenter One Inc. | Clinic/Center | 512 N 7th St, Bismarck, ND 58501-4425 | 2006-05-08 |
| 1174138507 | Sontak Family Clinic Pllc | Clinic/Center | 4023 State St Ste 60, Bismarck, ND 58503-0690 | 2020-09-11 |
| 1538669981 | Ideal Option, Pllc | Clinic/Center | 549 Airport Rd, Bismarck, ND 58504-6107 | 2018-02-12 |
| 1538518857 | Bismarck Sports and Spine | Clinic/Center | 931 S Washington St, Bismarck, ND 58504-5463 | 2016-06-07 |
| 1699129205 | Vancleave Chiropractic P.C. | Clinic/Center | 1921 N 13th St, Bismarck, ND 58501-1973 | 2016-04-20 |
| 1568847408 | Independent Doctors, P.C. | Clinic/Center | 4535 Northern Sky Drive, Suite 1, Bismarck, ND 58503 | 2015-07-21 |
| 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.