Matthew Jerome Boutorwick
OBSERVATION EMERGENCY PHYSICIANS PC


Address: 11800 E 12 Mile Rd, Warren, MI 48093-3472
Phone: 5865735059

Matthew Jerome Boutorwick (NPI# 1144631292, PAC ID# 0547569469) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1144631292
PAC ID by PECOS 0547569469
Professional Enrollment ID I20180430000107
Full Name Matthew Jerome Boutorwick
Organization Legal Name OBSERVATION EMERGENCY PHYSICIANS PC
Address 11800 E 12 Mile Rd
Warren
MI 48093-3472
Phone Number 5865735059
Gender M
Medical School MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 2014
Primary Specialty EMERGENCY MEDICINE
Group Practice PAC ID 9133292410
Number of Group Practice Members 34
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230195 ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER
230241 ST JOHN RIVER DISTRICT HOSPITAL
230165 ST JOHN HOSPITAL AND MEDICAL CENTER

Other Locations

Address Phone Organization
11800 E 12 Mile Rd, Warren, MI 48093-3472 5865735059 OBSERVATION EMERGENCY PHYSICIANS PC

Organization Information

Organization Legal Name OBSERVATION EMERGENCY PHYSICIANS PC
Physicians 49

Physicians with the same organization

Name Specialty Organization Address
Micheal D Buggia Emergency Medicine Observation Emergency Physicians PC 11800 E 12 Mile Rd, Warren, MI 48093-3472
Domian F Kandah Emergency Medicine Observation Emergency Physicians PC 11800 E 12 Mile Rd, Warren, MI 48093-3472
Shawndelin M Wilson Physician Assistant Observation Emergency Physicians PC 22101 Moross Rd, Detroit, MI 48236-2148
Margarita E Pena Emergency Medicine Observation Emergency Physicians PC 22101 Moross Rd, Detroit, MI 48236-2148
David J Ahee Emergency Medicine Observation Emergency Physicians PC 22101 Moross Rd, Detroit, MI 48236-2148
Jessica R Ruffino Emergency Medicine Observation Emergency Physicians PC 11800 E 12 Mile Rd, Warren, MI 48093-3472
Daniel Stanley Gadzinski Emergency Medicine Observation Emergency Physicians PC 11800 E 12 Mile Rd, Warren, MI 48093-3472
Ilya Kott Emergency Medicine Observation Emergency Physicians PC 11800 E 12 Mile Rd, Warren, MI 48093-3472
Shaun B Gray Emergency Medicine Observation Emergency Physicians PC 22101 Moross Rd, Detroit, MI 48236-2148
David R Hanscom Emergency Medicine Observation Emergency Physicians PC 11800 E 12 Mile Rd, Warren, MI 48093-3472

Office Location

Street Address 11800 E 12 MILE RD
City WARREN
State MI
Zip 48093-3472

Physicians in the same location

Name Specialty Organization Address
Micheal D Buggia Emergency Medicine Observation Emergency Physicians PC 11800 E 12 Mile Rd, Warren, MI 48093-3472
Domian F Kandah Emergency Medicine Observation Emergency Physicians PC 11800 E 12 Mile Rd, Warren, MI 48093-3472
Metodija Naumovski Certified Registered Nurse Anesthetist (crna) Ascension Macomb Oakland Hospital 11800 E 12 Mile Rd, Warren, MI 48093-3472
Umberto Berlasi Anesthesiology American Anesthesiology of Michigan PC 11800 E 12 Mile Rd, Warren, MI 48093-3472
Sindhu Koshy Cardiovascular Disease (cardiology) Ascension Macomb Oakland Hospital 11800 E 12 Mile Rd, Warren, MI 48093-3472
Ronald A Bonaventura Nurse Practitioner Ascension Macomb Oakland Hospital 11800 E 12 Mile Rd, Warren, MI 48093-3472
Matthew Michael Edwards Physician Assistant Diagnostic Radiology Consultants PC 11800 E 12 Mile Rd, Warren, MI 48093-3472
Norbert Kadler Certified Registered Nurse Anesthetist (crna) Ascension Macomb Oakland Hospital 11800 E 12 Mile Rd, Warren, MI 48093-3472
Diane M Pokorski Certified Registered Nurse Anesthetist (crna) Ascension Macomb Oakland Hospital 11800 E 12 Mile Rd, Warren, MI 48093-3472
Saifuddin T Vohra Diagnostic Radiology Diagnostic Radiology Consultants PC 11800 E 12 Mile Rd, Warren, MI 48093-3472
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Daniel C Aronovitz Podiatry 31730 Hoover Rd B, Warren, MI 48093-1700
Jane E Krasnick Allergy/immunology Warren Allergy and Asthma Care, PC 31730 Hoover Rd A, Warren, MI 48093-1700
Carey C Linden Allergy/immunology Warren Allergy and Asthma Care, PC 31730 Hoover Rd A, Warren, MI 48093-1700
Ogechi Nita Enyioko Nurse Practitioner Doctors Home Line Pllc 30500 Van Dyke Ave, Suite 203, Warren, MI 48093-2109
Pauline Robinson Nurse Practitioner Doctors Home Line Pllc 30500 Van Dyke Ave, Suite 203, Warren, MI 48093-2109
Barry C Smith Physician Assistant Doctors Home Line Pllc 30500 Van Dyke Ave, Suite 203, Warren, MI 48093-2109
Shobha Subramanian General Practice American Home Doctors PC 8200 E 13 Mile Rd, Suite 101, Warren, MI 48093-2171
Dean A Ruble General Practice American Home Doctors PC 8200 E 13 Mile Rd, Suite 101, Warren, MI 48093-2171
Stephanie M Paluda Obstetrics/gynecology Mission Obstetrics and Gynecology P C 11300 E 13 Mile Rd, Suite 4, Warren, MI 48093-2500
Kristen Wuckert Obstetrics/gynecology Mission Obstetrics and Gynecology P C 11300 E 13 Mile Rd, Suite 4, Warren, MI 48093-2500
Find all physicians in zip 48093

Competitor

Search similar physicians

City WARREN
Zip Code 48093
Specialty EMERGENCY MEDICINE
City + Specialty WARREN + EMERGENCY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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