Michael M Boustany (NPI# 1619973096, PAC ID# 4789572736) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1619973096 |
| PAC ID by PECOS | 4789572736 |
| Professional Enrollment ID | I20100902000540 |
| Full Name | Michael M Boustany |
| Organization Legal Name | THS PHYSICIAN PARTNERS INC |
| Address |
434 Division St South Charleston WV 25309-1443 |
| Phone Number | 3047667140 |
| Gender | M |
| Graduation Year | 1970 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 9537316393 |
| Number of Group Practice Members | 76 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510029 | THOMAS MEMORIAL HOSPITAL |
| 510022 | CHARLESTON AREA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 434 Division St, South Charleston, WV 25309-1443 | 3047667140 | THS PHYSICIAN PARTNERS INC |
| Organization Legal Name | THS PHYSICIAN PARTNERS INC |
| Physicians | 76 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dragana Orlovic | Infectious Disease | Ths Physician Partners Inc | 434 Division St, South Charleston, WV 25309-1443 |
| Tracy L Leege | Nurse Practitioner | Ths Physician Partners Inc | 6 A Bank St, Nitro, WV 25143-1708 |
| Jeremy Dale Walker | Nurse Practitioner | Ths Physician Partners Inc | 506 Chestnut St, South Charleston, WV 25309-1204 |
| Lisa Mcclure | Nurse Practitioner | Ths Physician Partners Inc | 500 Poplar St, Suite 202, South Charleston, WV 25309-1472 |
| Jonathan M White | Family Medicine | Ths Physician Partners Inc | 11924 Winfield Rd, Winfield, WV 25213-7913 |
| Luke Weldon Martin | General Surgery | Ths Physician Partners Inc | 331 Laidley St, Suite 503, Charleston, WV 25301-1682 |
| John W Hannah | Urology | Ths Physician Partners Inc | 4610 Kanawha Ave Sw, Suite 401, South Charleston, WV 25309-1367 |
| Bruce Fredric Haupt | Orthopedic Surgery | Ths Physician Partners Inc | 610 Chestnut St, South Charleston, WV 25309-1251 |
| Ziad Kahwash | Endocrinology | Ths Physician Partners Inc | 436 Division St, South Charleston, WV 25309-1402 |
| Rebecca Jean Donohoe | Nurse Practitioner | Ths Physician Partners Inc | 4820 Kentucky St, South Charleston, WV 25309-1310 |
| Street Address |
434 DIVISION ST |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip | 25309-1443 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dragana Orlovic | Infectious Disease | Ths Physician Partners Inc | 434 Division St, South Charleston, WV 25309-1443 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy Dale Walker | Nurse Practitioner | Ths Physician Partners Inc | 506 Chestnut St, South Charleston, WV 25309-1204 |
| Michael S Dewitt | Family Medicine | Ths Physician Partners Inc | 506 Chestnut St, South Charleston, WV 25309-1204 |
| Amy Marie Combs | Physician Assistant | Ths Physician Partners Inc | 506 Chestnut St, South Charleston, WV 25309-1204 |
| Gregory Thomas Lagos | Dermatology | Center for Dermatology and Skin Care, Inc. | 607 Chestnut St, South Charleston, WV 25309-1205 |
| Megan C Evans | Physician Assistant | Center for Dermatology and Skin Care, Inc. | 607 Chestnut St, South Charleston, WV 25309-1205 |
| Derek L. Ramsey | Physician Assistant | Center for Dermatology and Skin Care, Inc. | 607 Chestnut St, South Charleston, WV 25309-1205 |
| Randi Linn Dillon | Physician Assistant | Center for Dermatology and Skin Care, Inc. | 607 Chestnut St, South Charleston, WV 25309-1205 |
| Jacqueline Moore | Physician Assistant | South Charleston Dermatology Pllc | 4815 Kanawha Ave Sw, South Charleston, WV 25309-1207 |
| Michelle Leigh Endicott | Dermatology | South Charleston Dermatology Pllc | 4815 Kanawha Ave Sw, South Charleston, WV 25309-1207 |
| Todd V Kreitzer | Dermatology | South Charleston Dermatology Pllc | 4815 Kanawha Ave Sw, South Charleston, WV 25309-1207 |
| Find all physicians in zip 25309 | |||
| City | SOUTH CHARLESTON |
| Zip Code | 25309 |
| Specialty | GENERAL SURGERY |
| City + Specialty | SOUTH CHARLESTON + GENERAL SURGERY |
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| 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.