| Attas Boutrous Ii, MD | |
|
202 E Greenfield Ln Ste 100, Bismarck, ND 58503-6597 | |
| (701) 223-7822 | |
| (701) 223-7844 |
| Full Name | Attas Boutrous Ii |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 202 E Greenfield Ln Ste 100, Bismarck, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346362423 | NPI | - | NPPES |
| 1462491 | Medicaid | ND | |
| 5700930 | Medicaid | SD | |
| 0040053 | Medicaid | MT | |
| 3537218-00 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 6635 (North Dakota) | Primary |
| Entity Name | St Alexius Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205868429 PECOS PAC ID: 8426960865 Enrollment ID: O20031104000146 |
| Entity Name | St. Joseph's Hospital And Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730464108 PECOS PAC ID: 0547177560 Enrollment ID: O20031107000651 |
| Entity Name | Pain Treatment Center Anesthesiologists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780707836 PECOS PAC ID: 4981693678 Enrollment ID: O20040507001291 |
| Mailing Address | Practice Location Address |
|---|---|
| Attas Boutrous Ii, MD 202 E Greenfield Ln Ste 100, Bismarck, ND 58503-6597 Ph: (701) 223-7822 | Attas Boutrous Ii, MD 202 E Greenfield Ln Ste 100, Bismarck, ND 58503-6597 Ph: (701) 223-7822 |
Calvin Motika, M.D Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 900 E Broadway Ave, Bismarck, ND 58501 Phone: 701-530-7000 | |
Dr. Samuel Aguhob, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 Fax: 701-323-5709 | |
George Kwitka, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 Fax: 701-323-5709 | |
Hugh S Carlson, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 202 E Greenfield Ln Ste 100, Bismarck, ND 58503 Phone: 701-223-7822 Fax: 701-223-7844 | |
Diosdado T Jaramillo, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 300 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 | |
Catherine T Puetz, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 300 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 | |
Dr. Michael Jankoviak, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 310 N 10th St, Bismarck, ND 58501 Phone: 701-530-7500 Fax: 701-530-7484 |