| Robert Allen Pathroff, MD | |
|
225 North 7th Street, Bismarck, ND 58501 | |
| (701) 224-9471 | |
| (701) 223-8728 |
| Full Name | Robert Allen Pathroff |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 225 North 7th Street, 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 |
|---|---|---|---|
| 1912947847 | NPI | - | NPPES |
| 016454 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | ME61633 (Florida) | Secondary |
| 208800000X | Urology | 5534 (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Allen Pathroff, MD 225 North 7th Street, Bismarck, ND 58501 Ph: (701) 224-9471 | Robert Allen Pathroff, MD 225 North 7th Street, Bismarck, ND 58501 Ph: (701) 224-9471 |
Karim Courtemanche, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 | |
Leslie M Rainwater, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 900 E Broadway Ave, Bismarck, ND 58501 Phone: 701-530-7000 Fax: 701-530-8842 | |
Todd A Gray, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 900 E Broadway Ave, Bismarck, ND 58501 Phone: 701-530-6500 | |
Nadim Koleilat, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 Fax: 701-323-5886 | |
Cameron M Charchenko, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 |