Anthony William Boutt (NPI# 1265506497, PAC ID# 7719998921) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1265506497 |
| PAC ID by PECOS | 7719998921 |
| Professional Enrollment ID | I20100507000726 |
| Full Name | Anthony William Boutt |
| Address |
1522 Pine Grove Ave C Port Huron MI 48060-3382 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | GENERAL SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230216 | MCLAREN PORT HURON |
| 230031 | LAKE HURON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1522 Pine Grove Ave C, Port Huron, MI 48060-3382 |
| Street Address |
1522 PINE GROVE AVE C |
| City | PORT HURON |
| State | MI |
| Zip | 48060-3382 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zubin Bhesania | General Surgery | 1522 Pine Grove Ave C, Port Huron, MI 48060-3324 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annette M Mercatante | Family Medicine | 2215 Court, Port Huron, MI 48060 | |
| Fahim Kamal Ibrahim | Ophthalmology | 2025 Holland Ave, Port Huron, MI 48060-1519 | |
| George J Carley Jr. | Family Medicine | George J Carley Do PC | 1943 Holland Ave, Port Huron, MI 48060-1519 |
| Reid S Stromberg | Family Medicine | George J Carley Do PC | 1943 Holland Ave, Port Huron, MI 48060-1519 |
| Kamal Fahim | Ophthalmology | 2025 Holland Ave, Port Huron, MI 48060-1519 | |
| Mark G Kanitz | Emergency Medicine | Medexpress Urgent Care PC - Michigan | 3550 Pine Grove Ave, Port Huron, MI 48060-1944 |
| Dana L Wolfe | Nurse Practitioner | Medexpress Urgent Care PC - Michigan | 3550 Pine Grove Ave, Port Huron, MI 48060-1944 |
| Jay S Guikema | Nurse Practitioner | Medexpress Urgent Care PC - Michigan | 3550 Pine Grove Ave, Port Huron, MI 48060-1944 |
| Dena R Nader | Family Medicine | Medexpress Urgent Care PC - Michigan | 3550 Pine Grove Ave, Port Huron, MI 48060-1944 |
| Shanae D Bartlett | Nurse Practitioner | Medexpress Urgent Care PC - Michigan | 3550 Pine Grove Ave, Port Huron, MI 48060-1944 |
| Find all physicians in zip 48060 | |||
| City | PORT HURON |
| Zip Code | 48060 |
| Specialty | GENERAL SURGERY |
| City + Specialty | PORT HURON + GENERAL SURGERY |
Please comment or provide details below to improve the information on Anthony William Boutt.
| 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.