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ANTHONY W BOUTT MD PC
NPI 1073939732
Surgery in Port Huron, MI

Active since March 05, 2014
1522 PINE GROVE AVE STE C, PORT HURON, MI 48060(810) 987-3556(810) 987-5090 Get Directions Write a Review

NPPES record last updated: March 5, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anthony W Boutt Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTHONY W BOUTT MD PC (NPI 1073939732) is a healthcare organization registered as a surgery in Port Huron, Michigan and active in the NPI registry since March 2014. The organization lists Anthony W Boutt, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1073939732
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameANTHONY W BOUTT MD PC
Location Address1522 PINE GROVE AVE STE CPort Huron, MI 48060-3382
Mailing Address1522 Pine Grove Ave Ste CPort Huron, MI 48060-3382 · (810) 987-3556 · Fax (810) 987-5090
Phone(810) 987-3556
Fax(810) 987-5090
Organization SubpartNo
Authorized OfficialAnthony W BouttPhysician/owner · (810) 987-3556
Enumeration DateMarch 5, 2014
✔ NPI 1073939732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MI · 4301070173
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1522 PINE GROVE AVE STE C, Port Huron, MI 48060
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony W Boutt MD PC's NPI number?

The NPI number for Anthony W Boutt MD PC is 1073939732. It was assigned to this organization in the NPPES registry on March 5, 2014.

Where is Anthony W Boutt MD PC located?

Anthony W Boutt MD PC is located at 1522 Pine Grove Ave Ste C, Port Huron, MI 48060. The listed phone number is (810) 987-3556.

What is Anthony W Boutt MD PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

What insurance does Anthony W Boutt MD PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Anthony W Boutt MD PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anthony W Boutt MD PC was last updated on March 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.