Pain Treatment Center Anesthesiologists PC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

PAIN TREATMENT CENTER ANESTHESIOLOGISTS PC

Doing business as

Community MRI Services

Practice address

600 N 9TH St
Suite 3
Bismarck, ND 58501-4107

Phone

(701) 355-4300

Fax

(701) 355-4301

NPI assigned

Feb 10, 2012

Last updated

Sep 28, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

PAIN TREATMENT CENTER ANESTHESIOLOGISTS PCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melissa Lynn Ohnell

Title

Admin

Phone

(701) 223-7822

Specialties & licenses 2

Addresses

Other names 1

• COMMUNITY MRI SERVICES Doing business as

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pain Treatment Center Anesthesiologists PC

  • Clinic/Center
  • Bismarck, ND
  • NPI 1780707836

  O20040507001291

  Same enrollment

Part of

Pain Treatment Center

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Pain Treatment Center Anesthesiologists PC

  • Clinic/Center
  • Bismarck, ND
  • NPI 1780707836
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Attas Boutrous II, MD

  • Anesthesiology Physician
  • Bismarck, ND
  • NPI 1346362423
  NPD
• Dustin Dominic Goetz, M.D.

  • Anesthesiology Physician
  • Bismarck, ND
  • NPI 1598177891
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1912270729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E GREENFIELD LN STE 100",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585036597",
            "telephone_number": "701-223-7822",
            "fax_number": "701-355-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N 9TH ST",
            "address_2": "SUITE 3",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014107",
            "telephone_number": "701-355-4300",
            "fax_number": "701-355-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN TREATMENT CENTER ANESTHESIOLOGISTS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAIN TREATMENT CENTER ANESTHESIOLOGISTS PC",
        "enumeration_date": "2012-02-10",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "OHNELL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "701-223-7822"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2471M1202X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY MRI SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Armand N Pagano
• Dzsenifer Pagano
• Skye Michael Pahl
• Janae Pahlen, DPT
• Pain Treatment Center Anesthesiologists PC
• Allison Leigh Pajala
• Riya Palamuttam, MD
• Cathy S. Palczewski
• Haley Palmer
• Daniel Paluck

• Magnetic Resonance Imaging (MRI) Clinic/Center in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.