Butlak Anesthesia Solutions, PA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

BUTLAK ANESTHESIA SOLUTIONS, PA

Practice address

1720 Davie Ave
Statesville, NC 28677

Phone

(888) 209-0305

Fax

(952) 442-3620

NPI assigned

Apr 15, 2011

Organization subpart

No

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

Authorized official

Name

David J Butlak, CRNA

Title

President

Phone

(952) 442-9770

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1013207679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 10TH ST",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553874552",
            "telephone_number": "888-209-0305",
            "fax_number": "952-442-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 DAVIE AVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "28677",
            "telephone_number": "888-209-0305",
            "fax_number": "952-442-3620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 Old Mocksville Rd",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286251930",
            "country_code": "US",
            "telephone_number": "704-873-0281",
            "fax_number": "952-442-3620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BUTLAK ANESTHESIA SOLUTIONS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-15",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "BUTLAK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-442-9770",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Elizabeth Burgdofer, RN
• Stephanie A. Burgess
• Claudia Lyn Burkhalter, FNP
• Chelsea Jeannette Burns, MA, CCC-SLP
• Rhonda Joann Burrell III, RN
• David Jonathan Butlak, CRNA
• David Richard Butler, RPH
• Ellis Ray Butler II, LCAS-A
• Ronald Butler, R.N.
• Kelsey Butz, AU.D

• Certified Registered Nurse Anesthetist in Statesville, NC
• Providers in Statesville, NC by specialty
• Certified Registered Nurse Anesthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.