Active NPI
Russell Jay Buttars, DPM
- Foot & Ankle Surgery Podiatrist
- Logan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 11633905-0501
- Practice address
- 2310 N 400 E Ste a
Logan, UT 84341-1796 - Phone
- (435) 787-2000
- Fax
- (435) 787-1913
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E 4727 | CA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | EL 1582 | CA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 11633905-0501 | UT | Primary |
Addresses
Primary practice location
2310 N 400 E Ste a
Logan, UT 84341-1796
Mailing address
2561 S 1560 W Ste B
Woods Cross, UT 84087-2361
Phone (801) 505-0821
Other practice location 1
1030 S Medical Dr Ste A
Brigham City, UT 84302-3281
Phone (435) 723-9700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
44 N 1St
Preston, ID 83263-1326
Phone (208) 852-0137
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 191 |
| Removal or shaving of skin growth | 59 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4727 | CA | MD | Case Manager/Care Coordinator |
| E 4727 | CA | MD | Foot & Ankle Surgery Podiatrist |
| EL 1582 | CA | MD | Foot & Ankle Surgery Podiatrist |
| 11633905-0501 | UT | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpine Management and Consulting | Podiatrist | Current | Accepting new patients |
Locations
64 N 1st E
Ste 200
Preston, ID 83263
Phone (208) 852-3662
44 N 1st E
Preston, ID 83263
Phone (208) 852-0137
64 N 1st E
Preston, ID 83263
Phone (208) 852-3662
1030 S Medical Dr
Ste A
Brigham City, UT 84302
Phone (435) 723-4500
2310 N 400 E
Ste A
North Logan, UT 84341
Phone (435) 774-8547
Networks
- UT PPO
- UT PPO D-SNP
Interoperability endpoints
- russell.buttars.1@17373.direct.athenahealth.com
- rjb@alpineortho.emadirect.md
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Logan, UT
- NPI 1427184449
ID, Podiatrist
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brigham City, UT
- NPI 1245282227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627603200000",
"number": "1043428634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2561 S 1560 W STE B",
"city": "WOODS CROSS",
"state": "UT",
"postal_code": "840872361",
"telephone_number": "801-505-0821",
"fax_number": "801-505-0803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 N 400 E STE A",
"city": "LOGAN",
"state": "UT",
"postal_code": "843411796",
"telephone_number": "435-787-2000",
"fax_number": "435-787-1913"
}
],
"practiceLocations": [
{
"address_1": "1030 S Medical Dr Ste A",
"address_purpose": "LOCATION",
"city": "Brigham City",
"state": "UT",
"postal_code": "843023281",
"country_code": "US",
"telephone_number": "435-723-9700",
"fax_number": "435-723-9710",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUTTARS",
"first_name": "RUSSELL",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2021-07-30",
"certification_date": "2021-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E 4727",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "EL 1582",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "UT",
"license": "11633905-0501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.