Active NPI
Larry S. Butler, M.D.
- Obstetrics & Gynecology Physician
- Lexington, KY
National Provider Identifier
1053352500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 20759
- Practice address
- 3213 Summit Square PL
Suite 200
Lexington, KY 40509-2636 - Phone
- (859) 381-1066
- Fax
- (859) 263-0650
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 20759 | KY | Primary |
Addresses
Primary practice location
3213 Summit Square PL
Suite 200
Lexington, KY 40509-2636
Mailing address
3213 Summit Square PL
Suite 200
Lexington, KY 40509-2636
Phone (859) 381-1066
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000290311 | Other | KY | ANTHEM |
| 64207590 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269302400000",
"number": "1053352500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3213 SUMMIT SQUARE PL",
"address_2": "SUITE 200",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092636",
"telephone_number": "859-381-1066",
"fax_number": "859-263-0650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3213 SUMMIT SQUARE PL",
"address_2": "SUITE 200",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092636",
"telephone_number": "859-381-1066",
"fax_number": "859-263-0650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "LARRY",
"middle_name": "S.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2010-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KY",
"license": "20759",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000290311",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64207590",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.