Individual provider Active NPI

Katie E. Butler, P.A.

  • Physician Assistant
  • Lancaster, PA
National Provider Identifier
1063663078
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA053667 Issued in PA
Practice address
2106 Harrisburg Pike Ste 200
Lancaster, PA 17601-3200
Phone
(717) 393-1771
Fax
(717) 393-2782
NPI assigned
Oct 8, 2008
Last updated
Oct 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA053667 PA Primary

Addresses

Primary practice location

2106 Harrisburg Pike Ste 200
Lancaster, PA 17601-3200

Mailing address

2106 Harrisburg Pike
Suite 200
Lancaster, PA 17601-3200
Phone (717) 393-1771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081030000753 PA Practitioner - Physician Assistant 9537228812 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

306 N 7TH St
Columbia, PA 17512-2137

6415 Lincoln Hwy
Wrightsville, PA 17368-9697
Phone (717) 252-1200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Apr 1, 2020 Accepting new patients
Lancaster General Medical Group CurrentSince Apr 1, 2020 Accepting new patients
Lancaster General Health - Columbia Center CurrentSince Aug 4, 2014 Accepting new patients
The Urologic Surgical Center LLC Past Accepting new patients
Integrated Group Practice Pennsylvania, P.C. Past Accepting new patients

Locations

306 N 7th St
Columbia, PA 17512
Phone (717) 684-1500

1030 New Holland Ave
Bldg 12A
Lancaster, PA 17601

2118 Spring Valley Rd
Lancaster, PA 17601
Phone (215) 615-2222

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

620 Spear St
Oxford, PA 19363
Phone (610) 932-9300

6415 Lincoln Hwy
Wrightsville, PA 17368
Phone (717) 252-1200

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1063663078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 HARRISBURG PIKE",
            "address_2": "SUITE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176013200",
            "telephone_number": "717-393-1771",
            "fax_number": "717-393-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 HARRISBURG PIKE STE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176013200",
            "telephone_number": "717-393-1771",
            "fax_number": "717-393-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "KATIE",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA053667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.