Individual provider Active NPI

Thomas E Butler II, MD

  • Transplant Surgery Physician
  • Perrysburg, OH
National Provider Identifier
1073774311
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
35.152326 Issued in OH
Practice address
1103 Village Square Dr Ste 200
Perrysburg, OH 43551-1762
Phone
(419) 251-8760
Fax
(419) 214-6888
NPI assigned
Jun 19, 2008
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X A115479 CA
Transplant Surgery Physician 204F00000X MD466378 PA
Transplant Surgery Physician 204F00000X 35.152326 OH Primary
Surgery Physician 208600000X A115479 CA
Surgery Physician 208600000X 35.152326 OH

Addresses

Primary practice location

1103 Village Square Dr Ste 200
Perrysburg, OH 43551-1762

Mailing address

1103 Village Square Dr Ste 200
Perrysburg, OH 43551-1762

Other identifiers 1

IdentifierTypeStateIssuer
0A1154790MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, PA, OH3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110629000412 CA Practitioner - General Surgery 8921286550 Reassigns benefits to 1 organization
I20190220000109 PA Practitioner - General Surgery 8921286550 Reassigns benefits to 1 organization
I20250130002195 OH Practitioner - General Surgery 8921286550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2213 Cherry St
Toledo, OH 43608-2603

2600 Navarre Ave
Oregon, OH 43616-3207
Phone (419) 696-8877

3900 Sunforest CT
Suite 240
Toledo, OH 43623-4481
Phone (419) 475-1600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD466378PAMDTransplant Surgery Physician
A115479CAMDSurgery Physician
35.152326OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. CurrentSince Mar 1, 2019 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Jan 6, 2025 Accepting new patients
Mercy Health Physicians North Specialty Care LLC Surgery CurrentSince Jan 6, 2025 Accepting new patients
Kern County Hospital Authority CurrentSince Jun 25, 2018 Accepting new patients
Kern County Hospital Authority CurrentSince Jun 25, 2018 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Mar 1, 2019 Accepting new patients
The Regents of the University of California Transplant Surgery PastSince Jun 1, 2011 Accepting new patients
The Regents of the University of California Surgery Past Accepting new patients

Locations

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

2213 Cherry St
Ste 3A
Toledo, OH 43608
Phone (419) 251-5310

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1 Medical Center Blvd
Ste 220
Chester, PA 19013
Phone (610) 394-1889

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

Interoperability endpoints

  • Direct secure messaging: tbutler2767158@direct.bsmhealth.org

Organizations & group practices 9

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 1

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": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1073774311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 VILLAGE SQUARE DR STE 200",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 VILLAGE SQUARE DR STE 200",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511762",
            "telephone_number": "419-251-8760",
            "fax_number": "419-214-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "THOMAS",
        "middle_name": "E",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "CA",
            "license": "A115479",
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "PA",
            "license": "MD466378",
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "OH",
            "license": "35.152326",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A115479",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.152326",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0A1154790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.