NPIMap

Organization Active NPI

Butler Medical Providers

Doing business as Slippery Rock Family Medicine Division

  • Family Medicine Physician
  • Slippery Rock, PA
National Provider Identifier
1104124916
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BUTLER MEDICAL PROVIDERS
Doing business as
Slippery Rock Family Medicine Division
Practice address
100 Innovation Drive
Suite 101
Slippery Rock, PA 16057
Phone
(833) 684-1891
Fax
(724) 794-3675
NPI assigned
Mar 2, 2011
Last updated
Oct 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Scott Madden
Title
Coo Physician Network
Phone
(724) 283-6666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

100 Innovation Drive
Suite 101
Slippery Rock, PA 16057

Mailing address

PO Box 641031
Pittsburgh, PA 15264-1031
Phone (877) 247-9925

Other names 1

  • Slippery Rock Family Medicine Division Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040205000830 PA Part B Supplier - Clinic/Group Practice 7416840160 Receives reassigned benefits from 562 practitioners
38 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 35

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 35

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0709380BHS - Slippery Rock Family Medicine100 Innovation Drive Suite 101, Slippery Rock, PA 16057Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1104124916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641031",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152641031",
            "telephone_number": "877-247-9925",
            "fax_number": "724-284-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 INNOVATION DRIVE",
            "address_2": "SUITE 101",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "16057",
            "telephone_number": "833-684-1891",
            "fax_number": "724-794-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTLER MEDICAL PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "MADDEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "COO PHYSICIAN NETWORK",
        "authorized_official_telephone_number": "724-283-6666"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Slippery Rock Family Medicine Division",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Slippery Rock Family Medicine Division",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Slippery Rock, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.