Gerald L Buttelwerth, MS, ARNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP 9198184 Issued in FL

Practice address

940 Palm Dr
Belleair Beach, FL 33786-3341

Phone

(727) 596-4530

NPI assigned

Nov 8, 2005

Last updated

May 12, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

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.

• Susanti K Chowdhury MD PA

  • Specialist
  • Largo, FL
  • NPI 1053590448
  NPD (past)

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1184605123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 PALM DR",
            "city": "BELLEAIR BEACH",
            "state": "FL",
            "postal_code": "337863341",
            "telephone_number": "727-596-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 PALM DR",
            "city": "BELLEAIR BEACH",
            "state": "FL",
            "postal_code": "337863341",
            "telephone_number": "727-596-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTELWERTH",
        "first_name": "GERALD",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "MS, ARNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 9198184",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN 063105 NP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE #",
            "identifier": "U3922Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Paul R Clements, PHD, ARNP-BC
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• George a Jacinto, PHD, LCSW, PLLC
• George A Jacinto

• Nurse Practitioner in Belleair Beach, FL
• Providers in Belleair Beach, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.