Andrew Butler
Individual provider Active NPI Paramedic · Savannah, GA
NPI 1215426705 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1215426705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Paramedic 146L00000X
- License
- 13071 (GA)
- Practice address
- 32 Twin Oaks PL
Savannah, GA 31407-5100 - Phone
- (912) 655-2477
- NPI assigned
- May 9, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13071 | GA | MD | Paramedic |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 13071 | GA | Yes |
Addresses
Primary practice location
32 Twin Oaks PL
Savannah, GA 31407-5100
Mailing address
32 Twin Oaks PL
Savannah, GA 31407-5100
Phone (912) 655-2477
NPI Registry JSON
{
"created_epoch": "1525824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1215426705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 TWIN OAKS PL",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314075100",
"telephone_number": "912-655-2477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 TWIN OAKS PL",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314075100",
"telephone_number": "912-655-2477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-09",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "GA",
"license": "13071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.