Butterick and Hall MDS PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

BUTTERICK AND HALL MDS PA

Doing business as

Gulfcoast Vein & Laser Center

Practice address

302 Bryan Rd
Suite 2
Brandon, FL 33511-5337

Phone

(813) 681-7512

Fax

(813) 684-8974

NPI assigned

May 22, 2007

Last updated

Feb 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John K Butterick, MDNPI 1083607600

Title

Secretary

Phone

(813) 681-7512

Specialties & licenses 1

Addresses

Other names 1

• GULFCOAST VEIN & LASER CENTER Doing business as

Locations

Practitioners 1

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.

• John Kimble Butterick, M.D.

  • Surgery Physician
  • Brandon, FL
  • NPI 1083607600
  Authorized official Same address or phone

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1275743262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 BRYAN RD",
            "address_2": "SUITE 2",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115337",
            "telephone_number": "813-681-7512",
            "fax_number": "813-684-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 BRYAN RD",
            "address_2": "SUITE 2",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115337",
            "telephone_number": "813-681-7512",
            "fax_number": "813-684-8974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTTERICK AND HALL MDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "BUTTERICK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "813-681-7512",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GULFCOAST VEIN & LASER CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Forrest Butler, MD
• Carl Butler Jr., LCSW
• Christine Butler, M.S., C.C.C.
• Dominique Benjamin Butler
• Kristine Butler, LCSW
• John Kimble Butterick, M.D.
• Ashley Buxton, MS, CCC-SLP
• Courtney M Byrd, M.S. CCC-SLP
• Ky Alayna Byrd
• Stephanie Byrne

• Surgery Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.