Organization Active NPI

Butterick and Hall MDS PA

  • Surgery Physician
  • Brandon, FL
National Provider Identifier
1275743262
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
BUTTERICK AND HALL MDS PA
Practice address
302 Bryan Rd
Suite 2
Brandon, FL 33511-5337
Phone
(813) 681-7512
Fax
(813) 684-8974
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Authorized official

Name
John K Butterick, MD
Title
Secretary
Phone
(813) 681-7512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X FL Primary

Addresses

Primary practice location

302 Bryan Rd
Suite 2
Brandon, FL 33511-5337

Mailing address

302 Bryan Rd
Suite 2
Brandon, FL 33511-5337
Phone (813) 681-7512

Other names 1

  • GULFCOAST VEIN & LASER CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

302 Bryan Rd
Ste 2
Brandon, FL 33511
Phone (813) 571-9337

2111 W Swann Ave
Ste 101
Tampa, FL 33606
Phone (813) 448-6550

NPI Registry JSON

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"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

  • 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.