Organization Active NPI

Stephen M Butler MD PA

  • Specialist
  • Plant City, FL
National Provider Identifier
1346457496
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
STEPHEN M BUTLER MD PA
Practice address
1602 W Timberlane Dr
Plant City, FL 33566-0929
Phone
(813) 754-9890
Fax
(813) 754-7099
NPI assigned
May 17, 2007
Last updated
May 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Dr. Stephen Michael Butler, MD
Title
Owner
Phone
(813) 754-9890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

1602 W Timberlane Dr
Plant City, FL 33566-0929

Mailing address

1602 W Timberlane Dr
Plant City, FL 33566-0929
Phone (813) 754-9890

Other identifiers 1

IdentifierTypeStateIssuer
265754600MedicaidFL

National Provider Directory

National Provider Directory

Locations

1602 W Timberlane Dr
Plant City, FL 33566
Phone (813) 754-9890

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1346457496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 W TIMBERLANE DR",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335660929",
            "telephone_number": "813-754-9890",
            "fax_number": "813-754-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 W TIMBERLANE DR",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335660929",
            "telephone_number": "813-754-9890",
            "fax_number": "813-754-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN M BUTLER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-754-9890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265754600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.