Active NPI
Eric Butler, D.O.
- Surgery Physician
- Sikeston, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2021014813
- Practice address
- 1008 N Main St
Sikeston, MO 63801-5044 - Phone
- (573) 471-1600
- NPI assigned
- Jun 9, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2021014813 | MO | Primary |
Addresses
Primary practice location
1008 N Main St
Sikeston, MO 63801-5044
Mailing address
1124 N Main St
Sikeston, MO 63801-5046
Phone (573) 475-7501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Lake Erie College of Osteopathic Medicine, Bradenton, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6500 Hospital Dr
Hannibal, MO 63401-6890
Phone (573) 248-1300
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 11 |
| Hernia repair (minimally invasive) | 13 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 83 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021014813 | MO | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hannibal Regional Healthcare System Inc | Multi-Specialty | Current | Accepting new patients |
| Hannibal Regional Healthcare System, Inc | Multi-Specialty | Current | Accepting new patients |
| Missouri Delta Medical Center | Current | Accepting new patients | |
| Missouri Delta Medical Center | Multi-Specialty | Current | Accepting new patients |
| Hannibal Regional Healthcare System, Inc | Past | Accepting new patients | |
| Hannibal Regional Healthcare System, Inc | Past | Accepting new patients | |
| Rowan University School of Osteopathic Medicine | Past | Accepting new patients |
Locations
6000 Hospital Dr
Hannibal, MO 63401
Phone (573) 248-5460
6500 Hospital Dr
Hannibal, MO 63401
Phone (573) 629-3400
1124 N Main St
Sikeston, MO 63801
Phone (573) 471-1765
1126 N Main St
Sikeston, MO 63801
Phone (573) 471-4312
1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
- ericbutler@hrmg.allscriptsdirect.net
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Hannibal, MO
- NPI 1134311392
-
- Internal Medicine Physician
- Sikeston, MO
- NPI 1508967860
Multi-Specialty
-
- Multi-Specialty Clinic/Center
- Hannibal, MO
- NPI 1003956095
-
- Community/Retail Pharmacy
- Malden, MO
- NPI 1578371621
-
- Multi-Specialty Clinic/Center
- Kirksville, MO
- NPI 1447789300
-
- Rural Acute Care Hospital
- Hannibal, MO
- NPI 1922042704
-
- General Acute Care Hospital
- Stratford, NJ
- NPI 1083062616
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Hannibal, MO
- NPI 1922042704
-
- General Acute Care Hospital
- Quincy, IL
- NPI 1760571699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670371200000",
"number": "1346699386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 N MAIN ST",
"city": "SIKESTON",
"state": "MO",
"postal_code": "638015046",
"telephone_number": "573-475-7501",
"fax_number": "573-475-7504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 N MAIN ST",
"city": "SIKESTON",
"state": "MO",
"postal_code": "638015044",
"telephone_number": "573-471-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "ERIC",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-09",
"last_updated": "2022-12-07",
"certification_date": "2022-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "MO",
"license": "2021014813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sikeston, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.