NPIMap

Organization Active NPI

Butler Medical Providers

Doing business as Butler Medical Associates

  • Family Medicine Physician
  • Zelienople, PA
National Provider Identifier
1366644452
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BUTLER MEDICAL PROVIDERS
Doing business as
Butler Medical Associates
Practice address
322 S Main St
Zelienople, PA 16063-1535
Phone
(724) 631-0510
NPI assigned
Jun 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Anne Krebs
Title
Cfo
Phone
(724) 284-4879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

322 S Main St
Zelienople, PA 16063-1535

Mailing address

PO Box 1549
Suite 001
Butler, PA 16003-1549
Phone (724) 284-4060

Other identifiers 1

IdentifierTypeStateIssuer
0016445210032MedicaidPA

Other names 1

  • Butler Medical Associates Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1024829Butler Medical Associates322 South Main Street, Zelienople, PA 16063Certificate of waiverApr 21, 2028

National Provider Directory

National Provider Directory
Tax ID family
Butler Medical Assoc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366644452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1549",
            "address_2": "SUITE 001",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160031549",
            "telephone_number": "724-284-4060",
            "fax_number": "724-284-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 S MAIN ST",
            "city": "ZELIENOPLE",
            "state": "PA",
            "postal_code": "160631535",
            "telephone_number": "724-631-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTLER MEDICAL PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KREBS",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "724-284-4879"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016445210032",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Butler Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Zelienople, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.