Brett A Butler, MD
Individual provider Active NPI Vascular Surgery Physician · North Canton, OH
NPI 1366646325 · NPPES record last updated Apr 9, 2020
Key facts
- NPI
- 1366646325
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- License
- 35078880 (OH)
- Practice address
- 6046 Whipple Ave NW Ste 103
North Canton, OH 44720-7616 - Phone
- (330) 588-8900
- Fax
- (330) 588-8990
- NPI assigned
- Jun 13, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Vascular Surgery
- Education
- University of Cincinnati College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cleveland Clinic Mercy Hospital
Regional Vascular and Vein Institute Inc
Aultman Hospital
Practice addresses (Care Compare)
1330 Mercy Dr NW
Suite 200
Canton, OH 44708-2624
Phone (330) 489-1000
1761 Beall Ave
Suite 3a
Wooster, OH 44691-2342
Phone (330) 588-8900
2600 6TH St SW
Canton, OH 44710-1702
Phone (330) 452-9911
6046 Whipple Ave NW
North Canton, OH 44720-7616
Phone (330) 588-8900
832 S Main St
Suite 104
Orrville, OH 44667-2208
Phone (330) 588-8900
Hospital & facility affiliations
- Aultman Hospital
- Mercy Medical Center
- Wooster Community Hospital
- Aultman Orrville Hospital
- Alliance Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Varicose vein removal | 101 |
| Leg revascularization (restoring blood flow) | 22 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070627000515 | OH | Practitioner - Vascular Surgery |
0244339521 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aultman Hospital | Current |
Accepting new patients | |
| Aultman Hospital | Current |
Accepting new patients | |
| Aultman Hospital | Current | Accepting new patients | |
| Orrville Hospital Foundation | Current |
Accepting new patients | |
| Cleveland Clinic Mercy Hospital | Current |
Accepting new patients | |
| Cleveland Clinic Mercy Hospital | Current |
Accepting new patients | |
| Orrville Hospital Foundation | Current |
Accepting new patients | |
| Regional Vascular & Vein Institute | Vascular Surgery | Past |
Accepting new patients |
Locations
2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180
1445 Harrison Ave NW
Ste 103
Canton, OH 44708
Phone (330) 588-8900
1330 Mercy Dr NW
Ste 200
Canton, OH 44708
Phone (330) 489-1000
6100 Whipple Ave NW
North Canton, OH 44720
Phone (330) 244-8778
832 S Main St
Ste 100
Orrville, OH 44667
832 S Main St
Orrville, OH 44667
Phone (330) 456-2695
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 35078880 | OH | Yes |
Addresses
Primary practice location
6046 Whipple Ave NW Ste 103
North Canton, OH 44720-7616
Mailing address
400 Medical Park Dr
Suite 203
Dover, OH 44622-3207
Phone (330) 602-7702
Other providers in North Canton, OH
- Dana Lee Burton
- Kelly Bush
- Valerie J Bush
- Jessica C Buskirk
- Mariah K Butcher
- Paula L Butler
- Rebecca A Butler
- Theresa Butler
- Jessica Love Byas
- Andrea Joy Byler
All providers in North Canton, OH · Vascular Surgery Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.