NPIMap

Individual provider Active NPI

Brett A Butler, MD

  • Vascular Surgery Physician
  • North Canton, OH
National Provider Identifier
1366646325
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
35078880 Issued in 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
Last updated
Apr 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 35078880 OH Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070627000515 OH Practitioner - Vascular SurgeryPractitioner - General Surgery 0244339521 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General 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 HospitalGroup PAC ID 0547156796, 92 clinicians
Regional Vascular and Vein Institute IncGroup PAC ID 6002704541, 4 clinicians
Aultman HospitalGroup PAC ID 3779485867, 41 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Varicose vein removal101
Leg revascularization (restoring blood flow)22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Clinic Mercy Hospital CurrentSince Sep 1, 2013 Accepting new patients
Aultman Hospital CurrentSince Mar 1, 2021 Accepting new patients
Cleveland Clinic Mercy Hospital CurrentSince Sep 1, 2013 Accepting new patients
Aultman Hospital Current Accepting new patients
Aultman Hospital CurrentSince Mar 1, 2021 Accepting new patients
Orrville Hospital Foundation CurrentSince Feb 19, 2025 Accepting new patients
Orrville Hospital Foundation CurrentSince Feb 19, 2025 Accepting new patients
Regional Vascular & Vein Institute Vascular Surgery PastSince Apr 17, 2020 Accepting new patients

Locations

1330 Mercy Dr NW
Ste 200
Canton, OH 44708
Phone (330) 489-1065

1445 Harrison Ave NW
Ste 103
Canton, OH 44708
Phone (330) 588-8900

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

6100 Whipple Ave NW
North Canton, OH 44720
Phone (330) 305-6999

832 S Main St
Orrville, OH 44667
Phone (330) 456-2695

832 S Main St
Ste 100
Orrville, OH 44667

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1366646325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MEDICAL PARK DR",
            "address_2": "SUITE 203",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446223207",
            "telephone_number": "330-602-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6046 WHIPPLE AVE NW STE 103",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207616",
            "telephone_number": "330-588-8900",
            "fax_number": "330-588-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "BRETT",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35078880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

Verify at the official NPI Registry.