Michael D Butcher, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

C31760 Issued in CA

Practice address

14651 S Bascom Ave
Los Gatos, CA 95032-2004

Phone

(408) 356-0444

Fax

(408) 402-0912

NPI assigned

Oct 5, 2005

Last updated

May 24, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• South Bay Orthopedic and Sports Medicine Clinic, Inc.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • San Jose, CA
  • NPI 1467548297
  NPD (past)

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1386631133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14651 S BASCOM AVE",
            "address_2": "#120",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322014",
            "telephone_number": "408-356-0444",
            "fax_number": "408-402-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14651 S BASCOM AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322004",
            "telephone_number": "408-356-0444",
            "fax_number": "408-402-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTCHER",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "C31760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Lee Bundlie
• Sara Rochelle Bunio
• Angie Burch, MFT
• Ivan Rodrigo Burgos, M.D
• Roshan Burns, MD
• Jennifer Butler
• Sharon Buzi, M.D.
• Byrd Acupuncture, Inc.
• Jolanda Delange Cablay
• Magdelena Cachu-Enciso, OD

• Orthopaedic Surgery Physician in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.