Butler County Clinic P C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BUTLER COUNTY CLINIC P C

Practice address

336 S 9TH St
David City, NE 68632-2116

Phone

(402) 367-3193

Fax

(402) 367-3261

NPI assigned

Mar 24, 2006

Last updated

Aug 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tori J Lavicky

Title

Clinic Administrator

Phone

(402) 367-3193

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sidra Akhter, MD

  • Family Medicine Physician
  • Lincoln, NE
  • NPI 1821720350
  Medicare reassignment Care Compare group NPD
• Mark Vaughn Carlson, MD

  • Family Medicine Physician
  • David City, NE
  • NPI 1508896911
  Medicare reassignment Care Compare group NPD
• Robert Austin Daro, M.D.

  • Family Medicine Physician
  • David City, NE
  • NPI 1922368935
  Medicare reassignment Care Compare group NPD
• Rebecca Joan Kouma, PA

  • Physician Assistant
  • David City, NE
  • NPI 1114705217
  Medicare reassignment Care Compare group NPD
• Jarret J. Maier, PA

  • Physician Assistant
  • Gretna, NE
  • NPI 1487398293
  Medicare reassignment Care Compare group NPD
• Matthew Paul Summers, M.D.

  • Family Medicine Physician
  • David City, NE
  • NPI 1942381710
  Medicare reassignment Care Compare group NPD
• Joshua Sypal, M.D.

  • Family Medicine Physician
  • David City, NE
  • NPI 1003227919
  Medicare reassignment Care Compare group NPD
• Leah J Hays, PA-C

  • Medical Physician Assistant
  • David City, NE
  • NPI 1942251715
  Medicare reassignment NPD

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1457311482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 S 9TH ST",
            "city": "DAVID CITY",
            "state": "NE",
            "postal_code": "686322116",
            "telephone_number": "402-367-3193",
            "fax_number": "402-367-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 S 9TH ST",
            "city": "DAVID CITY",
            "state": "NE",
            "postal_code": "686322116",
            "telephone_number": "402-367-3193",
            "fax_number": "402-367-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTLER COUNTY CLINIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "LAVICKY",
        "authorized_official_first_name": "TORI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "402-367-3193"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Christian Isaiah Brake
• Casey Jo Brandl
• Allison Leann Brooks
• Janette Jane Buresh
• Sandra Marie Burwell, RD LMNT
• Butler County Health Care Center (Butler County Pharmacy)
• Butler County Health Care Center
• Butler County Health Care Center
• Butler County Senior Services
• Mark Vaughn Carlson, MD

• Family Medicine Physician in David City, NE
• Providers in David City, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.