Active NPI
Michael Taylor Butler, PAC
- Medical Physician Assistant
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA001418L
- Practice address
- 3998 Red Lion Rd
Philadelphia, PA 19114-1436 - Phone
- (215) 612-4000
- Fax
- (215) 807-8235
- NPI assigned
- Nov 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA001418L | PA | Primary |
| Physician Assistant | 363A00000X | MA001418L | PA |
Addresses
Primary practice location
3998 Red Lion Rd
Philadelphia, PA 19114-1436
Mailing address
PO Box 8500-6335
Philadelphia, PA 19178-0001
Phone (215) 807-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
140 Nutt Rd
Phoenixville, PA 19460-3906
Phone (610) 983-1000
2610 Keiser Blvd
Wyomissing, PA 19610-3333
Phone (484) 750-3950
420 S 5TH Ave
West Reading, PA 19611-2143
826 Main St
Phoenixville, PA 19460-4459
Hospital & facility affiliations
- Phoenixville Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Phoenixville Clinic Company LLC | Medical | Current | Accepting new patients |
| Tower Health Medical Group | Current | Accepting new patients | |
| Einstein Practice Plan, Inc. | Current | Accepting new patients | |
| Trustees of the University of Pennsylvania | Past | Accepting new patients | |
| Univ of Penn-Cardiac Transplant | Past | Accepting new patients |
Locations
5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180
826 Main St
Ste 303
Phoenixville, PA 19460
Phone (610) 384-2211
140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000
2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127
Interoperability endpoints
- michael.butler@direct.einstein.edu
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Birdsboro, PA
- NPI 1609291350
-
- Psychiatry Physician
- Philadelphia, PA
- NPI 1760434468
-
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
- NPI 1457047433
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Philadelphia, PA
- NPI 1831141415
-
- Urology Physician
- West Reading, PA
- NPI 1639474125
-
- Surgery Physician
- Wyomissing, PA
- NPI 1831954353
-
- Surgery Physician
- Philadelphia, PA
- NPI 1902920739
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Philadelphia, PA
- NPI 1174625073
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenixville, PA
- NPI 1750805552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212710400000",
"number": "1487727749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8500-6335",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191780001",
"telephone_number": "215-807-8000",
"fax_number": "215-807-8235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3998 RED LION RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191141436",
"telephone_number": "215-612-4000",
"fax_number": "215-807-8235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "MICHAEL",
"middle_name": "TAYLOR",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2008-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA001418L",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA001418L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.