Organization Active NPI

Joe Butler Jr MD PA

  • Specialist
  • Port Charlotte, FL
National Provider Identifier
1497942494
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME 39536 Issued in FL
Legal business name
JOE BUTLER JR MD PA
Practice address
2525 Harbor Blvd
Suite 309
Port Charlotte, FL 33952-5317
Phone
(941) 629-7597
Fax
(941) 629-5070
NPI assigned
Oct 3, 2007
Organization subpart
Yes
Parent organization
CHARLOTTE COUNTY SURGICAL CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Authorized official

Name
Dr. Joe Butler Jr., MD
Title
Doctor
Phone
(941) 629-7597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME 39536 FL Primary

Addresses

Primary practice location

2525 Harbor Blvd
Suite 309
Port Charlotte, FL 33952-5317

Mailing address

2525 Harbor Blvd
Suite 309
Port Charlotte, FL 33952-5317
Phone (941) 629-7597

National Provider Directory

National Provider Directory
Part of
Charlotte Co Surgical C

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1497942494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 HARBOR BLVD",
            "address_2": "SUITE 309",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525317",
            "telephone_number": "941-629-7597",
            "fax_number": "941-629-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 HARBOR BLVD",
            "address_2": "SUITE 309",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525317",
            "telephone_number": "941-629-7597",
            "fax_number": "941-629-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE BUTLER JR MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARLOTTE COUNTY SURGICAL CLINIC",
        "enumeration_date": "2007-10-03",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "941-629-7597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 39536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.