Organization Active NPI

David W. Butsch MD Prof Corp

  • Surgery Physician
  • Barre, VT
National Provider Identifier
1508034034
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
042-0004566 Issued in VT
Legal business name
DAVID W. BUTSCH MD PROF CORP
Practice address
3270 Airport Road Berlin
Barre, VT 05641
Phone
(802) 229-4434
Fax
(802) 229-0470
NPI assigned
Feb 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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

Authorized official

Name
David W. Butsch, M.D.
Title
President
Phone
(802) 229-4434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 042-0004566 VT Primary

Addresses

Primary practice location

3270 Airport Road Berlin
Barre, VT 05641

Mailing address

3270 Airport Rd
Barre, VT 05641-8631
Phone (802) 229-4434

Other identifiers 1

IdentifierTypeStateIssuer
0005339MedicaidVT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1508034034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 AIRPORT RD",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056418631",
            "telephone_number": "802-229-4434",
            "fax_number": "802-229-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 AIRPORT ROAD BERLIN",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "05641",
            "telephone_number": "802-229-4434",
            "fax_number": "802-229-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID W. BUTSCH MD PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "BUTSCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-229-4434",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "VT",
            "license": "042-0004566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005339",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barre, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.