Active NPI
David W. Butsch MD Prof Corp
- Surgery Physician
- Barre, VT
National Provider Identifier
1508034034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 042-0004566
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005339 | Medicaid | VT |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Newport, VT
- NPI 1124047881
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.