John Butler Jr.
Individual provider Active NPI Pediatrics Physician · Barrington, RI
NPI 1588042337 · NPPES record last updated Jun 27, 2018
Key facts
- NPI
- 1588042337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- LP03291 (RI)
- Practice address
- 334 County Rd Ste D
Barrington, RI 02806-2430 - Phone
- (401) 247-2288
- Fax
- (401) 247-2960
- NPI assigned
- May 13, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP03291 | RI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barrington Pediatric Associates, Inc. | Pediatrics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | LP03291 | RI | Yes |
Addresses
Primary practice location
334 County Rd Ste D
Barrington, RI 02806-2430
Mailing address
334 County Rd Ste D
Barrington, RI 02806-2430
Phone (401) 247-2288
Other practice location 1
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-4471
Other practice location 2
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-4471
Other providers in Barrington, RI
- Dianne Cathy Buono
- Lisa Linda Buono
- Susanna Burkhard
- Hollis Vale Burkhart
- Elizabeth Burns
- Mary Kathryn Cancilliere
- Kristen Candon
- Frank Capizzo
- Mary A. Caplin
- Cardinal Counseling Center
All providers in Barrington, RI · Pediatrics Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.