NPIMap

Organization Active NPI

Butler Medical Providers

  • Pain Medicine Physician
  • Butler, PA
National Provider Identifier
1588709331
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
BUTLER MEDICAL PROVIDERS
Practice address
911 E Brady St
3X
Butler, PA 16001-4646
Phone
(724) 284-4612
Fax
(724) 284-4774
NPI assigned
Feb 20, 2007
Organization subpart
Yes
Parent organization
BUTLER MEDICAL PROVIDERSAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Anne Krebs
Title
Cfo
Phone
(724) 284-4879

Other NPIs on the same Medicare enrollment 35

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 35

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20040205000830 PA Part B Supplier - Clinic/Group Practice 7416840160 Receives reassigned benefits from 562 practitioners
38 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Part of
Butler Management Servi

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X Primary

Addresses

NPPES NPI Registry

Primary practice location

911 E Brady St
3X
Butler, PA 16001-4646

Mailing address

PO Box 1549
Suite 801
Butler, PA 16003-1549
Phone (724) 284-4084

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
0016445210035MedicaidPA
1850233OtherPAHIGHMARK

Other names 1

NPPES NPI Registry
  • butler physical medicine and Pain management associates Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 29, 2007.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1588709331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1549",
            "address_2": "SUITE 801",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160031549",
            "telephone_number": "724-284-4084",
            "fax_number": "724-284-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E BRADY ST",
            "address_2": "3X",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014646",
            "telephone_number": "724-284-4612",
            "fax_number": "724-284-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTLER MEDICAL PROVIDERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BUTLER MEDICAL PROVIDERS",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "KREBS",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "724-284-4879"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016445210035",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1850233",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "butler physical medicine and Pain management associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.