NPIMap

Organization Active NPI

Butler Medical Providers

Doing business as butler physical medicine and Pain management associates

  • 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
Doing business as
butler physical medicine and Pain management associates
Practice address
911 E Brady St
3X
Butler, PA 16001-4646
Phone
(724) 284-4612
Fax
(724) 284-4774
NPI assigned
Feb 20, 2007
Last updated
Oct 29, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
BUTLER MEDICAL PROVIDERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Authorized official

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

Specialties & licenses 1

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

Addresses

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 names 1

  • butler physical medicine and Pain management associates Doing business as

Medicare participation

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

Enrollment records 1

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

Other NPIs on the same Medicare enrollment 35

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

View all 35

National Provider Directory

National Provider Directory
Part of
Butler Health System

NPI Registry JSON

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

{
    "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": [],
    "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.