Diane Arlene Butler, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35043685 Issued in OH

Practice address

6681 Ridge Rd
#205
Parma, OH 44129-5713

Phone

(440) 842-1121

Fax

(440) 842-5676

NPI assigned

May 3, 2006

Last updated

Apr 18, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Diane Arlene Moore Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Parma Pediatrics Inc

  • Pediatrics Physician
  • Parma, OH
  • NPI 1508823204
  NPD (past) Authorized official

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1639137268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6681 RIDGE RD",
            "address_2": "#205",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295713",
            "telephone_number": "440-842-1121",
            "fax_number": "440-842-5676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6681 RIDGE RD",
            "address_2": "#205",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295713",
            "telephone_number": "440-842-1121",
            "fax_number": "440-842-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "DIANE",
        "middle_name": "ARLENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35043685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0692880",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000139981",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE SOURCE",
            "identifier": "341834105031",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "MOORE",
            "middle_name": "ARLENE",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jessica L Burkey
• Gerald Burma, M.D.
• Erin K Burns, CDCA
• Renee Ann Buszta, R.N.
• Brandon Jason Butler
• Molly Butler, PA-C
• Whitney Butler, PA-C
• Deirdre Byrd, CNP
• Heather Lynn Calanni, M.A.
• Gerry Caldwell

• Pediatrics Physician in Parma, OH
• Providers in Parma, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.