Active NPI
Harry L Butler, M.D.
- Hematology & Oncology Physician
- Hattiesburg, MS
National Provider Identifier
1669464012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 09768
- Practice address
- 301 S 28TH Ave
Hattiesburg, MS 39401-7233 - Phone
- (601) 288-8282
- Fax
- (601) 288-8290
- NPI assigned
- Aug 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 09768 | MS | Primary |
Addresses
Primary practice location
301 S 28TH Ave
Hattiesburg, MS 39401-7233
Mailing address
415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 288-8282
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00676192 | Other | MS | RAILROAD MEDICARE |
| 6017128 | Other | MS | HEALTHSPRINGS |
| 110047972 | Other | MS | RAILROAD MEDICARE |
| 00018455 | Medicaid | MS | |
| 4350883 | Other | MS | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471910400000",
"number": "1669464012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 S 28TH AVE",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394017246",
"telephone_number": "601-288-8282",
"fax_number": "601-579-5240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S 28TH AVE",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394017233",
"telephone_number": "601-288-8282",
"fax_number": "601-288-8290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "HARRY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2016-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MS",
"license": "09768",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00676192",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSPRINGS",
"identifier": "6017128",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110047972",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00018455",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4350883",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.