Theodore Harmon Butcher, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA00214L Issued in PA

Practice address

3400 Spruce St
4 Silverstein Building
Philadelphia, PA 19104-4206

Phone

(215) 662-2050

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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

• University of Penn-Medical Group

  • Gynecologic Oncology Physician
  • Philadelphia, PA
  • NPI 1235527342
  Medicare reassignment NPD
• Lancaster General Hospital

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lancaster, PA
  • NPI 1598038804
  Medicare reassignment
• Lancaster General Hospital

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lancaster, PA
  • NPI 1124493168
  NPD
• Lancaster General Hospital

  • Gastroenterology Physician
  • Lancaster, PA
  • NPI 1205691912
  NPD
• University of Penn-Medical Group

  • Surgical Oncology Physician
  • Philadelphia, PA
  • NPI 1871981985
  NPD
• Lancaster General Medical Group

  • Family Medicine Physician
  • East Petersburg, PA
  • NPI 1083600290
  NPD (past)
• Trustees of the University of Pennsylvania

  • Surgery Physician
  • Philadelphia, PA
  • NPI 1902920739
  NPD (past)
• Univ of Penn-Cardiac Transplant

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Philadelphia, PA
  • NPI 1174625073
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1679656359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "4 SILVERSTEIN BUILDING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "4 SILVERSTEIN BUILDING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206",
            "telephone_number": "215-662-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTCHER",
        "first_name": "THEODORE",
        "middle_name": "HARMON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA00214L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard Bustos, DPT
• Monica Busuioc, M.D., PH.D.
• Busy Bee Transit, Inc.
• Anish Atul Butala, MD
• Casey Kirkpatrick Butcher, MFT
• Michael Samuel Butera
• Joseph William Butkiewicz
• Butler Home Care Services, Inc.
• Butler Street Medical Center
• Angelica Divine Butler-Lyons

• Medical Physician Assistant in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.