Active NPI
Luke Butters
- Physician Assistant
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601006944
- Practice address
- 100 E Michigan Ave
Jackson, MI 49201-1498 - Phone
- (517) 205-7766
- Fax
- (517) 205-7767
- NPI assigned
- Feb 12, 2014
- Last updated
- Mar 17, 2021
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601006944 | MI | Primary |
Addresses
Primary practice location
100 E Michigan Ave
Jackson, MI 49201-1498
Mailing address
100 E Michigan Ave
Jackson, MI 49201-1498
Phone (517) 205-7766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601006944 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparrow Eaton Hospital | Current | Accepting new patients | |
| Prompt Care Express P.C. | Current | Accepting new patients | |
| Sparrow Eaton Hospital | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital | Physician Assistant | Current | Accepting new patients |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital | Physician Assistant | Current | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
111 Lansing St
Ste 110
Charlotte, MI 48813
Phone (517) 541-5855
892 E Chicago St
Ste C
Coldwater, MI 49036
Phone (517) 278-2301
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
716 N Clippert St
Lansing, MI 48912
Phone (517) 253-4000
130 N Sherman St
Leslie, MI 49251
Phone (517) 205-2500
800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900
7845 Spring Arbor Rd
Spring Arbor, MI 49283
Phone (517) 205-2580
Interoperability endpoints
- lbutters452801@direct.hfhs.org
Organizations & group practices 9
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.
-
dba Sparrow Regional Children's Center
- Pediatrics Physician
- Lansing, MI
- NPI 1831139088
-
dba University of Michigan Health-Sparrow Charlotte Orthopedics
- Orthopaedic Surgery Physician
- Charlotte, MI
- NPI 1043419427
-
dba Henry Ford Allegiance Health
- Nurse Practitioner
- Jackson, MI
- NPI 1629000708
-
dba Sparrow Urgent Care
- Urgent Care Clinic/Center
- East Lansing, MI
- NPI 1477509313
-
- Durable Medical Equipment & Medical Supplies
- Coldwater, MI
- NPI 1114072311
-
dba East Lansing Public Schools Health Center
- School Nurse Practitioner
- East Lansing, MI
- NPI 1063227486
-
dba University of Michigan Health-Sparrow
- Certified Registered Nurse Anesthetist
- Charlotte, MI
- NPI 1205035698
-
dba Henry Ford Allegiance Health
- Physician Assistant
- Jackson, MI
- NPI 1235676180
-
dba Henry Ford Allegiance Health
- Physician Assistant
- Jackson, MI
- NPI 1538606348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615939200000",
"number": "1720402605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E MICHIGAN AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011498",
"telephone_number": "517-205-7766",
"fax_number": "517-205-7767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E MICHIGAN AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011498",
"telephone_number": "517-205-7766",
"fax_number": "517-205-7767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTTERS",
"first_name": "LUKE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-12",
"last_updated": "2021-03-17",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601006944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.