Individual provider Active NPI

Sarah Elizabeth Butler, PA-C

  • Physician Assistant
  • Buffalo, NY
National Provider Identifier
1730539669
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
027890-01 Issued in NY
Practice address
934 Cleveland Dr
Buffalo, NY 14225-1279
Phone
(716) 986-9199
NPI assigned
Jun 22, 2016
Last updated
Aug 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601002384 MI
Physician Assistant 363A00000X 027890-01 NY Primary

Addresses

Primary practice location

934 Cleveland Dr
Buffalo, NY 14225-1279

Mailing address

245 Highland Dr
Williamsville, NY 14221-6856
Phone (313) 212-3319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240617002348 NY Practitioner - Physician Assistant 2062955214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
027890NYMDOccupational Therapist
5601002384MIMDPhysician Assistant
027890-01NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Buffalo, Inc. CurrentSince May 20, 2024 Accepting new patients
Brooks Lyon & Brooks DO PC PastSince Jan 1, 2007 Accepting new patients
Digestive Health Physicians, P.C. Past Accepting new patients
Michigan Healthcare Professionals PC Past Accepting new patients

Locations

934 Cleveland Dr
Cheektowaga, NY 14225
Phone (716) 634-3901

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDJFBA
  • Direct secure messaging: sarah.butler.1@19270.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1730539669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 HIGHLAND DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216856",
            "telephone_number": "313-212-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 CLEVELAND DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142251279",
            "telephone_number": "716-986-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601002384",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "027890-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.