David Ernest Butters, MD, FRCS(C)

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

2011004348 Issued in MO

Practice address

1108 E Patterson St
Suite 9
Kirksville, MO 63501-4002

Phone

(660) 627-5228

Fax

(814) 373-2159

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1760434922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 E PATTERSON ST",
            "address_2": "SUITE 9",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014002",
            "telephone_number": "660-627-5228",
            "fax_number": "814-373-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 E PATTERSON ST",
            "address_2": "SUITE 9",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014002",
            "telephone_number": "660-627-5228",
            "fax_number": "814-373-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTERS",
        "first_name": "DAVID",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "MD, FRCS(C)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MO",
            "license": "2011004348",
            "primary": true
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "MO",
            "license": "2011004348",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018607220002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerry Dean Burbee, DO
• Kelly Douglas Burchett, DO
• Jessica Burgason, ATC/L
• Alex Burr
• Blaine Kendell Bushmann, HIS
• Steve Byrn
• Jessica Kile Caine, DO
• Ella Marie Callison, PA-C
• Yania Calvo
• Carrie A. Campbell, LPC

• All providers in Kirksville, MO
• Urology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.