Kathy Martilla Butler, P.A.-C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA00819 Issued in OR

Practice address

2685 4TH St NE
Salem, OR 97303-6548

Phone

(503) 540-0288

Fax

(503) 540-0293

NPI assigned

Aug 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Liberty House

  • Pediatrics Physician
  • Salem, OR
  • NPI 1639244056
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760596779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2613",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973082613",
            "telephone_number": "503-540-0288",
            "fax_number": "503-540-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 4TH ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973036548",
            "telephone_number": "503-540-0288",
            "fax_number": "503-540-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "KATHY",
        "middle_name": "MARTILLA",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA00819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juel Butcher
• Cynthia Butler-Rance
• Candis Butler, FNP-C
• Daniel C Butler, PA
• Jessica Lynn Butler
• Hannah Butsch, MS, CCC-SLP
• Nataliya L Butsenina, QMHP, LCSW
• Melissa Butterfield, MA QMHP LMFT
• Marissa Buyas
• Josue Buzze

• Physician Assistant in Salem, OR
• Providers in Salem, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.