Active NPI
Anne E Butsch, MD
- Family Medicine Physician
- Evansville, IN
National Provider Identifier
1780600353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01059401A
- Practice address
- 315 Mulberry St
Evansville, IN 47713-1252 - Phone
- (812) 421-7489
- Fax
- (812) 436-0209
- NPI assigned
- Jul 15, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01059401A | IN | Primary |
Addresses
Primary practice location
315 Mulberry St
Evansville, IN 47713-1252
Mailing address
501 John St Ste 12
Evansville, IN 47713-2705
Phone (812) 421-7489
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250470 | Other | IN | MEDICARE GROUP |
| 200887810 | Other | IN | ECHO - MEDICAID ID |
| 000000557730 | Other | IN | ANTHEM PIN |
| 000000864546 | Other | IN | ECHO - BCBS ID# |
| 6410477100 | Medicaid | KY | |
| 200079040C | Other | IN | ECHO - MEDICAID GROUP |
| 200859330G | Other | IN | MEDICAID GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428364800000",
"number": "1780600353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 JOHN ST STE 12",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477132705",
"telephone_number": "812-421-7489",
"fax_number": "812-436-0230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 MULBERRY ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477131252",
"telephone_number": "812-421-7489",
"fax_number": "812-436-0209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTSCH",
"first_name": "ANNE",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-15",
"last_updated": "2015-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01059401A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "250470",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ECHO - MEDICAID ID",
"identifier": "200887810",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000557730",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ECHO - BCBS ID#",
"identifier": "000000864546",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6410477100",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ECHO - MEDICAID GROUP",
"identifier": "200079040C",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP",
"identifier": "200859330G",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.