John C Butler, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

29204 Issued in MN

Practice address

3930 Northwoods Dr
Mail Stop 32800a
Arden Hills, MN 55112-6974

Phone

(651) 490-6700

Fax

(651) 490-6730

NPI assigned

Mar 17, 2006

Last updated

Oct 5, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1780653949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 34TH AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251672",
            "telephone_number": "952-883-7172",
            "fax_number": "952-883-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 NORTHWOODS DR",
            "address_2": "MAIL STOP 32800A",
            "city": "ARDEN HILLS",
            "state": "MN",
            "postal_code": "551126974",
            "telephone_number": "651-490-6700",
            "fax_number": "651-490-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "29204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286582300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dominique Angelique Boyd
• Destinee La'Shay Bratton
• Briana Breemeersch
• Amira Anwar Buri
• Ayub Buri
• Stephanie A Butson, M.A., SLPCCC
• Jesus Arturo Cabrera, M.D.
• Caerus Corp
• Hannah Grace Calton
• Jacquelyn Cameron, MD

• Internal Medicine Physician in Arden Hills, MN
• Providers in Arden Hills, MN by specialty
• Internal Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.