Active NPI
Candilee Butler, MD
- Surgery Physician
- Toledo, OH
National Provider Identifier
1801899943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35-05-5279
- Practice address
- 2000 Regency Court
100
Toledo, OH 43623 - Phone
- (419) 841-6600
- Fax
- (419) 841-6677
- NPI assigned
- May 23, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35055279B | OH | |
| Surgery Physician | 208600000X | 35-05-5279 | OH | Primary |
Addresses
Primary practice location
2000 Regency Court
100
Toledo, OH 43623
Mailing address
4235 Secor Rd
Toledo, OH 43623
Phone (419) 473-3561
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 602046 | Other | FAMILY HEALTH PLAN | |
| 000000223850 | Other | ANTHEM | |
| 3190551003 | Other | CIGNA | |
| 602046 | Other | BUCKEYE COMMUNITY HEALTH PLAN | |
| OC00981 | Other | NATIONWIDE | |
| 4095581 | Other | AETNA | |
| 1701108 | Other | UNITED HEALTH CARE | |
| 0723766 | Medicaid | OH | |
| 00634 | Other | PARAMOUNT | |
| 104389718 | Other | MI | MICHIGAN MEDICAID |
| 020053389 | Other | OH | RAIL ROAD MEDICARE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35055279B | OH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328745600000",
"number": "1801899943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4235 SECOR RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43623",
"telephone_number": "419-473-3561",
"fax_number": "419-841-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 REGENCY COURT",
"address_2": "100",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43623",
"telephone_number": "419-841-6600",
"fax_number": "419-841-6677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "CANDILEE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-23",
"last_updated": "2012-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35055279B",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35-05-5279",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAMILY HEALTH PLAN",
"identifier": "602046",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000223850",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3190551003",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUCKEYE COMMUNITY HEALTH PLAN",
"identifier": "602046",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONWIDE",
"identifier": "OC00981",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4095581",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1701108",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0723766",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT",
"identifier": "00634",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN MEDICAID",
"identifier": "104389718",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "020053389",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.