Active NPI
Sheila M Callahan Butler, MD
- Pediatrics Physician
- Worcester, MA
National Provider Identifier
1811071012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 53989
- Practice address
- 372 Chandler Street
Worcester, MA 01602 - Phone
- (508) 767-3992
- Fax
- (508) 767-3999
- NPI assigned
- Oct 24, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 53989 | MA | Primary |
Addresses
Primary practice location
372 Chandler Street
Worcester, MA 01602
Mailing address
372 Chandler Street
Worcester, MA 01602
Phone (508) 767-3992
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J04204 | Other | BLUE CROSS | |
| 6189652 | Medicaid | MA |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53989 | MA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811071012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "372 CHANDLER STREET",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01602",
"telephone_number": "508-767-3992",
"fax_number": "508-767-3999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "372 CHANDLER STREET",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01602",
"telephone_number": "508-767-3992",
"fax_number": "508-767-3999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAN BUTLER",
"first_name": "SHEILA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "53989",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "J04204",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6189652",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- 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.