Patrick Butler MD SC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036089026 Issued in IL

Legal business name

PATRICK BUTLER MD SC

Doing business as

Ophthalmology Center of Illinois SC

Practice address

1301 S Koke Mill Rd
Springfield, IL 62711-9252

Phone

(217) 547-9100

Fax

(217) 547-9236

NPI assigned

Nov 2, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Butler, MD

Title

MD/Owner

Phone

(217) 899-0618

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ophthalmology Center of Illinois SC Doing business as

Locations

Interoperability endpoints

• Direct secure messaging: rpeterson@pbmd.intellechartdirect.net
• Direct secure messaging: pbutler@pbmd.intellechartdirect.net

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1811326630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S KOKE MILL RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627119252",
            "telephone_number": "217-546-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S KOKE MILL RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627119252",
            "telephone_number": "217-547-9100",
            "fax_number": "217-547-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK BUTLER MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "217-899-0618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036089026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036089026",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ophthalmology Center of Illinois SC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tejas Patel
• Himanshu Pathak, M.D.
• Pathology Associates of Central Illinois LTD
• Pathways to Healing Therapy Services
• Shruti Jagannath Patil, M.D.
• Blair W Patterson, N.P.
• Janet Lea Patterson, MD
• Alyssa B Patton, LCPC
• Elmi Ann Patton, OTR
• Kendra A Patton, MSW

• Ophthalmology Physician in Springfield, IL
• Providers in Springfield, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.

Verify at the official NPI Registry.