Stephen D Butler, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

10922 Issued in MS

Practice address

960 Avent Dr
Grenada, MS 38901-5230

Phone

(662) 227-7172

NPI assigned

Jun 28, 2006

Last updated

Mar 11, 2015By 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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Batesville Emergency Physicians

  • Urgent Care Clinic/Center
  • Batesville, MS
  • NPI 1316036973
  NPD (past)
• Chickasaw Emergency Group LLC

  • Medical Physician Assistant
  • Houston, MS
  • NPI 1134215478

  Emergency Medicine

  NPD (past)
• Montfort Jones Memorial Hospital

  • General Acute Care Hospital
  • Kosciusko, MS
  • NPI 1851508816
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1841228012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14050 NW 14TH ST",
            "address_2": "SUITE 190",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232865",
            "telephone_number": "800-442-3672",
            "fax_number": "954-377-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 AVENT DR",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389015230",
            "telephone_number": "662-227-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "STEPHEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "10922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00014997",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Kevin Braswell, MD
• Brister Brothers Pharmacy DME
• Brister Brothers, Inc (H & W Compounding)
• Nell Catherine Brock, FNP,C
• Cynthia Lynn Burchfield, FNP-C
• Latia Monanette Butts, CFNP
• C and K Pharmacy (Quick Care Pharmacy and Wellness)
• Ralph T Cain, FNP
• Candace C. Caldwell, LPN
• Alison Campbell, FNP-C

• Emergency Medicine Physician in Grenada, MS
• Providers in Grenada, MS by specialty
• Emergency Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.