Farzana Butt

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

NS033633 Issued in MI

Legal business name

FARZANA BUTT

Doing business as

ULTRASOUND CLINIC DIAGNOSTIC

Practice address

2575 Spring Arbor Rd
Suite #500
Jackson, MI 49203-3652

Phone

(517) 784-5150

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Nanjapa C Sadasivan, MD

Title

Medical Director

Phone

(517) 784-5150

Specialties & licenses 2

Addresses

Other identifiers 7

Other names 1

• ULTRASOUND CLINIC DIAGNOSTIC Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Imdad Hussain Butt, MD

  • Internal Medicine Physician
  • Jackson, MI
  • NPI 1548210487
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1871649236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 SPRING ARBOR RD",
            "address_2": "SUITE#500",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033652",
            "telephone_number": "517-784-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 SPRING ARBOR RD",
            "address_2": "SUITE #500",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033652",
            "telephone_number": "517-784-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARZANA BUTT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "SADASIVAN",
        "authorized_official_first_name": "NANJAPA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "517-784-5150",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "NS033633",
            "primary": true
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GLP",
            "identifier": "128472",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPL",
            "identifier": "5970",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "P71951",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "300C810210",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "1620009",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104486551",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M CARE OP",
            "identifier": "380030",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ULTRASOUND CLINIC DIAGNOSTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise Jane Farmer, LMSW
• Erin Farmer, LMSW
• Larry D Farr, D.O.
• Joseph Peter Farrell, DO
• Kaelee Farver
• Lindsay Michelle Fausett, LAT
• Barbara E Fayos, O.D.
• Sheela Federici, CRNA
• Susan Therese Fedewa, DO
• Steven Fehrenbach, FNP-C

• Diagnostic Radiology Physician in Jackson, MI
• Providers in Jackson, MI by specialty
• Diagnostic Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.