Mark Andrew Butcher, M.D.

Primary specialty

Pathology Specialist/TechnologistTaxonomy code 246Q00000X

License

3632 Issued in AK

Practice address

1650 Cowles St
Fairbanks, AK 99701-5925

Phone

(907) 458-5650

Fax

(907) 456-8050

NPI assigned

May 16, 2006

Last updated

Dec 9, 2010By 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 2

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.

• Fairbanks Physical Therapy LLC

  • Physical Therapist
  • Fairbanks, AK
  • NPI 1922396357
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1881646495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 ILLINOIS ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997012910",
            "telephone_number": "907-456-7767",
            "fax_number": "907-456-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COWLES ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015925",
            "telephone_number": "907-458-5650",
            "fax_number": "907-456-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTCHER",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Q00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology",
            "state": "AK",
            "license": "3632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD3632",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "220022619",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monika Burzynska-Mason
• Olivia Burzynska
• Erika Busbice
• Savannah Bush, MSW
• Yencid I Bustos, LMT
• Brynn Ashlee Butler
• Danielle Butler
• Robert Douglas Butler
• Teresa Diane Butler, PT, DPT
• Jim Kirby Button, RPH

• Pathology Specialist/Technologist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Pathology Specialist/Technologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.