Individual provider Active NPI

Jeffrey Louis Butcher, MD

  • Colon & Rectal Surgery Physician
  • Havertown, PA
National Provider Identifier
1891716197
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
MD428686 Issued in PA
Practice address
1010 W Chester Pike
Suite 201
Havertown, PA 19083-3442
Phone
(610) 446-7882
Fax
(610) 446-3316
NPI assigned
Jul 21, 2006
Last updated
Feb 25, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X MD428686 PA Primary

Addresses

Primary practice location

1010 W Chester Pike
Suite 201
Havertown, PA 19083-3442

Mailing address

1010 W Chester Pike
Suite 201
Havertown, PA 19083-3442
Phone (610) 446-7882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060920000305 PA Practitioner - Colorectal Surgery (Proctology) 7113922444 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Hahnemann University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tristate Colon and Rectal Associates PCGroup PAC ID 1759366172, 2 clinicians

Practice addresses (Care Compare)

1010 W Chester Pike
Havertown, PA 19083-3442
Phone 61044678823

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy83
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bryn Mawr Medical Specialists Association CurrentSince Jan 20, 2020 Accepting new patients

Locations

825 Old Lancaster Rd
Ste 320
Bryn Mawr, PA 19010
Phone (610) 524-3800

825 Old Lancaster Rd
Ste 330
Bryn Mawr, PA 19010
Phone (484) 380-2880

Interoperability endpoints

  • Direct secure messaging: jeffrey.butcher.1@8510.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1891716197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W CHESTER PIKE",
            "address_2": "SUITE 201",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190833442",
            "telephone_number": "610-446-7882",
            "fax_number": "610-446-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W CHESTER PIKE",
            "address_2": "SUITE 201",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190833442",
            "telephone_number": "610-446-7882",
            "fax_number": "610-446-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTCHER",
        "first_name": "JEFFREY",
        "middle_name": "LOUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "PA",
            "license": "MD428686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

Verify at the official NPI Registry.