Individual provider Active NPI

Albert Anthony Butch, DC

  • Chiropractor
  • Ravenna, OH
National Provider Identifier
1912084500
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
833 Issued in OH
Practice address
5940 New Milford Road
Ravenna, OH 44266
Phone
(330) 296-5619
Fax
(330) 296-1019
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 833 OH Primary

Addresses

Primary practice location

5940 New Milford Road
Ravenna, OH 44266

Mailing address

5940 New Milford Road
Ravenna, OH 44266
Phone (330) 296-5619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051214000002 OH Practitioner - Chiropractic 4183645674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1980
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5940 New Milford Rd
Ravenna, OH 44266-3819
Phone (330) 296-5619

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
833OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Accordino Butch Chiropractic Center Inc Chiropractor CurrentSince Dec 31, 1975 Accepting new patients
A a Butch Chiropractic Center Inc. Chiropractor Past Accepting new patients

Locations

5940 New Milford Rd
Ravenna, OH 44266
Phone (330) 296-5619

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912084500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 NEW MILFORD ROAD",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "44266",
            "telephone_number": "330-296-5619",
            "fax_number": "330-296-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5940 NEW MILFORD ROAD",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "44266",
            "telephone_number": "330-296-5619",
            "fax_number": "330-296-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTCH",
        "first_name": "ALBERT",
        "middle_name": "ANTHONY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.