NPIMap

Organization Active NPI

Butler Medical Providers

  • Non-Pharmacy Dispensing Site
  • Evans City, PA
National Provider Identifier
1912249376
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
MD053373L Issued in PA
Legal business name
BUTLER MEDICAL PROVIDERS
Practice address
217 E Main St
Evans City, PA 16033-1261
Phone
(724) 538-9700
NPI assigned
Mar 25, 2013
Organization subpart
Yes
Parent organization
MEDVANTX, INC.As reported in NPPES

Authorized official

NPPES NPI Registry
Name
Kenny Heine
Title
VP of Operations
Phone
(858) 964-1506

Corporate family (same tax ID) 21

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Butler Management Servi (22 organizations share this tax ID)
Part of
Tri - State Medical Group Inc

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X MD053373L PA Primary

Addresses

NPPES NPI Registry

Primary practice location

217 E Main St
Evans City, PA 16033-1261

Mailing address

5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705

Other names 1

NPPES NPI Registry
  • Elliot Smith, M.D. & Associates Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 6, 2014.

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1912249376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E MAIN ST",
            "city": "EVANS CITY",
            "state": "PA",
            "postal_code": "160331261",
            "telephone_number": "724-538-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTLER MEDICAL PROVIDERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2013-03-25",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "858-964-1506"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "PA",
            "license": "MD053373L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elliot Smith, M.D. & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evans City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.