J DOUGLAS BUTLER ADVANCED SURGERY CTR PA NPI 1174559819

NPI Information

NPI: 1174559819
Provider Name: J DOUGLAS BUTLER ADVANCED SURGERY CTR PA
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
295 STONER AVE
STE 105
WESTMINSTER, MD
ZIP 21157
Phone: (410) 848-6800
Get Directions

J DOUGLAS BUTLER ADVANCED SURGERY CTR PA is an ambulatory surgical clinic center in Westminster, MD. J DOUGLAS BUTLER ADVANCED SURGERY CTR PA NPI is 1174559819. The provider is registered as an organization entity type.

The provider's business location address is:

295 STONER AVE
STE 105
WESTMINSTER, MD
ZIP 21157-698
Phone: (410) 848-6800

The provider's authorized official is John Douglas Butler .
The authorized official title is Medical Director and has the following contact phone number (410) 848-6800.

The enumeration date for this NPI number is 6/24/2006 and was last updated on 2/12/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	A1299	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	61647501	OTHER	MARYLAND	BLUE CROSS
2	490004878	OTHER	MARYLAND	RAILROAD MEDICARE
3	=========	MEDICAID	MARYLAND
4	103Z	MEDICARE PIN	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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