MR. MICHAEL JAMES BUTLER MSN AGACNP-BC NPI 1790105914

NPI Information

NPI: 1790105914
Provider Name: MR. MICHAEL JAMES BUTLER, MSN, AGACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: PRIME HEALTHCARE FOUNDATION-COSHOCTON LLC

PECOS Registration: Yes

Address:
751 FOREST AVE
SUITE 200
ZANESVILLE, OH
ZIP 43701
Phone: (740) 455-7670
Get Directions

MR. Michael James Butler, MSN, AGACNP-BC is an acute care nurse practitioner in Zanesville, OH with 11 years of experience. MR. Michael James Butler, MSN, AGACNP-BC NPI is 1790105914. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

751 FOREST AVE
SUITE 200
ZANESVILLE, OH
ZIP 43701-868
Phone: (740) 455-7670

The NPI 1790105914 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/27/2014 and was last updated on 2/8/2017.

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	163W00000X	Registered Nurse		2003031294	MISSOURI	No
2	363LA2100X	Nurse Practitioner	Acute Care	COA.15957-NP	OHIO	Yes
3	363LA2100X	Nurse Practitioner	Acute Care	2014008350	MISSOURI	No

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	0105686	MEDICAID	OHIO

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: 11/14/2023

NPI Synchronization or Removal

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