MR. ANDREW BUTTON PA-C NPI 1598705428

NPI Information

NPI: 1598705428
Provider Name: MR. ANDREW BUTTON, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: CARLE WEST PHYSICIAN GROUP INC

PECOS Registration: Yes

Address:
1302 FRANKLIN AVE
#4500
NORMAL, IL
ZIP 61761
Phone: (309) 828-1166
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MR. Andrew Button, PA-C is a medical physician assistant in Normal, IL with 23 years of experience. MR. Andrew Button, PA-C NPI is 1598705428. 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:

1302 FRANKLIN AVE
#4500
NORMAL, IL
ZIP 61761-551
Phone: (309) 828-1166
Fax: (309) 862-0330

The NPI 1598705428 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 6/8/2006 and was last updated on 7/8/2007.

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	363AM0700X	Physician Assistant	Medical	85001595	ILLINOIS	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	071461	OTHER	ILLINOIS	HEALTH ALLIANCE
2	P00282413	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	RRMC NUMBER
3	05732097	OTHER	ILLINOIS	BC GROUP NUMBER
4	P39240	MEDICARE UPIN
5	K23792	MEDICARE ID-TYPE UNSPECIFIED
6	212636	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	MC GROUP NUMBER

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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