Provider Demographics
NPI:1235179722
Name:BUTLER ORTHOPEDIC ASSOCIATES
Entity Type:Organization
Organization Name:BUTLER ORTHOPEDIC ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:S
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-287-8445
Mailing Address - Street 1:301 1ST ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-4756
Mailing Address - Country:US
Mailing Address - Phone:724-287-3787
Mailing Address - Fax:724-287-5899
Practice Address - Street 1:301 1ST ST
Practice Address - Street 2:SUITE 200
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-4756
Practice Address - Country:US
Practice Address - Phone:724-287-3787
Practice Address - Fax:724-287-5899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA422845OtherHIGHMARK BLUE SHIELD
PA422845Medicare PIN