Provider Demographics
NPI:1477589026
Name:BUTZ, TODD MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:MICHAEL
Last Name:BUTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-851-2479
Practice Address - Street 1:1001 S GEORGE ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3676
Practice Address - Country:US
Practice Address - Phone:717-851-2672
Practice Address - Fax:717-851-2479
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2017-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD047531L208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA133959OtherUNISON-WMG CFA
PA768301OtherHIGHMARK BLUE SHIELD
PA83857OtherGEISINGER
PA001462340Medicaid
PA20097793OtherAMERIHEALTH MERCY-WMG YFM
PA50083032OtherCAPITAL BC-WMG YFM
PA264029OtherUNISON-WMG YFM
PA50083031OtherCAPITAL BC-WMG HFM
PA264027OtherUNISON-WMG HFM
PA30084OtherJOHNS HOPKINS
PA20097790OtherAMERIHEALTH MERCY-WMG HFM
PA50018399OtherCAPITAL BC-WMG CFA
PA5133065OtherAETNA
PA1523089OtherGATEWAY-WMG
PA20015132OtherAMERIHEALTH MERCY-WMG CFA
PA3102760OtherMAMSI-WMG CFA
PA133959OtherUNISON-WMG CFA
PA50083031OtherCAPITAL BC-WMG HFM
PAF79267Medicare UPIN