Provider Demographics
NPI:1841478542
Name:MED PLUS MOBILE, PLC
Entity type:Organization
Organization Name:MED PLUS MOBILE, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BARTON
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTTERBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-948-9870
Mailing Address - Street 1:11300 TOMAHAWK CREEK PKWY
Mailing Address - Street 2:STE 155
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-2670
Mailing Address - Country:US
Mailing Address - Phone:913-948-9870
Mailing Address - Fax:913-948-9877
Practice Address - Street 1:10752 N 89TH PL
Practice Address - Street 2:STE B114
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6730
Practice Address - Country:US
Practice Address - Phone:913-948-9870
Practice Address - Fax:913-948-9877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ14268207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAB2564777OtherDEA