DR. IVAN LEWIS BUTLER (NPI# 1184995797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184995797 |
| Entity Type | Individual |
| Full Name | DR. IVAN LEWIS BUTLER |
| Credential | M.D. |
| Practice Address |
204 St. Charles Way Unit 364e York PA 17402 |
| Practice Telephone | 7178454208 |
| Practice Fax Number | 7178465958 |
| Mailing Telephone | 7178454208 |
| Mailing Fax Number | 7178465958 |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | MD028571L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
204 ST. CHARLES WAY UNIT 364E |
| City | YORK |
| State | PA |
| Zip Code | 17402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265053987 | Hope Renewed Counseling Services LLC | Social Worker | 879 Clare Lane, York, PA 17402 | 2020-05-04 |
| 1912462292 | Andventure, Inc. | Home Health | Andventure, Inc., 3415c Concord Rd., York, PA 17402 | 2019-01-31 |
| 1407327992 | Tariro Manamike | Pharmacist | Weis Markets Pharmacy, 2400 E Market Street, York, PA 17402 | 2018-12-10 |
| 1689120925 | Benjamin Stahle | Emergency Medicine | 70 Locust Grove Road, York, PA 17402 | 2016-08-28 |
| 1275905614 | Ultra Dental I, LLC | Dentist | 233 Pauline Drive, York, PA 17402 | 2015-10-26 |
| 1215323878 | Sonya Maria Korda | Dentist | 332 Shasta Dr., York, PA 17402 | 2015-04-10 |
| 1588909691 | Kimberly Sue Marsico | Counselor | 3110 East Market St, York, PA 17402 | 2012-11-29 |
| 1801117783 | Active Life Chiropractic | Chiropractor | 1915 E. Market Street, York, PA 17402 | 2010-06-15 |
| 1578881652 | Oss Orthopaedic Hospital, LLC | General Acute Care Hospital | 1861 Powder Mill Rd., York, PA 17402 | 2010-05-13 |
| 1336381953 | Bernard Hamilton Lauer | Dentist | 2206 East Market Street, York, PA 17402 | 2009-03-27 |
| Find all providers in zip 17402 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700311693 | Jennifer Cornelius | General Practice | 32 Lobster Cove Rd, York, ME 03909-1269 | 2017-04-27 |
| 1710278320 | Thomas Duane Johnson | General Practice | 2330 Birch Rd, York, PA 17408-4107 | 2011-04-29 |
| 1306804315 | Susan Diane Kurz | General Practice | 1509 Rosewood Ln, York, PA 17403-4423 | 2006-05-02 |
| 1497731442 | Michael L Hughes | General Practice | 1736 Old York Rd, York, SC 29745-9458 | 2005-12-21 |
| 1699118430 | Medical Athletic Center LLC | General Practice | 1785 Loucks Rd, York, PA 17408-9710 | 2013-04-11 |
| 1265773410 | Medical Athletic Center, LLC | General Practice | 1785 Loucks Rd, York, PA 17408-9710 | 2013-03-13 |
| 1215246764 | Tricorne Primary Nerve & Joint | General Practice | 2200 S George St, Suite W2, York, PA 17403-4594 | 2010-10-01 |
| 1558519843 | John Gerald Laughner Jr. | General Practice | 2141 Pennsylvania Ave, Concentra Medical Centers, York, PA 17404 | 2008-08-29 |
| 1235354861 | Ray A Wilson | General Practice | 209 N Beaver St, York, PA 17403-5321 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609494798 | Heather L Levan | General Practice | 919 Gravel Pike, Palm, PA 18070-1204 | 2020-07-06 |
| 1124642996 | Wound Pros Medical Group | General Practice | 1500 Market Street 12th Floor, East Tower, Philadelphia, PA 19102-2152 | 2020-06-08 |
| 1861024390 | Daniel James Leonard IIi | General Practice | 397 Fifth Street, Nanty Glo, PA 15943 | 2020-02-12 |
| 1831755735 | Good Hope Health Center Corp | General Practice | 7712 Buist Ave, Philadelphia, PA 19153-1705 | 2019-05-15 |
| 1366008260 | Ltc Treatment Center Inc | General Practice | 7712 Buist Ave Apt B, Philadelphia, PA 19153-1705 | 2019-05-15 |
| 1003479825 | Marsha Frances Santangelo | General Practice | 107 Sawgrass Drive, Blue Bell, PA 19422 | 2019-04-17 |
| 1972072288 | Paula Alejandra Pino Pommer | General Practice | 3551 North Broad St., Philadelphia, PA 19140-4160 | 2018-11-15 |
| 1033686159 | Star Wellness Center, Inc | General Practice | 511 E 3rd St Ste 202, Bethlehem, PA 18015-2180 | 2018-10-26 |
| 1891277620 | Donald C. Cameron | General Practice | 718 Kennett Pike, Chadds Ford, PA 19317 | 2018-08-29 |
| 1124510888 | Healing Place Medical, P.C. | General Practice | 1600 Horizon Dr Ste 122123, Chalfont, PA 18914-4100 | 2018-05-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. IVAN LEWIS BUTLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.