MRS. TINA MARIE BUTT (NPI# 1205023173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205023173 |
| Entity Type | Individual |
| Full Name | MRS. TINA MARIE BUTT |
| Credential | NP-C |
| Practice Address |
9485 Mentor Ave Ste 210 Mentor OH 44060-8723 |
| Mailing Address |
7590 Auburn Road., Suite 014 Attn: Medical Staff Concord Twp OH 44077-9176 |
| Practice Telephone | 4402555571 |
| Practice Fax Number | 4402055744 |
| Mailing Telephone | 4403541899 |
| Mailing Fax Number | 4403541845 |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2020-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
COA.09534-NP | OH | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.09534 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9485 MENTOR AVE STE 210 |
| City | MENTOR |
| State | OH |
| Zip Code | 44060-8723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598768855 | Lisa Marie Ward | Ophthalmology | 9485 Mentor Ave, Ste 110, Mentor, OH 44060-8724 | 2005-05-31 |
| 1205292497 | Lynnette Prokop | Physician Assistant | 9485 Mentor Ave, #100, Mentor, OH 44060-4597 | 2016-01-05 |
| 1003287939 | Christina Scott | Nurse Practitioner | 9485 Mentor Ave, Ste 210, Mentor, OH 44060-8723 | 2015-10-19 |
| 1043612393 | Jacqueline Macy Cerar Dds Inc. | Dentist | 9485 Mentor Ave, Suite 112, Mentor, OH 44060-4597 | 2014-09-18 |
| 1639591019 | Great Lakes Gastroenterology Research | Specialist | 9485 Mentor Ave, Suite 105, Mentor, OH 44060-4597 | 2014-01-20 |
| 1760810592 | Oak Tree Clinic Inc | Physical Medicine & Rehabilitation | 9485 Mentor Ave, Suite 214, Mentor, OH 44060-4597 | 2013-10-14 |
| 1164864351 | Lisa Demeter | Social Worker | 9485 Mentor Ave, Suite 3, Mentor, OH 44060-4597 | 2013-07-29 |
| 1851736946 | Lindsay-dawn Hanlon Cooper | Nurse Practitioner | 9485 Mentor Ave, Suite 210, Mentor, OH 44060-4597 | 2013-05-03 |
| 1033479449 | Gina Loshkajian Posluszny | Pediatrics | 9485 Mentor Ave, Ste 101, Mentor, OH 44060-8722 | 2012-05-18 |
| 1194002006 | Adrienne Marie Colabuno | Physician Assistant | 9485 Mentor Ave, Mentor, OH 44060-4597 | 2011-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093364143 | Pamela Adams | Technician | 6079 Center St, Mentor, OH 44060 | 2019-09-10 |
| 1255800298 | Brittani Joy Lumpkin | Community/Behavioral Health | 9220 Mentor Road., Mentor, OH 44060 | 2018-11-20 |
| 1043726763 | Sharon Bollinger | Counselor | 7232 Tyler Blvd., Mentor, OH 44060 | 2017-12-18 |
| 1255863635 | Mentor Health and Rehabilitation Center, Inc. | Skilled Nursing Facility | 8151 Norton Pkwy, Mentor, OH 44060 | 2017-04-03 |
| 1144695933 | Kirsten Lorek | Specialist/Technologist | 8400 Paddock Ct, Mentor, OH 44060 | 2015-12-06 |
| 1346638848 | Darlean Williams | Licensed Practical Nurse | 6477 Center Street, Mentor High School, Mentor, OH 44060 | 2015-01-06 |
| 1316357130 | Kathryn Arnette Romo | Speech-Language Pathologist | 6451 Center Street, Mentor Exempted Village Schools, Mentor, OH 44060 | 2014-05-01 |
| 1730599705 | Marianne. P. Kostiha | Registered Nurse | 6451 Center St., Mentor Public Schools, Mentor, OH 44060 | 2014-04-30 |
| 1558788190 | Jeanne Marie Markusic | Physical Therapist | 7687 Ellington Pl, Mentor, OH 44060 | 2014-03-20 |
| 1477979391 | Center for Advanced Vein Care LLC | Emergency Medicine | 7200 Mentor Avenue, Mentor, OH 44060 | 2014-03-17 |
| Find all providers in zip 44060 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750871380 | Allison Nicole Von Carlowitz | Nurse Practitioner | 8491 Esther St, Mentor, OH 44060-6007 | 2018-05-18 |
| 1083074322 | Jeena Shailesh Shah | Nurse Practitioner | 7951 Champaign Dr, Mentor, OH 44060-4076 | 2016-02-29 |
| 1881079788 | Tabitha Ritchey | Nurse Practitioner | 7380 Connie Dr, Mentor, OH 44060-4656 | 2015-07-21 |
| 1467762989 | Kristin G Biddell | Nurse Practitioner | 9500 Mentor Ave Ste 100, Mentor, OH 44060 | 2010-10-18 |
| 1063412435 | Megan Y Boogaart | Nurse Practitioner | 7533 Center St, Mentor, OH 44060-6001 | 2005-07-28 |
| 1952939746 | Jennifer Lynn Demarco | Nurse Practitioner | 8655 Market St, Mentor, OH 44060-4170 | 2020-03-29 |
| 1902448459 | Kimberly Anne Levar | Nurse Practitioner | 8655 Market St, Mentor, OH 44060-4170 | 2019-10-16 |
| 1952942708 | Shante Chambliss | Nurse Practitioner | 9485 Mentor Ave Ste 210, Mentor, OH 44060-8723 | 2019-10-02 |
| 1215586698 | Holly Kathleen Hutton | Nurse Practitioner | 8877 Mentor Ave, Mentor, OH 44060-6211 | 2019-09-09 |
| 1184189854 | Jozefina Diaz | Nurse Practitioner | 8200 Mentor Hills Dr, Mentor, OH 44060-7861 | 2019-02-06 |
| Find all providers in MENTOR | ||||
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| 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.