DR. TIMOTHY M BUTCKO (NPI# 1285872192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285872192 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY M BUTCKO |
| Credential | D.C. |
| Practice Address |
2045 Asher Ct East Lansing MI 48823 |
| Practice Telephone | 5173519240 |
| Mailing Telephone | 5173519240 |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2019-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301010138 | MI | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 038.011310 | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 1629625 | 01 |
| Street Address |
2045 ASHER CT |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366631012 | Eileen Bridges | Audiologist-Hearing Aid Fitter | 2045 Asher Ct, East Lansing, MI 48823-8444 | 2007-10-18 |
| 1003457532 | Isaiah Avink | Chiropractor | 2045 Asher Ct, East Lansing, MI 48823-8444 | 2019-10-07 |
| 1609423052 | Aidan Keeva | Acupuncturist | 2045 Asher Ct, East Lansing, MI 48823-8444 | 2019-08-21 |
| 1639735699 | Anne Marie Haas | Acupuncturist | 2045 Asher Ct, East Lansing, MI 48823-8444 | 2019-05-15 |
| 1124538251 | Irene Marie Marguerite Savoyat | Massage Therapist | 2045 Asher Ct, East Lansing, MI 48823-8444 | 2017-10-03 |
| 1457588105 | Lloyd Dean Ingram | Physician Assistant | 2045 Asher Ct, East Lansing, MI 48823-8444 | 2009-06-19 |
| 1972782001 | Nancy Nelson | Audiologist-Hearing Aid Fitter | 2045 Asher Ct, East Lansing, MI 48823-8444 | 2007-10-25 |
| 1669661310 | Catherine Stewart | Audiologist-Hearing Aid Fitter | 2045 Asher Ct, East Lansing, MI 48823-8444 | 2007-10-18 |
| 1912196668 | Susan Bryant | Audiologist-Hearing Aid Fitter | 2045 Asher Ct, East Lansing, MI 48823-8444 | 2007-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848631 | Joseph Santangelo | Technician | 2775 E Lansing Dr, East Lansing, MI 48823 | 2020-07-10 |
| 1679197701 | Alexandra Megan Bauer | Technician | 3839 Hunsaker Street, 121, East Lansing, MI 48823 | 2020-06-04 |
| 1689297756 | Nathan Barnhurst | Neuromusculoskeletal Medicine & OMM | 4660 Hagadorn Rd #500, East Lansing, MI 48823 | 2020-05-25 |
| 1861036006 | Rachel Amber Kelly | Registered Nurse | 221 W Lake Rd, #300, East Lansing, MI 48823 | 2019-10-31 |
| 1982176442 | Thomas Patrick Lilley | Occupational Therapist | 2900 Hannah Blvd. - Suite B102, East Lansing, MI 48823 | 2018-12-21 |
| 1386114684 | Anne Colleen Jack | Social Worker | 3100 West Road, East Lansing, MI 48823 | 2018-11-29 |
| 1346721420 | Mary Ann Malosh | Health Educator | 6265 Fenwick Ct, East Lansing, MI 48823 | 2018-08-27 |
| 1639668734 | Jennifer Lynn Box | Occupational Therapist | 2900 Hannah Blvd Ste. B102, Outpatient Rehab, East Lansing, MI 48823 | 2018-05-03 |
| 1598267288 | Wise Willow Counseling & Consulting LLC | Social Worker | 2875 Northwind Dr Ste 215, East Lansing, MI 48823 | 2018-03-08 |
| 1184142010 | Carlrianna Taylor | Technician | 2775 E Lansing Rd, E Lansing, MI 48823 | 2017-08-30 |
| Find all providers in zip 48823 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912335076 | Andrew Jay Yockey | Chiropractor | 612 W Lake Lansing Rd Ste 300, East Lansing, MI 48823-8528 | 2013-10-28 |
| 1083893614 | Barricklow Chiropractic Center, Pllc | Chiropractor | 411 W Lake Lansing Rd., Ste A105, East Lansing, MI 48823-8404 | 2007-10-31 |
| 1902099757 | Richard Lezotte Dc. PC. | Chiropractor | 2843 E Grand River Ave, Suite 170, East Lansing, MI 48823-6722 | 2007-08-24 |
| 1467510230 | Eric S Jodon | Chiropractor | 4500 S Hagadorn Road, East Lansing, MI 48823 | 2006-12-05 |
| 1568533370 | In 8 PC | Chiropractor | 248 E Saginaw St, Suite #5, East Lansing, MI 48823-2760 | 2006-11-13 |
| 1609977222 | Creative Wellness Inc | Chiropractor | 2045 Asher Ct Ste 100, East Lansing, MI 48823-8444 | 2006-09-26 |
| 1710080395 | Jody J Conley | Chiropractor | 4500 S Hagadorn, East Lansing, MI 48823 | 2006-09-07 |
| 1679688691 | Simone Nicole Ranes | Chiropractor | 909 Abbott Rd Ste D, East Lansing, MI 48823-3168 | 2006-08-20 |
| 1437115714 | Sandra Ann Amundsen | Chiropractor | 1729 Melrose Ave, East Lansing, MI 48823-3727 | 2006-04-25 |
| 1750347134 | Michelle A. Meade | Chiropractor | 802 W Lake Lansing Rd, East Lansing, MI 48823-1331 | 2006-04-25 |
| Find all providers in EAST LANSING | ||||
| City | EAST LANSING |
| Zip Code | 48823 |
Please comment or provide details below to improve the information on DR. TIMOTHY M BUTCKO.
| 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.