LEROY BUTLER (NPI# 1528347234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528347234 |
Entity Type | Individual |
Full Name | LEROY BUTLER |
Credential | DO |
Practice Address |
4031 W Plano Pkwy Ste 100 Plano TX 75093-5617 |
Practice Telephone | 9729851072 |
Practice Fax Number | 9729643469 |
Mailing Telephone | 4234441987 |
Mailing Fax Number | 4692691074 |
Enumeration Date | 2011-08-11 |
Last Update Date | 2019-04-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
R3481 | TX | Allopathic & Osteopathic Physicians |
N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
DO2046 | NV | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | 34 | TN | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | 1528347234 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121 | 7027311616 | 7027310741 |
Street Address |
4031 W PLANO PKWY STE 100 |
City | PLANO |
State | TX |
Zip Code | 75093-5617 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093823361 | Jill Rice | Nurse Practitioner | 4031 W Plano Pkwy Ste 100, Plano, TX 75093-5617 | 2006-08-28 |
1245841832 | Erica Lynn Zeitz | Physician Assistant | 4031 W Plano Pkwy Ste 100, Plano, TX 75093-5617 | 2020-08-16 |
1184152209 | Tyler Story | Physical Therapist | 4031 W Plano Pkwy Ste 100, Plano, TX 75093-5617 | 2017-06-02 |
1073815155 | Ashley Ann Kirkman | Technician/Technologist | 4031 W Plano Pkwy Ste 100, Plano, TX 75093-5617 | 2010-11-23 |
1740590066 | Orthotexas Physicians and Surgeons, Pllc | Specialist | 4031 W Plano Pkwy Ste 100, Plano, TX 75093 | 2010-10-20 |
1467763615 | Robert Donald Russell | Orthopaedic Surgery | 4031 W Plano Pkwy Ste 100, Plano, TX 75093-5617 | 2010-06-22 |
1235388927 | Julie Drinkwater | Physical Therapist | 4031 W Plano Pkwy Ste 100, Plano, TX 75093-5617 | 2008-09-17 |
1750568507 | Christine K Gooch | Physician Assistant | 4031 W Plano Pkwy Ste 100, Plano, TX 75093-5617 | 2008-01-23 |
1962696765 | Robert Coleson Beavis | Orthopaedic Surgery | 4031 W Plano Pkwy Ste 100, Plano, TX 75093-5617 | 2007-09-05 |
1750409017 | Associated Orthopedics & Sports Medicine, Pa | Physical Medicine & Rehabilitation | 4031 W Plano Pkwy Ste 100, Plano, TX 75093-5617 | 2007-03-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
Find all providers in zip 75093 |
Taxonomy Code | 207XX0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Foot and Ankle Surgery |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942205554 | John M Crates | Orthopaedic Surgery | 5228 W Plano Pkwy, Plano, TX 75093 | 2005-06-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730647074 | Nix Physicians Inc. | Orthopaedic Surgery | 110 E Bandera Rd, Boerne, TX 78006-2802 | 2019-03-06 |
1598012148 | Douglas Odin Hansen | Orthopaedic Surgery | 6699 Chimney Rock Rd Ste 102, Houston, TX 77081-5339 | 2012-08-13 |
1881958940 | Michael James Frazier | Orthopaedic Surgery | 12609 Louetta Rd Ste B, Cypress, TX 77429-5136 | 2012-07-03 |
1952344657 | Andrew Marshall Ebert | Orthopaedic Surgery | 4611 Guadalupe St Ste 200, Austin, TX 78751-2928 | 2006-06-13 |
1013962810 | Stacy Anne Bacon | Orthopaedic Surgery | 21212 Northwest Fwy Ste 605, Cypress, TX 77429-5889 | 2006-05-23 |
1134189178 | Texas Tech University Health Sciences Center El Paso | Orthopaedic Surgery | 4801 Alberta Ave., 230c, El Paso, TX 79905 | 2006-03-24 |
1679544308 | William C Mcgarvey | Orthopaedic Surgery | 23920 Katy Freeway, Ste 160, Katy, TX 77494 | 2006-01-31 |
1235114927 | Darryl D Cuda | Orthopaedic Surgery | 8800 Village Dr, Suite 101, San Antonio, TX 78217-5412 | 2005-12-14 |
1629682919 | Central Texas Orthopaedic Foot and Ankle Center, Pllc | Orthopaedic Surgery | 5100 Franklin Ave, Waco, TX 76710-6922 | 2020-09-03 |
1023654258 | Chad M Kennedy Md Pa | Orthopaedic Surgery | 1600 S Coulter St Ste B, Amarillo, TX 79106-0703 | 2019-11-22 |
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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.