MICHAELA JEAN BUTLER (NPI# 1528544772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528544772 |
Entity Type | Individual |
Full Name | MICHAELA JEAN BUTLER |
Credential | PA-C |
Practice Address |
275 Sandwich St Plymouth MA 02360-2183 |
Mailing Address |
62 Weeden Rd Fairhaven MA 02719-2511 |
Practice Telephone | 5087462000 |
Mailing Telephone | 5083402671 |
Enumeration Date | 2018-07-11 |
Last Update Date | 2018-07-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA6621 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
275 SANDWICH ST |
City | PLYMOUTH |
State | MA |
Zip Code | 02360-2183 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184618910 | David Kelly | Specialist | 275 Sandwich St, Plymouth, MA 02360-2183 | 2005-09-08 |
1043879273 | Sarah Blais | Social Worker | 275 Sandwich St, Plymouth, MA 02360-2183 | 2019-06-11 |
1023572021 | Jessica M Olson | Advanced Practice Midwife | 275 Sandwich St, Plymouth, MA 02360-2183 | 2019-01-24 |
1275005134 | Victoria Turaman | Registered Nurse | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-12-17 |
1164907564 | Bethany Ison | Social Worker | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-10-02 |
1205319837 | Laurie Gilburne | Social Worker | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-09-10 |
1386126589 | Pamela Wood | Social Worker | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-09-04 |
1255819744 | Amy Jorud | Social Worker | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-08-06 |
1407354087 | Shelby Lynne Sullivan | Nurse Anesthetist, Certified Registered | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-01-29 |
1992231716 | Carol Rains | Social Worker | 275 Sandwich St, Plymouth, MA 02360-2183 | 2017-05-11 |
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1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
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Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
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1932626025 | Cynthia C Konrath | Physician Assistant | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2017-08-29 |
1447600283 | Brendan Murphy | Physician Assistant | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2016-06-13 |
1760776793 | Catherine K Robinson | Physician Assistant | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2011-06-07 |
1003057118 | Grayson W Blomberg | Physician Assistant | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2009-03-19 |
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1407479272 | Mackenzie Malcolm Gray | Physician Assistant | 35 Pynchon Rd, Holyoke, MA 01040-1514 | 2020-05-27 |
1780235333 | Emily Fregeau | Physician Assistant | 1 Canal St Unit 518, Boston, MA 02114-2053 | 2019-09-25 |
1992369524 | Jaclyn Hynes | Physician Assistant | 234 Otis St, Hingham, MA 02043-4504 | 2019-04-29 |
1376002931 | Jack City, LLC | Physician Assistant | 290 Pleasant St Apt 212, Watertown, MA 02472-2429 | 2019-03-13 |
1578021911 | Ashley Piemonte | Physician Assistant | 15 1/2 Russell St Apt 1, Charlestown, MA 02129-2492 | 2019-03-05 |
1407323686 | Nicole Burke Tingley | Physician Assistant | 123 Summer St Ste 277, Worcester, MA 01608-1216 | 2018-10-25 |
1386111706 | Nicole Laura Solman | Physician Assistant | 16 Deerhaven Rd, Lincoln, MA 01773-1806 | 2018-10-24 |
1881160943 | Philip Apraku Bondzie | Physician Assistant | 266 Sportsmans Trl, Whitman, MA 02382-1726 | 2018-10-16 |
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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.