MICHAELA JEAN BUTLER


Address: 275 Sandwich St, Plymouth, MA 02360-2183
Phone: 5087462000

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 275 SANDWICH ST
City PLYMOUTH
State MA
Zip Code 02360-2183

Providers in the same location

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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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1225532385 Folsom Physicain Assistant First Assist, Inc Physician Assistant Nina Vasiliev Pa-c, 15407 Muller Rd, Plymouth, CA 95669-9770 2018-03-22
1700385218 Christina Marie Jensen Physician Assistant 15700 37th Ave N Ste 210, Plymouth, MN 55446-3662 2018-02-09
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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1023627106 Taia Maria Tieland Physician Assistant 9 Hunting St Apt 1, Cambridge, MA 02141-1010 2020-07-24
1003434275 Antonious Jonah Abraham Physician Assistant 99 Corn Rd, Bolton, MA 01740-1055 2020-07-13
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
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Competitor

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City PLYMOUTH
Zip Code 02360

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Dataset Information

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.

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