DR. PHILIP JOSEPH BUTERA (NPI# 1588649255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588649255 |
| Entity Type | Individual |
| Full Name | DR. PHILIP JOSEPH BUTERA |
| Credential | M.D. |
| Practice Address |
124a South University Blvd. Mobile AL 36608 |
| Mailing Address |
P.o. Box 850849 Mobile AL 36685-0849 |
| Practice Telephone | 2513435004 |
| Practice Fax Number | 2513438383 |
| Mailing Telephone | 2513435004 |
| Mailing Fax Number | 2513438383 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2015-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 11294 | AL | Other Service Providers |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
11294 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS | 51014548 | 01 |
| AL | 000014548 | 05 |
| Street Address |
124A SOUTH UNIVERSITY BLVD. |
| City | MOBILE |
| State | AL |
| Zip Code | 36608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396816658 | Richard Sellors Meador Jr. | Internal Medicine | 124a South University Blvd., Mobile, AL 36608 | 2006-11-10 |
| 1457363475 | Christopher D. Mire | Specialist | 124a South University Blvd., Mobile, AL 36608 | 2006-08-12 |
| 1952342529 | Jonathan B. Cole | Internal Medicine | 124a South University Blvd., Mobile, AL 36608 | 2006-06-08 |
| 1083690465 | John Michael Nipper | Specialist | 124a South University Blvd., Mobile, AL 36608 | 2005-12-19 |
| 1477539096 | Ronald L. Gaines | Specialist | 124a South University Blvd., Mobile, AL 36608 | 2005-12-15 |
| 1508842121 | Maryella D. Sirmon | Specialist | 124a South University Blvd., Mobile, AL 36608 | 2005-12-15 |
| 1659356319 | Robert Michael Huddle | Specialist | 124a South University Blvd., Mobile, AL 36608 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
| Find all providers in zip 36608 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396303913 | Usa Health Physician Billing Services LLC | Internal Medicine | 2451 University Hospital Drive, Mastin 102, Mobile, AL 36617 | 2019-05-29 |
| 1750741443 | University of South Alabama | Internal Medicine | 2451 Fillingim St, Mstn Bldg., Mobile, AL 36617-2238 | 2016-02-24 |
| 1477920528 | Emad Al Jaber | Internal Medicine | 2451 Fillingim St # 102, Mobile, AL 36617-2238 | 2015-08-25 |
| 1407275068 | Andrew Felis | Internal Medicine | 124 S University Blvd, Mobile, AL 36608-3088 | 2014-04-10 |
| 1831395755 | Gregory Rutecki | Internal Medicine | 2451 Fillingim St, Masting Bldg., Mobile, AL 36617-2238 | 2007-06-26 |
| 1194855114 | Sabrina G. Bessette | Internal Medicine | 2451 Fillingim St, Mobile, AL 36617-2238 | 2007-03-07 |
| 1396816658 | Richard Sellors Meador Jr. | Internal Medicine | 124a South University Blvd., Mobile, AL 36608 | 2006-11-10 |
| 1538107800 | Wanda G. Kirkpatrick | Internal Medicine | 2451 Fillingim St, Mastin Bldg, Mobile, AL 36617-2238 | 2006-06-02 |
| 1235181181 | Errol D. Crook | Internal Medicine | 2451 Fillingim St, Mastin Bldg., Mobile, AL 36617-2238 | 2006-05-17 |
| 1760433767 | Roy Michael Culpepper | Internal Medicine | 2451 Fillingim St, Mastin Bldg., Mobile, AL 36617-2238 | 2006-05-14 |
| Find all providers in MOBILE | ||||
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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.