DR. MARTIN RICHARD BUTA (NPI# 1639495047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639495047 |
Entity Type | Individual |
Full Name | DR. MARTIN RICHARD BUTA |
Credential | M.D. |
Practice Address |
Department of General Surgery 30 N. 1900 E., 3b324 Som Salt Lake City UT 84132-0001 |
Practice Telephone | 8015816803 |
Enumeration Date | 2010-04-09 |
Last Update Date | 2019-10-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 9790375-8905CS | UT | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
DEPARTMENT OF GENERAL SURGERY 30 N. 1900 E., 3B324 SOM |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84132-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275162331 | Scott Andrew Rizzi | Student in an Organized Health Care Education/Training Program | 30 North 1900 East Som 4c116, Salt Lake City, UT 84132 | 2020-04-02 |
1609421403 | Monika Fleckenstein | Ophthalmology | 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 | 2019-08-08 |
1366975914 | Jacob Brandenburg | Anesthesiology | School of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 | 2017-04-10 |
1568815082 | Anastasia Neufeld | Ophthalmology | 65 Mario Capecchi Drive, Salt Lake City, UT 84132 | 2016-07-20 |
1912350083 | Gmaan Alzhrani | Student in an Organized Health Care Education/Training Program | 175 N. Medical Drive East , Salt Lake City, UT 84132 | 2016-07-13 |
1831544600 | Drew Goerke | Occupational Therapist | 50 N Medical Drive, Som Room #1r73, Salt Lake City, UT 84132 | 2016-04-29 |
1891179024 | Bong Jik Kim | Student in an Organized Health Care Education/Training Program | 50 North Medical Drive 3c120, Otolaryngology Administration Office, Salt Lake City, UT 84132 | 2015-07-17 |
1043699101 | Chris Anderson | Physician Assistant | 30 North 1900 East #3c344, Salt Lake City, UT 84132 | 2015-05-22 |
1689061822 | Ryan Clark | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N 1900 E Som 3c127, Salt Lake City, UT 84132 | 2015-04-24 |
1649666264 | Kevin Conrad | Anesthesiology | 30 N 1900 E Room 3c444, Salt Lake City, UT 84132 | 2015-04-09 |
Find all providers in zip 84132 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1588928923 | Douglas Stein | General Practice | 5 S 500 W Unit 1205, Salt Lake City, UT 84101-4127 | 2012-06-29 |
1639430960 | Rita Florian Pingree | General Practice | 350 S 200 E, 400, Salt Lake City, UT 84111-2410 | 2012-06-04 |
1437430915 | Carter Brooke Jennings | General Practice | 2811 E 4135 S, Salt Lake City, UT 84124-3043 | 2011-08-29 |
1255620068 | Chad Chenoweth | General Practice | 1512 E 3115 S, Salt Lake City, UT 84106-3456 | 2011-04-01 |
1154622587 | Wallace Harold Ring | General Practice | 3125 Kennedy Dr., 1003, Salt Lake City, UT 84108-2110 | 2010-11-17 |
1639484025 | Fast Track Billing Inc | General Practice | 50 W Broadway, Suite 1000, Salt Lake City, UT 84101-2020 | 2010-08-10 |
1548406325 | Brent Carl James | General Practice | 36 S State St Fl 16, Salt Lake City, UT 84111-1633 | 2008-12-27 |
1003069246 | Ted R Schultz Md LLC | General Practice | 866 Padley St, Salt Lake City, UT 84108-1414 | 2008-10-31 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84132 |
Please comment or provide details below to improve the information on DR. MARTIN RICHARD BUTA.
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.