J CLARK BUTLER (NPI# 1649236118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649236118 |
| Entity Type | Individual |
| Full Name | J CLARK BUTLER |
| Credential | MD |
| Practice Address |
210 Village Center Blvd Suite 200 Myrtle Beach SC 29579-6683 |
| Practice Telephone | 8432363222 |
| Practice Fax Number | 8432363005 |
| Mailing Telephone | 8432363222 |
| Mailing Fax Number | 8432363005 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2009-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 18062 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890608R | 05 | |
| SC | T18424 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447607437 | J Dawn Butler | Case Manager/Care Coordinator | 1658 Us Highway 371, Prescott, AR 71857-7064 | 2016-05-19 |
| 1316097603 | J Reed Butler | Dentist | 2419 Nowata Pl, Suite #101, Bartlesville, OK 74006-4708 | 2007-01-11 |
| 1437179553 | J Dennis Butler | Nurse Practitioner | 4704 Cahaba River Rd, Suite 101d, Birmingham, AL 35243-2344 | 2006-07-20 |
| Street Address |
210 VILLAGE CENTER BLVD SUITE 200 |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29579-6683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336105956 | Joe N Jarrett Jr. | Orthopaedic Surgery | 210 Village Center Blvd, Suite 200, Myrtle Beach, SC 29579-6683 | 2006-04-22 |
| 1184160400 | Greenville Proaxis Therapy LLC | Durable Medical Equipment & Medical Supplies | 210 Village Center Blvd, Ste 100, Myrtle Beach, SC 29579-6706 | 2017-01-10 |
| 1174972178 | Lauren Toth | Physical Therapist | 210 Village Center Blvd, Ste 100, Myrtle Beach, SC 29579-6706 | 2016-06-09 |
| 1659736411 | Denise Lovorn | Physical Therapist | 210 Village Center Blvd, Myrtle Beach, SC 29579-6706 | 2015-12-22 |
| 1235530569 | Janelle Morgan | Physician Assistant | 210 Village Center Blvd, Suite 200, Myrtle Beach, SC 29579-6706 | 2014-09-05 |
| 1427499540 | Sawgrass Pediatric Dentistry, LLC | Dentist | 210 Village Center Blvd, Suite 130, Myrtle Beach, SC 29579-6706 | 2013-07-17 |
| 1285909010 | Ryan Richardson Smith | Dentist | 210 Village Center Blvd, Suite 130, Myrtle Beach, SC 29579-6706 | 2012-03-13 |
| 1285946269 | Justin Gerard Brothers | Orthopaedic Surgery | 210 Village Center Blvd, Suite 200, Myrtle Beach, SC 29579-6706 | 2010-07-07 |
| 1851527261 | Clemson Sports Medicine and Rehabilitation, Inc. | Durable Medical Equipment & Medical Supplies | 210 Village Center Blvd, Ste 100, Myrtle Beach, SC 29579-6706 | 2009-06-01 |
| 1972745032 | Clemson Sports Medicine and Rehabilitation | Rehabilitation Unit | 210 Village Center Blvd, Suite 100, Myrtle Beach, SC 29579-6706 | 2009-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598323198 | P & E Company | Counselor | 4105 Carolina Commercial Dr. Unit #2, Myrtle Beach, SC 29579 | 2019-05-30 |
| 1528624632 | Matthew Meehan | Nurse Practitioner | 4016 River Oaks Dr # 6511, Myrtle Beach, SC 29579 | 2019-05-14 |
| 1427518265 | Brian Donovan Doherty | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29579 | 2019-03-20 |
| 1508347931 | South Carolina Cvs Pharmacy LLC | Pharmacy | 578 International Dr, Myrtle Beach, SC 29579 | 2018-08-23 |
| 1497256176 | Orthosc LLC | Orthopaedic Surgery | 185 Fresh Dr Ste B, Myrtle Beach, SC 29579 | 2018-02-27 |
| 1740708981 | Dental Professional of South Carolina, P.C. | Dentist | 568 International Dr, Myrtle Beach, SC 29579 | 2017-09-08 |
| 1093232480 | Johnathan T Steppe | Dentist | 568 International Drive, Myrtle Beach, SC 29579 | 2017-08-25 |
| 1346638483 | Little River Medical Center, Inc | Clinic/Center | 4220 Carolina Exchange Blvd, Myrtle Beach, SC 29579 | 2014-12-23 |
| 1154726818 | Mina Gaid | Pharmacist | 1303 38th Avenue North, Myrtle Beach, SC 29579 | 2014-10-23 |
| 1528471364 | Paola Goyeneche | Counselor | 5015 Carolina Forest Blvd, Myrtle Beach, SC 29579 | 2014-06-10 |
| Find all providers in zip 29579 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139919 | Orthosc LLC | Orthopaedic Surgery | 3620 Walton Dr Unit C-5c6, Myrtle Beach, SC 29577-6781 | 2020-09-17 |
| 1497256176 | Orthosc LLC | Orthopaedic Surgery | 185 Fresh Dr Ste B, Myrtle Beach, SC 29579 | 2018-02-27 |
| 1710434451 | Carolina Orthopaedic Specialists | Orthopaedic Surgery | 185 Fresh Dr, Suite B, Myrtle Beach, SC 29579-4436 | 2016-09-09 |
| 1881727139 | Gene Matthew Massey | Orthopaedic Surgery | 210 Village Center Blvd., Suite 200, Myrtle Beach, SC 29579-6706 | 2007-03-14 |
| 1336105956 | Joe N Jarrett Jr. | Orthopaedic Surgery | 210 Village Center Blvd, Suite 200, Myrtle Beach, SC 29579-6683 | 2006-04-22 |
| 1316924632 | Carolina Bone & Joint Surgery Center | Orthopaedic Surgery | 101 Surgeons Dr, Myrtle Beach, SC 29579-5198 | 2005-12-28 |
| 1932184058 | William Paul Didelot | Orthopaedic Surgery | 920 Doug White Dr Ste 150, Myrtle Beach, SC 29572-4120 | 2005-12-13 |
| 1720063837 | Scott F Duncan V | Orthopaedic Surgery | 920 Doug White Dr Ste 130, Myrtle Beach, SC 29572-4120 | 2005-12-12 |
| 1306347257 | Orthosc LLC | Orthopaedic Surgery | 210 Village Center Blvd Ste 200, Myrtle Beach, SC 29579 | 2018-02-26 |
| 1144660986 | Jesse Marsh Putman | Orthopaedic Surgery | 920 Doug White Dr Ste 130, Myrtle Beach, SC 29572-4120 | 2013-06-25 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29579 |
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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.