CHARLES CALEB BUTTS (NPI# 1710244835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710244835 |
| Entity Type | Individual |
| Full Name | CHARLES CALEB BUTTS |
| Credential | MD |
| Practice Address |
2451 Fillingim St, Mastin 101 Mobile AL 36617-2238 |
| Mailing Address |
Po Box 40480 Mobile AL 36640-0480 |
| Practice Telephone | 2514458282 |
| Practice Fax Number | 2514458281 |
| Mailing Telephone | 2514343626 |
| Mailing Fax Number | 2514452464 |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2019-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 225032 | NC | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
32937 | AL | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
32937 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICAL LICENSE | 225032 | 01 |
| AL | MEDICAL LICENSE | 32937 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659630994 | Charles J Butts | Physical Therapy Assistant | 3555 County Highway 42, Oneonta, AL 35121-6055 | 2012-05-07 |
| 1225098817 | Charles L Butts | Dentist | 2721 Shawnee Rd, Lima, OH 45806-1444 | 2006-03-27 |
| Street Address |
2451 FILLINGIM ST, MASTIN 101 |
| City | MOBILE |
| State | AL |
| Zip Code | 36617-2238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871118760 | Travis Berry | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr., Moorer Bldg. Room 120, Mobile, AL 36617 | 2020-06-16 |
| 1164064978 | Crystal Aerin Deweever | Counselor | 2400 Gordon Smith Dr., Mobile, AL 36617 | 2019-10-14 |
| 1871145938 | Sagar Kumar | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr. Rm 714, Mobile, AL 36617 | 2019-07-09 |
| 1639630882 | Sarah Anderson | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Drive, Moorer Bldg. Room 120, Mobile, AL 36617 | 2019-03-29 |
| 1215415120 | Fnu Sameeta | Student in an Organized Health Care Education/Training Program | 2451 Usa Med Center Drive, Moorer Building Room 120, Mobile, AL 36617 | 2018-08-02 |
| 1659857670 | Sara Roberta Avalos Hernandez | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Drive, Moorer Building, Rm 120, Mobile, AL 36617 | 2018-07-12 |
| 1669978359 | Colin Thomas Buckley | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr. Rm 714, Mobile, AL 36617 | 2018-04-02 |
| 1336644590 | Shuo Shawn Liu | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr., Moorer Bldg. Room 120, Mobile, AL 36617 | 2018-03-28 |
| 1609308741 | Kulwant Singh Bath | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St Res Box 7th Floor, Mobile, AL 36617 | 2017-03-29 |
| 1780115238 | Lindsay Dianne Williams | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St., Mst 709, Mobile, AL 36617 | 2017-03-27 |
| Find all providers in zip 36617 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487675740 | Sidney B Brevard | Surgery | 2451 Fillingim St, Mobile, AL 36617-2238 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801234018 | Jonathan Andrew Black | Surgery | 701 19th St S 112 Lyons Harrison Research Building, Birmingham, AL 35294-7050 | 2013-06-10 |
| 1558520106 | Rondi Beth Gelbard | Surgery | 701 S 19th Street, Birmingham, AL 35294 | 2008-06-07 |
| 1265508626 | Healthcare Authority of The City of Huntsville | Surgery | 201 Sivley Rd Sw Ste 400, Huntsville, AL 35801-5177 | 2006-11-28 |
| 1073553897 | James M Corder IIi | Surgery | 1820 Rice Mine Rd N, Suite 200, Tuscaloosa, AL 35406-3281 | 2006-06-08 |
| 1164935672 | Jan Olaf Jansen | Surgery | 1813 6th Ave S, Birmingham, AL 35233-1920 | 2017-11-07 |
| 1114330008 | West Alabama Physician Associates LLC | Surgery | 701 University Blvd E, Suite 604, Tuscaloosa, AL 35401-2086 | 2014-06-09 |
| 1417275132 | Rachel Dowlen Rodriguez | Surgery | 619 S 19th St, Birmingham, AL 35249-0001 | 2010-05-05 |
| 1912153172 | Shannon L Carroll | Surgery | 701 19th St S, Birmingham, AL 35294-0001 | 2008-08-07 |
| 1376703959 | James Hwang | Surgery | 1813 6th Ave S, Birmingham, AL 35233-1920 | 2008-06-17 |
| 1730236555 | Farin Wayne Smith | Surgery | 201 Sivley Rd Sw, Suite 400, Huntsville, AL 35801-5134 | 2007-01-04 |
| Find all providers with the same taxonomy | ||||
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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.