GARY P BUTTS (NPI# 1861416505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861416505 |
| Entity Type | Individual |
| Full Name | GARY P BUTTS |
| Credential | PA-C |
| Practice Address |
705 Gaither Rd Statesville NC 28625-3450 |
| Mailing Address |
650 Signal Hill Drive Ext Po Box 1845 Statesville NC 28625-4353 |
| Practice Telephone | 7048711155 |
| Mailing Telephone | 7048734277 |
| Mailing Fax Number | 7048734511 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2008-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 102099 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265896526 | Gary Tyler Butts | Internal Medicine | 1700 Spring Hill Ave, Mobile, AL 36604-1407 | 2016-04-12 |
| 1780815167 | Gary C Butts | Pediatrics | 1 Gustave L Levy Pl, Mount Sinai Hospital, New York, NY 10029-6500 | 2009-08-03 |
| Street Address |
705 GAITHER RD |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28625-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205828969 | Daniel D. Bellingham | Family Medicine | 705 Gaither Rd, Statesville, NC 28625-3450 | 2005-08-18 |
| 1780214163 | Kelsey Noel Mclelland | Physician Assistant | 705 Gaither Rd, Statesville, NC 28625-3450 | 2020-01-24 |
| 1043780935 | Piedmont Healthcare, Pa | Family Medicine | 705 Gaither Rd, Statesville, NC 28625-3450 | 2018-12-04 |
| 1982138004 | Sherrika Walton | Nurse Practitioner | 705 Gaither Rd, Statesville, NC 28625-3450 | 2017-04-14 |
| 1982843637 | Michelle H Woods | Physician Assistant | 705 Gaither Rd, Statesville, NC 28625-3450 | 2009-02-19 |
| 1407883861 | Karen Anne Amirehsani | Nurse Practitioner | 705 Gaither Rd, Statesville, NC 28625-3450 | 2006-06-28 |
| 1770549891 | Stephanie Lee Taylor | Physician Assistant | 705 Gaither Rd, Statesville, NC 28625-3450 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714163 | Sandra Lourdes Mayta | Counselor | 1450 Fern Creek Drive, Statesville, NC 28625 | 2020-03-05 |
| 1023643582 | Youngchi Chang Dds Pllc | Dentist | 964 Glenway Ave Ste A, Statesville, NC 28625 | 2020-03-05 |
| 1538799200 | Nicole-marie Blischak | Dentist | 964 Glenway Dr, Ste A, Statesville, NC 28625 | 2020-01-22 |
| 1013575257 | Sherry Neilson | Registered Nurse | 524 Signal Hill Rd, Statesville, NC 28625 | 2019-06-03 |
| 1770904328 | Elinor Kyle Tyner | Counselor | 1206 Museum Road, Statesville, NC 28625 | 2013-12-30 |
| 1982031001 | Tamiko Bradley | Counselor | 524 Signal Hill Dr Ext, Statesville, NC 28625 | 2013-10-03 |
| 1487932505 | Nicole Weisner Winecoff | Advanced Practice Midwife | 1420 Fern Creek Drive, Statesville, NC 28625 | 2011-07-22 |
| 1538461967 | Bethany J Sprague | Nurse Practitioner | 2632 Fines Creek Dr, Statesville, NC 28625 | 2010-11-17 |
| 1477789147 | Greenbriar Primary Care, Pa | Nurse Practitioner | 308-c Mocksville Highway, Statesville, NC 28625 | 2009-06-08 |
| 1619122538 | Phasebdevelopment | Substance Abuse Rehabilitation Facility | 113 Bethany Rd, Statesville, NC 28625 | 2008-11-19 |
| Find all providers in zip 28625 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134759418 | Evelyn Virginia Stein | Physician Assistant | 3313 Lancaster Dr, Statesville, NC 28625-4633 | 2020-01-25 |
| 1790058691 | Kimberly A Lafreniere | Physician Assistant | 633 Brookdale Dive, Suite 300, Statesville, NC 28677-3403 | 2012-02-23 |
| 1124192406 | David V Keller | Physician Assistant | 1424 Fern Creek Dr Ste D, Statesville, NC 28625-9376 | 2006-11-20 |
| 1932123098 | Erica Ault Kelly | Physician Assistant | 208 Oid Mocksville Road, Statesville, NC 28625 | 2006-07-26 |
| 1053348607 | Jill Suzanne Calhoun | Physician Assistant | 738 Bryant St Ste A, Statesville, NC 28677-4189 | 2006-06-27 |
| 1992745400 | Jonathan Douglas Garrett | Physician Assistant | 633 Brookdale Dr Ste 300, Statesville, NC 28677-3471 | 2006-06-07 |
| 1881661205 | Burgo Doyle Gill IIi | Physician Assistant | 700 Sullivan Rd, Statesville, NC 28677-3440 | 2006-03-03 |
| 1720080393 | Todd Edward Kennedy | Physician Assistant | 142 Sherlock Dr, Statesville, NC 28625-1953 | 2005-08-12 |
| 1609486083 | Gergana Olszewski | Physician Assistant | 702 Hartness Rd, Statesville, NC 28677-3425 | 2020-07-31 |
| 1780214163 | Kelsey Noel Mclelland | Physician Assistant | 705 Gaither Rd, Statesville, NC 28625-3450 | 2020-01-24 |
| Find all providers in STATESVILLE | ||||
| City | STATESVILLE |
| Zip Code | 28625 |
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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.