KATHLEEN VICTORIA BUTLER (NPI# 1962490870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962490870 |
| Entity Type | Individual |
| Full Name | KATHLEEN VICTORIA BUTLER |
| Credential | MD |
| Practice Address |
205 E University Ave Suite 200 Georgetown TX 78626-6821 |
| Practice Telephone | 5128681124 |
| Practice Fax Number | 5128689894 |
| Mailing Telephone | 5128681124 |
| Mailing Fax Number | 5128689894 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2011-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | L1537 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | SUPERIOR | 119934 | 01 |
| TX | 143093605 | 05 | |
| TX | BLUE CROSS | 8X1635 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144853896 | Kathleen Terese Butler | Lactation Consultant, Non-RN | 7207 Antock Pl, Upper Marlboro, MD 20772-4305 | 2020-02-20 |
| 1598130668 | Kathleen Butler | Internal Medicine | 41 Moores Rd, Frazer, PA 19355-1113 | 2015-12-01 |
| 1629471859 | Kathleen Butler | Technician, Other | 19246 Merriman Rd, Livonia, MI 48152-4603 | 2014-10-02 |
| 1245495399 | Kathleen Lucille Butler | Registered Nurse | 3800 Rosemont Blvd, 104g, Fairlawn, OH 44333-9245 | 2008-07-28 |
| 1346361706 | Kathleen Gail Butler | Chiropractor | 2543 Crawfordville Hwy., Suite 4, Crawfordville, FL 32327-2167 | 2007-04-03 |
| 1417059502 | Kathleen Krupka Butler | Counselor | 8422 Electric Ave, Vienna, VA 22182-5109 | 2006-09-01 |
| 1609380443 | Kathleen Mary Butler | Counselor | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2017-11-30 |
| 1427596576 | Kathleen Mary Butler | Speech-Language Pathologist | 129a Hillside Ave, Williston Park, NY 11596-2305 | 2017-02-09 |
| 1992070072 | Kathleen G Butler | Rehabilitation Practitioner | 4160 S Pecos Rd Ste 17, Las Vegas, NV 89121-5027 | 2012-03-21 |
| 1841560596 | Kathleen Butler | Nurse Practitioner | 701 Seneca St Ste 646c, Buffalo, NY 14210-1351 | 2012-01-11 |
| Street Address |
205 E UNIVERSITY AVE SUITE 200 |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78626-6821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013340520 | Modesta Obiageli Onyia | Nurse Practitioner | 205 E University Ave, Suite 157, Georgetown, TX 78626-6814 | 2013-08-20 |
| 1245501170 | Christine Lynn Ellis | Nurse Practitioner | 205 E University Ave, Suite 157, Georgetown, TX 78626-6814 | 2012-01-24 |
| 1699053249 | Holly Martin | Nurse Practitioner | 205 E University Ave, Suite 157, Georgetown, TX 78626-6814 | 2011-08-01 |
| 1114237179 | Ashley Nicole Walters- Snider | Nurse Practitioner | 205 E University Ave, Suite 200, Georgetown, TX 78626-6814 | 2010-10-08 |
| 1225262710 | Betty L Clark | Psychologist | 205 E University Ave, Suite 155, Georgetown, TX 78626-6814 | 2009-05-12 |
| 1336388560 | Brian Bezorgmehr Mozaffari | Psychiatry & Neurology | 205 E University Ave, Suite 200, Georgetown, TX 78626-6814 | 2009-02-11 |
| 1568626430 | Jaclyn Richards | Pediatrics | 205 E University Ave, Suite 200, Georgetown, TX 78626-6814 | 2008-07-10 |
| 1174782049 | Tin Wai Judy Koo | Psychiatry & Neurology | 205 E University Ave, Suite 200, Georgetown, TX 78626-6814 | 2008-06-05 |
| 1952582587 | Lone Star Circle of Care | Clinic/Center | 205 E University Ave, Suite 200, Georgetown, TX 78626-6814 | 2007-11-26 |
| 1962683599 | Lone Star Circle of Care | Clinic/Center | 205 E University Ave, Suite 200, Georgetown, TX 78626-6814 | 2007-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932603230 | Danietra Mcgrue | Home Health Aide | 108 Blue Waterleaf Ln, Georgetown, TX 78626 | 2018-03-21 |
| 1588175673 | Kristin Marie Alaniz | Nurse Practitioner | 2112 Sw H K Dodgen Loop, Suite 110, Georgetown, TX 78626 | 2017-10-17 |
| 1669865275 | Stephen Harris | Counselor | 101 W Cooperative Way Ste 100, Georgetown, TX 78626 | 2015-03-07 |
| 1356739080 | Craig Crossman | Physical Therapy Assistant | 705 E 13th St, Georgetown, TX 78626 | 2015-01-05 |
| 1679977318 | Nancy Krenek | Physical Therapist | 2050 Rockride Ln., Georgetown, TX 78626 | 2014-10-09 |
| 1275956807 | Georgetown Behavioral Health Institute, LLC | Psychiatric Hospital | 3101 S. Austin Avenue, Georgetown, TX 78626 | 2014-02-03 |
| 1184056954 | Rock Springs, LLC | Psychiatric Hospital | 700 Southeast Inner Loop, Georgetown, TX 78626 | 2013-08-05 |
| 1447691936 | Brandon Michael Hoffman | Dentist | 1821 Westinghouse Road, Suite 1130, Georgetown, TX 78626 | 2013-07-11 |
| 1235422932 | Erica Marie Edgington | Nurse Anesthetist, Certified Registered | Westlake Anesthesia Group, Pa, 1004 South Rock Street, Georgetown, TX 78626 | 2011-05-27 |
| 1356570907 | Grace Salone | Optometrist | 950 W University Ave Ste 108, Georgetown, TX 78626 | 2009-07-03 |
| Find all providers in zip 78626 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013270073 | Parul Singh | Pediatrics | 21141 Sterling Ave Unit 1, Georgetown, DE 19947-5571 | 2012-06-24 |
| 1790042158 | River Ridge Pediatrics, P.a. | Pediatrics | 1526 Leander Rd, Georgetown, TX 78628-8801 | 2012-04-23 |
| 1700110301 | Menaka Mahadevan | Pediatrics | 2423 Williams Dr Ste 103, Georgetown, TX 78628-3200 | 2009-09-29 |
| 1710169198 | Lone Star Circle of Care | Pediatrics | 1500 W University Ave Ste 103, Georgetown, TX 78628-7109 | 2007-11-28 |
| 1295931707 | Stephanie Flynn | Pediatrics | 631 East State Street, Georgetown, OH 45121-1437 | 2007-06-22 |
| 1578638896 | Adana Milliken Gipson | Pediatrics | San Gabriel Pediatrics 1524 Leander Road, Georgetown, TX 78628-8801 | 2006-11-21 |
| 1932293016 | Steven Geoffery Pickens | Pediatrics | 603 W University, Ste 110, Georgetown, TX 78626-6685 | 2006-10-03 |
| 1275626566 | Doris Eileen Hossalla | Pediatrics | 1524 Leander Rd, Georgetown, TX 78628-8801 | 2006-10-01 |
| 1710078050 | Vibha Sanwal | Pediatrics | 21141 Sterling Ave, Suite 1, Georgetown, DE 19947-5571 | 2006-09-28 |
| 1497861686 | Horace P. Hambrick | Pediatrics | 1162 Lexington Rd, Georgetown, KY 40324 | 2006-08-22 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 78626 |
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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.