ROGER BUTLER II (NPI# 1962810366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962810366 |
| Entity Type | Individual |
| Full Name | ROGER BUTLER II |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
121 Bishop St Corbin KY 40701-1702 |
| Practice Telephone | 6065282124 |
| Practice Fax Number | 6065288272 |
| Mailing Telephone | 6065282124 |
| Mailing Fax Number | 6065288272 |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2015-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA1893 | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538141528 | Roger G Butler | Psychologist | 7808 Clodus Fields Dr, Dallas, TX 75251-7808 | 2005-11-16 |
| Street Address |
121 BISHOP ST |
| City | CORBIN |
| State | KY |
| Zip Code | 40701-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972597383 | James D Norvell | Pharmacist | 121 Bishop St, Suite 1, Corbin, KY 40701-1702 | 2005-08-31 |
| 1356964688 | Farris Mackenzie Strong | Pharmacist | 121 Bishop St, Corbin, KY 40701-1702 | 2020-05-21 |
| 1912567066 | Vivian Renee Hill | Nurse Practitioner | 121 Bishop St, Corbin, KY 40701-1702 | 2019-06-19 |
| 1487165015 | Wendy Dawn Brown | Nurse Practitioner | 121 Bishop St, Corbin, KY 40701-1702 | 2017-10-23 |
| 1073032074 | Grace Community Health Center Inc | Pharmacy | 121 Bishop St, Corbin, KY 40701-1702 | 2017-09-12 |
| 1760909402 | Grace Community Health Center Inc | Pharmacy | 121 Bishop St, Corbin, KY 40701-1702 | 2017-08-24 |
| 1801320403 | Grace Community Health Center Inc | Psychologist | 121 Bishop St, Corbin, KY 40701-1702 | 2017-04-20 |
| 1174056261 | Grace Community Health Center Inc | Physician Assistant | 121 Bishop St, Corbin, KY 40701-1702 | 2017-04-06 |
| 1144622523 | Theresa Gross | Nurse Practitioner | 121 Bishop St, Corbin, KY 40701-1702 | 2014-09-17 |
| 1639583701 | David Casey Whittaker | Pharmacist | 121 Bishop St, Corbin, KY 40701-1702 | 2014-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1376014183 | Ruth Ann Thornhill | Nurse Practitioner | 521 E. Cumberland Gap Parkway #1, Corbin, KY 40701 | 2018-12-06 |
| 1770066136 | Grace Community Health Center, Inc. | Psychologist | 50 Ed Mcneel Drive, Corbin, KY 40701 | 2018-09-12 |
| 1235610353 | Linda Bales | Occupational Therapist | 112 Commonwealth Avenue, Corbin, KY 40701 | 2018-08-27 |
| 1710465398 | Holly Davina Bingham | Counselor | 1203 Amercn Grtg Card Rd, Corbin, KY 40701 | 2018-08-05 |
| 1881134914 | Angie Mossie Ledford | Nurse Practitioner | 521 Cumberland Gap Parkway #1, Corbin, KY 40701 | 2017-03-08 |
| 1669915609 | Energized Therapy | Occupational Therapist | 702 Phillips Lane, Corbin, KY 40701 | 2016-11-23 |
| 1649635293 | Debra Ann Hipsher | Counselor | 967 South Hwy 25 West, Corbin, KY 40701 | 2015-12-28 |
| 1356729438 | Sean William James | Family Medicine | 14949 N Us Highway 25 E Ste 4, Corbin, KY 40701 | 2015-05-11 |
| 1962847285 | Angela Davidson Gabbard | Dentist | 129 S. Hwy 1223, Corbin, KY 40701 | 2013-04-30 |
| Find all providers in zip 40701 | ||||
| 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 |
|---|---|---|---|---|
| 1205444205 | Joshua Allen Carnes | Physician Assistant | 144 Canary Cir, Corbin, KY 40701-6527 | 2020-07-16 |
| 1841248507 | Ingrid Minor | Physician Assistant | 110 Roy Kidd Ave, Corbin, KY 40701-1302 | 2006-05-05 |
| 1558984443 | Brittany Belcher | Physician Assistant | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-05-26 |
| 1891318192 | Bridgette Nichole Smallwood | Physician Assistant | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-05-20 |
| 1487112843 | Atlas Pain and Spine Pllc | Physician Assistant | 1 Trillium Way Ste 111, Corbin, KY 40701-8727 | 2019-03-05 |
| 1346717295 | Jonathan L Smith | Physician Assistant | 1 Trillium Way, Corbin, KY 40701-8727 | 2018-10-30 |
| 1396231841 | Kristen Moran Wells | Physician Assistant | 120 N Commonwealth Ave Ste 1, Corbin, KY 40701 | 2018-07-09 |
| 1578052973 | Devin Lee Michael Edwards | Physician Assistant | 45 Moonbow Plz, Corbin, KY 40701 | 2018-05-02 |
| 1174056261 | Grace Community Health Center Inc | Physician Assistant | 121 Bishop St, Corbin, KY 40701-1702 | 2017-04-06 |
| 1184171118 | Allyson E O'kuma | Physician Assistant | 2 Trillium Way, Ste. 306, Corbin, KY 40701-8490 | 2016-09-07 |
| Find all providers in CORBIN | ||||
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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.