Tina M Butt (NPI# 1205023173, PAC ID# 0840361432) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1205023173 |
| PAC ID by PECOS | 0840361432 |
| Professional Enrollment ID | I20080625000760 |
| Full Name | Tina M Butt |
| Organization Legal Name | LAKE HOSPITAL SYSTEM, INC. |
| Address |
5700 Emerald Ct Mentor OH 44060-1870 |
| Phone Number | 4403545499 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6002713922 |
| Number of Group Practice Members | 165 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360098 | LAKE HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 5700 Emerald Ct, Mentor, OH 44060-1870 | 4403545499 | LAKE HOSPITAL SYSTEM, INC. |
| 8506 Hendricks Rd, Mentor, OH 44060-8629 | 4402051570 | LAKE HOSPITAL SYSTEM, INC. |
| 36500 Euclid Ave, Willoughby, OH 44094-4455 | 4405160530 | LAKE HOSPITAL SYSTEM, INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | LAKE HOSPITAL SYSTEM, INC. |
| Physicians | 182 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy Golemgeski | Family Medicine | Lake Hospital System, Inc. | 29804 Lake Shore Blvd, Willowick, OH 44095-4611 |
| Christina J Scott | Nurse Practitioner | Lake Hospital System, Inc. | 36500 Euclid Ave, Willoughby, OH 44094-4455 |
| Kimberly Svec | Nurse Practitioner | Lake Hospital System, Inc. | 5105 Som Ctr Rd, Willoughby, OH 44094-4203 |
| Kristin G Biddell | Nurse Practitioner | Lake Hospital System, Inc. | 7956 Tyler Blvd, Mentor, OH 44060-4806 |
| Bonnie L Broida | Physician Assistant | Lake Hospital System, Inc. | 7590 Auburn Rd, Concord, OH 44077-9176 |
| Amy Marie Livingston | Nurse Practitioner | Lake Hospital System, Inc. | 7685 Lake Shore Blvd, Mentor, OH 44060-3359 |
| Joseph J Kessler Jr. | Family Medicine | Lake Hospital System, Inc. | 6270 N Ridge Rd, Madison, OH 44057-2567 |
| Simee I Malik | Pediatric Medicine | Lake Hospital System, Inc. | 8881 Schaeffer St, Mentor, OH 44060-5035 |
| Sandeep V Kotak | Internal Medicine | Lake Hospital System, Inc. | 36100 Euclid Ave, Willoughby, OH 44094-4427 |
| Joy Jean Ianiro | Nurse Practitioner | Lake Hospital System, Inc. | 10780 Kinsman Rd, Newbury, OH 44065-9792 |
| Street Address |
5700 EMERALD CT |
| City | MENTOR |
| State | OH |
| Zip | 44060-1870 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carli A Carnish | Nurse Practitioner | Lake Hospital System, Inc. | 5700 Emerald Ct, Mentor, OH 44060-1870 |
| Mihaela Donca | Internal Medicine | Lake Hospital System, Inc. | 5700 Emerald Ct, Mentor, OH 44060-1870 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Don Martin | Psychologist, Clinical | 8472 Lake Shore Blvd, Mentor, OH 44060-1515 | |
| Vyacheslav Isakov | Family Medicine | 9150 Lake Shore Blvd, Mentor, OH 44060-1672 | |
| Gregory C Morris | Physical Therapy | Agm Physical Therapy, LLC | 6000 Heisley Rd, Mentor, OH 44060-1836 |
| Kari T Craig | Physical Therapy | Agm Physical Therapy, LLC | 6000 Heisley Rd, Mentor, OH 44060-1836 |
| James Stephen Washek | Physical Therapy | Agm Physical Therapy, LLC | 6000 Heisley Rd, Mentor, OH 44060-1836 |
| Katherine Long | Physical Therapy | Agm Physical Therapy, LLC | 6000 Heisley Rd, Mentor, OH 44060-1836 |
| Christine Vavro | Clinical Social Worker | Crossroads Lake County Adolescent Counseling Services | 8445 Munson Rd, Mentor, OH 44060-2410 |
| Lisa A Demeter | Clinical Social Worker | Crossroads Lake County Adolescent Counseling Services | 8445 Munson Rd, Mentor, OH 44060-2410 |
| Jamie M Page | Clinical Social Worker | Crossroads Lake County Adolescent Counseling Services | 8445 Munson Rd, Mentor, OH 44060-2410 |
| Kelly Stevenson | Clinical Social Worker | Crossroads Lake County Adolescent Counseling Services | 8445 Munson Rd, Mentor, OH 44060-2410 |
| Find all physicians in zip 44060 | |||
| City | MENTOR |
| Zip Code | 44060 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MENTOR + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tina M Butt.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.