John Alan Butler (NPI# 1720191273, PAC ID# 3072612902) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
Nation Provider ID (NPI) | 1720191273 |
PAC ID by PECOS | 3072612902 |
Professional Enrollment ID | I20101028001494 |
Full Name | John Alan Butler |
Organization Legal Name | PROVIDENCE HEALTH AND SERVICES - OREGON |
Address |
501 Villa Rd Newberg OR 97132-1832 |
Phone Number | 5038936463 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
Graduation Year | 1975 |
Primary Specialty | PULMONARY DISEASE |
Secondary Specialties | CRITICAL CARE (INTENSIVISTS) |
Group Practice PAC ID | 3072415652 |
Number of Group Practice Members | 59 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
380004 | PROVIDENCE ST VINCENT MEDICAL CENTER |
380037 | PROVIDENCE NEWBERG MEDICAL CENTER |
380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
381303 | PROVIDENCE SEASIDE HOSPITAL |
381317 | TILLAMOOK REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
501 Villa Rd, Newberg, OR 97132-1832 | 5038936463 | PROVIDENCE HEALTH AND SERVICES - OREGON |
1040 Nw 22nd Ave, Suite 420, Portland, OR 97210-3062 | 5032297566 | OREGON CLINIC PC |
1040 Nw 22nd Ave, Portland, OR 97210-3062 | 5032297566 | OREGON CLINIC PC |
9205 Sw Barnes Rd, St Vincent Hospital, Portland, OR 97225-6603 | 5032162213 | PROVIDENCE HEALTH AND SERVICES - OREGON |
9205 Sw Barnes Rd, Portland, OR 97225-6603 | 5032162213 | PROVIDENCE HEALTH AND SERVICES - OREGON |
Organization Legal Name | PROVIDENCE HEALTH AND SERVICES - OREGON |
Physicians | 101 |
Name | Specialty | Organization | Address |
---|---|---|---|
Karina M Squire | Nurse Practitioner | Providence Health and Services - Oregon | 171 S Hwy 101, Warrenton, OR 97146-9314 |
Randy L Sasich | Pulmonary Disease | Providence Health and Services - Oregon | 501 Villa Rd, Newberg, OR 97132-1832 |
Shelley A Denison | Nurse Practitioner | Providence Health and Services - Oregon | 10140 Sw Park Way, Portland, OR 97225-5008 |
Allan R Alexander | Family Practice | Providence Health and Services - Oregon | 2100 Ne 139th St, Vancouver, WA 98686-2300 |
Deborah S Dorst | Nurse Practitioner | Providence Health and Services - Oregon | 6410 Ne Halsey St, Portland, OR 97213-4759 |
Sharon F Lissman | Hospice/palliative Care | Providence Health and Services - Oregon | 4805 Ne Glisan St, Portland, OR 97213-2933 |
Shoshawna Rainwater | Clinical Social Worker | Providence Health and Services - Oregon | 10140 Sw Park Way, Portland, OR 97225-5008 |
Elke P Lowenkopf | Hospice/palliative Care | Providence Health and Services - Oregon | 1500 Division St, Rm 1005, Oregon City, OR 97045-1527 |
Elise Newman | Hospice/palliative Care | Providence Health and Services - Oregon | 4805 Ne Glisan St, Portland, OR 97213-2933 |
Talya L Freudmann | Nurse Practitioner | Providence Health and Services - Oregon | 10140 Sw Park Way, Portland, OR 97225-5008 |
Street Address |
501 VILLA RD |
City | NEWBERG |
State | OR |
Zip | 97132-1832 |
Name | Specialty | Organization | Address |
---|---|---|---|
Randy L Sasich | Pulmonary Disease | Providence Health and Services - Oregon | 501 Villa Rd, Newberg, OR 97132-1832 |
Jo Carolyn Hernandez | Pathology | Providence Health and Services - Oregon | 501 Villa Rd, Newberg, OR 97132-1832 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sheila M Smith | Nurse Practitioner | 1819 Haworth Ave, Newberg, OR 97132-1211 | |
Jeremy W Taylor | Optometry | Newberg Vision Clinic, P.C. | 2207 Portland Rd, A, Newberg, OR 97132-1371 |
Paula A Taylor | Optometry | Newberg Vision Clinic, P.C. | 2207 Portland Rd, A, Newberg, OR 97132-1371 |
Zoey Eleni Stoumbos | Ophthalmology | Oregon Eye Specialists, PC | 2318 Portland Rd, Suite 300, Newberg, OR 97132-1374 |
May Khadem | Ophthalmology | Oregon Eye Specialists, PC | 2318 Portland Rd, Suite 300, Newberg, OR 97132-1374 |
Anna Marie Q Macasa | Rheumatology | 402 Villa Rd, Newberg, OR 97132-1831 | |
Robert J Weniger | Psychologist, Clinical | 515 N Villa Rd, Newberg, OR 97132-1832 | |
Andrew D Bodmer | Physician Assistant | Providence Health and Services Oregon | 1840 Portland Rd, Newberg, OR 97132-1847 |
Jennipher K Vallery | Physician Assistant | Providence Health and Services Oregon | 1840 Portland Rd, Newberg, OR 97132-1847 |
Lacey Beth Lockhart | Podiatry | K G Gauntt Dpm PC | 410 Villa Rd, Newberg, OR 97132-1853 |
Find all physicians in zip 97132 |
City | NEWBERG |
Zip Code | 97132 |
Specialty | PULMONARY DISEASE |
City + Specialty | NEWBERG + PULMONARY DISEASE |
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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.