Mandy Jo Butler (NPI# 1215935549, PAC ID# 4082742366) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1215935549 |
| PAC ID by PECOS | 4082742366 |
| Professional Enrollment ID | I20100506000516 |
| Full Name | Mandy Jo Butler |
| Organization Legal Name | BRECKINRIDGE HEALTH, INC. |
| Address |
1011 Old Hwy 60 Hardinsburg KY 40143-2519 |
| Phone Number | 2707567000 |
| Gender | F |
| Graduation Year | 2003 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0941106454 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 181319 | BRECKINRIDGE MEMORIAL HOSPITAL |
| 180038 | OWENSBORO HEALTH REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 | 2707567000 | BRECKINRIDGE HEALTH, INC. |
| Organization Legal Name | BRECKINRIDGE HEALTH, INC. |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert D Knox | Otolaryngology | Breckinridge Health, Inc. | 107 Old Hwy 60, Hardinsburg, KY 40143-2501 |
| David M Faber | General Surgery | Breckinridge Health, Inc. | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Benjamin S Smith | Family Medicine | Breckinridge Health, Inc. | 107 Old Hwy 60, Hardinsburg, KY 40143-2501 |
| Lauren K Willis | Nurse Practitioner | Breckinridge Health, Inc. | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Christa K Dowell | Nurse Practitioner | Breckinridge Health, Inc. | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Catherine Marie Lewis | Nurse Practitioner | Breckinridge Health, Inc. | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Marinetta H Vanlahr | Nurse Practitioner | Breckinridge Health, Inc. | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Brian Thomas Odonoghue | Family Medicine | Breckinridge Health, Inc. | 107 Old Hwy 60, Hardinsburg, KY 40143-2501 |
| Robert Bryan Chambliss | Family Practice | Breckinridge Health, Inc. | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Street Address |
1011 OLD HWY 60 |
| City | HARDINSBURG |
| State | KY |
| Zip | 40143-2519 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rotimi A Iluyomade | Emergency Medicine | Concord Medical Group of Kentucky | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Ray Charles Kennedy | Emergency Medicine | Concord Medical Group of Kentucky | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Kerry C Gusler | Family Medicine | Concord Medical Group of Kentucky | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Nicholls W Nelson | Emergency Medicine | Concord Medical Group of Kentucky | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Roger L Gelperin | Emergency Medicine | Concord Medical Group of Kentucky | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Jose M Rodriguez-maldonado | Emergency Medicine | Concord Medical Group of Kentucky | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| David M Faber | General Surgery | Breckinridge Health, Inc. | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| James P Flanagan | Emergency Medicine | Concord Medical Group of Kentucky | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Danielle E Kamenec | Emergency Medicine | Concord Medical Group of Kentucky | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Jannice O Aaron | Diagnostic Radiology | Vip Imaging, Pllc | 1011 Old Hwy 60, Hardinsburg, KY 40143-2597 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert D Knox | Otolaryngology | Breckinridge Health, Inc. | 107 Old Hwy 60, Hardinsburg, KY 40143-2501 |
| Kent R Ruskowski | Chiropractic | 143a Old Hwy 60, Hardinsburg, KY 40143-2501 | |
| Benjamin S Smith | Family Medicine | Breckinridge Health, Inc. | 107 Old Hwy 60, Hardinsburg, KY 40143-2501 |
| Brian Thomas Odonoghue | Family Medicine | Breckinridge Health, Inc. | 107 Old Hwy 60, Hardinsburg, KY 40143-2501 |
| Lauren K Willis | Nurse Practitioner | Breckinridge Health, Inc. | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Daniel G Bercu | Emergency Medicine | Concord Medical Group of Kentucky | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Edward T Wilson | Emergency Medicine | Concord Medical Group of Kentucky | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Christa K Dowell | Nurse Practitioner | Breckinridge Health, Inc. | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Uzma Uppal | Internal Medicine | Concord Medical Group of Kentucky | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Catherine Marie Lewis | Nurse Practitioner | Breckinridge Health, Inc. | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Find all physicians in zip 40143 | |||
| City | HARDINSBURG |
| Zip Code | 40143 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HARDINSBURG + NURSE PRACTITIONER |
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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.