Healthcare Provider Details
I. General information
NPI: 1154514982
Provider Name (Legal Business Name): BUTLER MEDICAL PROVIDERS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/24/2007
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 HOSPITAL WAY
BUTLER PA
16001-4670
US
IV. Provider business mailing address
PO BOX 641031
PITTSBURGH PA
15264-1031
US
V. Phone/Fax
- Phone: 724-285-0823
- Fax: 724-285-0879
- Phone: 877-247-9925
- Fax: 724-284-4144
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SCOTT
MADDEN
Title or Position: COO PHYSICIAN NETWORK
Credential:
Phone: 724-283-6666