Healthcare Provider Details

I. General information

NPI: 1770675977
Provider Name (Legal Business Name): BUTLER MEDICAL PROVIDERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1022B N MAIN STREET EXT
BUTLER PA
16001-1954
US

IV. Provider business mailing address

PO BOX 641031
PITTSBURGH PA
15264-1031
US

V. Phone/Fax

Practice location:
  • Phone: 833-995-0115
  • Fax: 724-282-0675
Mailing address:
  • Phone: 877-247-9925
  • Fax: 724-284-4144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SCOTT MADDEN
Title or Position: COO PHYSICIAN NETWORK
Credential:
Phone: 724-283-6666