Healthcare Provider Details

I. General information

NPI: 1245629617
Provider Name (Legal Business Name): BUTLER MEDICAL PROVIDERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2015
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 E JEFFERSON ST SUITE B
BUTLER PA
16001-4780
US

IV. Provider business mailing address

PO BOX 641031
PITTSBURGH PA
15264-1031
US

V. Phone/Fax

Practice location:
  • Phone: 833-604-7214
  • Fax: 724-431-1098
Mailing address:
  • Phone: 877-247-9925
  • Fax: 724-284-4144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

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