Healthcare Provider Details

I. General information

NPI: 1518307982
Provider Name (Legal Business Name): BUTLER MEDICAL PROVIDERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2013
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 TECHNOLOGY DR SUITE 210
BUTLER PA
16001-1784
US

IV. Provider business mailing address

PO BOX 641031
PITTSBURGH PA
15264-1031
US

V. Phone/Fax

Practice location:
  • Phone: 724-482-0191
  • Fax: 724-482-9240
Mailing address:
  • Phone: 877-247-9925
  • Fax: 724-284-4144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

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