Healthcare Provider Details

I. General information

NPI: 1265346258
Provider Name (Legal Business Name): BUTLER MEDICAL PROVIDERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 ALWINE RD STE 208
SAXONBURG PA
16056-8604
US

IV. Provider business mailing address

PO BOX 641031
PITTSBURGH PA
15264-1031
US

V. Phone/Fax

Practice location:
  • Phone: 833-604-7214
  • Fax: 724-431-1097
Mailing address:
  • Phone: 724-968-5868
  • Fax: 724-284-4144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0010X
TaxonomySports Medicine (Internal Medicine) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: WILLIAM SCOTT MADDEN
Title or Position: COO PHYSICIAN NETWORK
Credential:
Phone: 412-596-7323