Healthcare Provider Details

I. General information

NPI: 1730322819
Provider Name (Legal Business Name): ERIN MARIE HAMILTON BUTCHO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2009
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S PRESTON ST
RANSON WV
25438-1631
US

IV. Provider business mailing address

300 S PRESTON ST
RANSON WV
25438-1631
US

V. Phone/Fax

Practice location:
  • Phone: 304-728-1600
  • Fax:
Mailing address:
  • Phone: 304-728-1600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number24487
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: