=====================================================
General NPI Number Information
=====================================================
NPI Number | 1265346258
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BUTLER MEDICAL PROVIDERS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/29/2026
-----------------------------------------------------
Last Update Date | 09/29/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 101 ALWINE RD STE 208
-----------------------------------------------------
City | SAXONBURG
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 16056-8604
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 833-604-7214
-----------------------------------------------------
Fax | 724-431-1097
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 641031
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15264-1031
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 724-968-5868
-----------------------------------------------------
Fax | 724-284-4144
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | COO PHYSICIAN NETWORK
-----------------------------------------------------
Name | WILLIAM SCOTT MADDEN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 412-596-7323
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RS0010X
-----------------------------------------------------
Taxonomy Name | Sports Medicine (Internal Medicine) Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------