MEDICARE: ERIC P BUTH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician	054490	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	9200011659	OTHER	MI	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538188982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC P BUTH MD

Provider Business Mailing Address
First Line	:	PO BOX 3525
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47734-3525
Country	:	US
Telephone Number	:	231-832-5817
Fax Number	:	213-832-8260

Provider Business Practice Location Address
First Line	:	4499 220TH AVE
Second Line	:
City	:	REED CITY
State	:	MI
Zip	:	49677-8593
Country	:	US
Telephone Number	:	231-832-5817
Fax Number	:	231-832-8260

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	12/09/2025

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Directions to “ ERIC P BUTH MD” Practice Location

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