MEDICARE: BUTLER MEDICAL PROVIDERS

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1619361946
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUTLER MEDICAL PROVIDERS

Provider Business Mailing Address
First Line	:	PO BOX 641031
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15264-1031
Country	:	US
Telephone Number	:	877-247-9925
Fax Number	:	724-284-4144

Provider Business Practice Location Address
First Line	:	675 N BROAD STREET EXT STE 3
Second Line	:
City	:	GROVE CITY
State	:	PA
Zip	:	16127-5805
Country	:	US
Telephone Number	:	833-906-0107
Fax Number	:	724-458-6689

Authorized Official
Title or Position	:	COO PHYSICIAN NETWORK
Name	:	SCOTT MADDEN
Credential	:
Telephone Number	:	724-283-6666

Provider Enumeration Date	:	03/25/2015
Last Update Date	:	10/29/2025

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