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NPI Code Detail

MEDICARE: SCOTT MICHAEL BUTLER MD

MEDICARE: SCOTT MICHAEL BUTLER 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
1207UN0901XNuclear Cardiology Physician0101274134VA
2207RC0000XCardiovascular Disease Physician0101274134VA

General Provider Information

NPI Number : 1750737920
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT MICHAEL BUTLER MD
Provider Business Mailing Address
First Line : 2901 TELESTAR CT STE 300
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22042-1263
Country : US
Telephone Number : 703-591-1688
Fax Number : 703-591-1445
Provider Business Practice Location Address
First Line : 11800 SUNRISE VALLEY DR STE 500
Second Line :
City : RESTON
State : VA
Zip : 20191-5303
Country : US
Telephone Number : 703-437-5977
Fax Number : 703-478-2475
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2016
Last Update Date : 04/01/2025

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Directions to “ SCOTT MICHAEL BUTLER MD” Practice Location

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