MR. JESSE PAUL BUTLER (NPI# 1205888385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205888385 |
| Entity Type | Individual |
| Full Name | MR. JESSE PAUL BUTLER |
| Credential | M.D. |
| Practice Address |
10 Doctors Park Gibson City IL 60936-2004 |
| Mailing Address |
221 E Lake St Ste 102 Addison IL 60101-2851 |
| Practice Telephone | 2177844340 |
| Practice Fax Number | 2177842360 |
| Mailing Telephone | 7733212800 |
| Mailing Fax Number | 7733212801 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-08-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 036-094206 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN | IL3794001 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 221 E Lake St Ste 102, Addison, IL 601012851 | 7733212800 | 7733212801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992183040 | Jesse I. Butler | Pharmacist | 3400 Lebanon Rd, Murfreesboro, TN 37129-1392 | 2015-05-09 |
| 1376557769 | Jesse Van Butler | Physician Assistant | 901 Montgomery St, Decorah, IA 52101-2325 | 2006-07-28 |
| Street Address |
10 DOCTORS PARK |
| City | GIBSON CITY |
| State | IL |
| Zip Code | 60936-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154328805 | Lalchand T Goyal | Internal Medicine | 10 Doctors Park, Gibson City, IL 60936-2009 | 2005-07-07 |
| 1801439161 | Kacy Marie Murphy | Orthopaedic Surgery | 10 Doctors Park, Gibson City, IL 60936-2004 | 2019-10-18 |
| 1801313077 | Erin J. Miller | Physician Assistant | 10 Doctors Park, Gibson City, IL 60936-2004 | 2017-08-28 |
| 1821440405 | Sarah Hong-conder | Nurse Practitioner | 10 Doctors Park, Gibson City, IL 60936-2004 | 2016-07-07 |
| 1558724310 | Carrie Kirby | Nurse Practitioner | 10 Doctors Park, Gibson City, IL 60936-2004 | 2016-03-30 |
| 1134540750 | Gibson Community Hospital Association | Internal Medicine | 10 Doctors Park, Gibson City, IL 60936-2009 | 2013-12-27 |
| 1285982249 | Gibson Area Hospital | General Acute Care Hospital | 10 Doctors Park, Gibson City, IL 60936-2009 | 2012-08-23 |
| 1154679108 | Gibson Area Hospital Therapy Services | General Acute Care Hospital | 10 Doctors Park, Gibson City, IL 60936-2009 | 2012-08-23 |
| 1790097582 | Jason Ye | Orthopaedic Surgery | 10 Doctors Park, Gibson City, IL 60936-2004 | 2010-07-08 |
| 1578799797 | Gibson Community Hospital Association | Specialist | 10 Doctors Park, Gibson City, IL 60936-2009 | 2009-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073738738 | Carrie Ann Lithgow | Physical Therapist | 109 N. Sangamon Ave, Gibson City, IL 60936 | 2007-04-16 |
| 1144359001 | Kerrie Ann Patrick | Registered Nurse | 222 N Sangamon, Gibson City, IL 60936 | 2007-03-05 |
| 1578612800 | Donna J Boundy | Dentist | 627 E 8th St, Gibson City, IL 60936 | 2007-01-09 |
| 1093878241 | Drew Curtis Duquette | Chiropractor | 523 and One Half South Sangamon Ave, Gibson City, IL 60936 | 2006-12-19 |
| 1386727642 | Amnuay Sethakorn | Family Medicine | 4 Doctors Park, Gibson City, IL 60936 | 2006-10-23 |
| 1689687295 | Alexander V Grandt | Nurse Practitioner | 1120 N Melvin, Gibson Area Hospital & Health Services, Gibson, IL 60936 | 2006-08-14 |
| 1811125784 | Gibson Community Hospital Association | Surgery | 1 Doctors Park, Gibson City, IL 60936 | 2009-06-30 |
| 1295991701 | Trilok Shah | Psychiatry & Neurology | 4 Doctors Park, Gibson City, IL 60936 | 2008-08-04 |
| 1245312602 | Ginny E Pulley | Licensed Practical Nurse | 222 N Sangamon Ave, Gibson City, IL 60936 | 2006-10-19 |
| 1518065358 | Karen Marie Leenerman | Registered Nurse | 222 N Sangamon Ave, Gibson City Clinic Sc, Gibson City, IL 60936 | 2006-09-20 |
| Find all providers in zip 60936 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790097582 | Jason Ye | Orthopaedic Surgery | 10 Doctors Park, Gibson City, IL 60936-2004 | 2010-07-08 |
| 1669403077 | Christopher Dangles | Orthopaedic Surgery | 10 Doctors Park, Gibson City, IL 60936-2004 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834680 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1200 S York St Ste 4110, Elmhurst, IL 60126-5630 | 2020-09-02 |
| 1790303725 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1009 Il Route 22 Ste 2, Fox River Grove, IL 60021-1998 | 2020-07-07 |
| 1104440049 | Elliot M Johns | Orthopaedic Surgery | 301 N 8th St Ste 3a158, Springfield, IL 62701-1085 | 2020-06-06 |
| 1740804764 | David Alan Forgas | Orthopaedic Surgery | 901 N 1st St # D252, Springfield, IL 62702-3759 | 2020-06-05 |
| 1700417185 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 1890 Silver Cross Blvd # A, New Lenox, IL 60451-9524 | 2020-02-04 |
| 1588207799 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 2719 W Algonquin Rd, Algonquin, IL 60102-9400 | 2019-10-21 |
| 1669020848 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 406 Front St Ste 100, Mchenry, IL 60050-5593 | 2019-08-30 |
| 1790342194 | Kevin James Rasuli | Orthopaedic Surgery | 1611 W Harrison St. Ste. 400, Chicago, IL 60612 | 2019-05-22 |
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
| Find all providers with the same taxonomy | ||||
| City | GIBSON CITY |
| Zip Code | 60936 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.