CHARLES W BUTRICK (NPI# 1295737633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295737633 |
| Entity Type | Individual |
| Full Name | CHARLES W BUTRICK |
| Credential | M.D. |
| Practice Address |
6730 W 121st St Overland Park KS 66209-2002 |
| Practice Telephone | 9133070044 |
| Practice Fax Number | 9139485380 |
| Mailing Telephone | 9133070044 |
| Mailing Fax Number | 9132968750 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2018-05-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
A13916 | KS | Allopathic & Osteopathic Physicians |
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
042241 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | LICENSE | 04-22411 | 01 |
| Street Address |
6730 W 121ST ST |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66209-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316449200 | Michele A Ivanic | Nurse Practitioner | 6730 W 121st St, Overland Park, KS 66209 | 2018-03-06 |
| 1720457005 | Latasha Reed | Nurse Practitioner | 6730 W 121st St, Overland Park, KS 66209-2002 | 2015-09-17 |
| 1477647154 | Erika P Hunter | Obstetrics & Gynecology | 6730 W 121st St, Overland Park, KS 66209-2002 | 2006-10-03 |
| 1972614824 | Diane M Hanna | Nurse Practitioner | 6730 W 121st St, Overland Park, KS 66209-2002 | 2006-08-31 |
| 1114954450 | Carol Foulds | Dermatology | 6730 W 121st St, Overland Park, KS 66209-2002 | 2006-06-26 |
| 1023045366 | Carol Foulds Md | Dermatology | 6730 W 121st St, Overland Park, KS 66209-2002 | 2006-06-26 |
| 1538151709 | Margaret R Sanford | Clinical Nurse Specialist | 6730 W 121st St, Overland Park, KS 66209-2002 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265900286 | Kansas Wellness Associates LLC | Family Medicine | 4300 W 133rd Street, Suite 200, Leawood, KS 66209 | 2018-11-07 |
| 1740781871 | Courtney Collins | Physical Therapy Assistant | 6830 W. 121st. Ct, Overland Park, KS 66209 | 2018-02-23 |
| 1295246015 | Meredith Meyer Bell | Nurse Practitioner | 5064 W 130th Terrace, Leawood, KS 66209 | 2017-10-19 |
| 1740712223 | Margaret Alice Luckert | Registered Nurse | 5701 W 119th Street Suite 220, Overland Park, KS 66209 | 2017-04-03 |
| 1609311133 | Kansas City Community Hospital, LLC | General Acute Care Hospital | 13200 State Line Road, Leawood, KS 66209 | 2016-12-19 |
| 1316492499 | Christy Vopat | Occupational Therapist | 4952 W. 129 Th Terr, Leawood, KS 66209 | 2016-08-18 |
| 1861846594 | Paige Aberasturi Penick | Nutritionist | 6709 W 119th St # 207, Overland Park, KS 66209 | 2016-04-19 |
| 1568827905 | Eating Disorder Treatment Associates, LLC | Clinic/Center | 12140 Nall Avenue, Suite 315, Overland Park, KS 66209 | 2015-12-30 |
| 1689056483 | Michael Hauber | Physical Therapist | 12728 State Line Rd, Leawood, KS 66209 | 2015-06-29 |
| 1033597000 | Brooke J Heppner Mft | Marriage & Family Therapist | 6711 W. 121st Street, Suite 101, Overland Park, KS 66209 | 2015-05-11 |
| Find all providers in zip 66209 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477647154 | Erika P Hunter | Obstetrics & Gynecology | 6730 W 121st St, Overland Park, KS 66209-2002 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841481629 | Patrick Alan Nosti | Obstetrics & Gynecology | 8901 W 74th St Ste 280, Shawnee Mission, KS 66204-2295 | 2007-08-06 |
| 1285094102 | Pelvic Health Specialists, LLC | Obstetrics & Gynecology | 1112 W 6th St, Ste 212, Lawrence, KS 66044-2215 | 2016-03-04 |
| 1992753032 | Leslie E. F. Page | Obstetrics & Gynecology | 315 N Hillside St, Suite C, Wichita, KS 67214-4915 | 2006-05-04 |
| City | OVERLAND PARK |
| Zip Code | 66209 |
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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.