DR. BENJAMIN WILLIAM BUTCHER (NPI# 1336496058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336496058 |
Entity Type | Individual |
Full Name | DR. BENJAMIN WILLIAM BUTCHER |
Credential | D.P.T., A.T.C. |
Practice Address |
2901 Old Jacksonville Rd Suite C Springfield IL 62704-7437 |
Practice Telephone | 2177930000 |
Practice Fax Number | 2177935201 |
Mailing Telephone | 2177930000 |
Mailing Fax Number | 2177935201 |
Enumeration Date | 2012-08-13 |
Last Update Date | 2012-08-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
070019325 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
2901 OLD JACKSONVILLE RD SUITE C |
City | SPRINGFIELD |
State | IL |
Zip Code | 62704-7437 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467441550 | Julio Cesar Vijil Sr. | Surgery | 2901 Old Jacksonville Rd, Suite B3, Springfield, IL 62704-7439 | 2005-10-20 |
1316591761 | Shelby Kern | Nurse Practitioner | 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 | 2019-07-24 |
1609392091 | Tamara Hardwick | Nurse Practitioner | 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 | 2017-08-17 |
1598217978 | Amy J Welch | Registered Nurse | 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 | 2016-11-01 |
1316399140 | Neesha Settipalle | Internal Medicine | 2901 Old Jacksonville Rd, Springfield, IL 62704 | 2016-07-05 |
1508245028 | Carly Ellison | Nurse Practitioner | 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 | 2015-05-29 |
1013395250 | Gopinathan Gangadharan Nambiar | Pediatrics | 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 | 2015-05-07 |
1467849257 | Hshs Medical Group Inc | Durable Medical Equipment & Medical Supplies | 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 | 2015-04-20 |
1225443484 | Erin Blackburn | Pediatrics | 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 | 2014-06-26 |
1801209291 | Jieun Heo | Family Medicine | 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 | 2014-06-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902394901 | Hillary Haaker | Occupational Therapist | 2035 W Iles, Suite C, Springfield, ID 62704 | 2018-04-25 |
1871095364 | Edward Doyle Slifer Sr. | Pathology | 2117 Greenside Drive, Spring Field, IL 62704 | 2018-03-01 |
1598263345 | Santarelli & Feller Dental Group | Dentist | 1140 Rickard Road, Suite B, Springfield, IL 62704 | 2018-01-26 |
1447774757 | Lisa Ann Rogers | Developmental Therapist | 2101 Lexington Dr, Apt 3, Springfield, IL 62704 | 2017-07-28 |
1730611286 | Mindi Rowe | Occupational Therapist | 2508 County Rd 4 1/2 E, Springfield, IL 62704 | 2017-04-03 |
1366992208 | Jayme Jordan | Contractor | 2409 Westchester Blvd, Springfield, IL 62704 | 2016-10-04 |
1154793974 | Dina Payne | Social Worker | 917 Clocktower Drive, Suite 600, Springfield, IL 62704 | 2015-10-21 |
1770959819 | James R Reynolds | Hearing Instrument Specialist | 2347 W Monroe St, Springfield, IL 62704 | 2015-08-12 |
1336576495 | Emily Jane Dungey | Counselor | 920 S Spring St Ste 1300, Springfield, IL 62704 | 2013-10-03 |
1942552161 | Jeannie Marie Hundley | Specialist/Technologist, Other | 2921 Monvale Drive, Springfield, IL 62704 | 2012-10-11 |
Find all providers in zip 62704 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
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1043546401 | Zbigniew Paluch | Physical Therapist | 336 Longhill St, Springfield, MA 01108-1407 | 2009-10-20 |
1689821910 | Michael Lee Hillstrand | Physical Therapist | 650 Harlow Rd, #203, Springfield, OR 97477-1233 | 2008-08-18 |
1518970870 | R. Dennis Mathewson | Physical Therapist | 360 Birnie Ave, Springfield, MA 01199-0001 | 2006-08-15 |
1760092290 | Kristina Wendl | Physical Therapist | 300 Birnie Ave, Springfield, MA 01107-1107 | 2020-08-10 |
1396367264 | Brandon Allen Lane | Physical Therapist | 1423 N Jefferson Ave, Springfield, MO 65802-1917 | 2020-05-13 |
1265053276 | Robert Brent Doss | Physical Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-04-30 |
1992326193 | Mark L Vandersnick | Physical Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-04-29 |
1043831381 | Ronald Lee Sapp I | Physical Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-04-28 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 62704 |
Please comment or provide details below to improve the information on DR. BENJAMIN WILLIAM BUTCHER.
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.