CHARLES RODNEY BUTLER III (NPI# 1417058066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417058066 |
| Entity Type | Individual |
| Full Name | CHARLES RODNEY BUTLER III |
| Credential | D.O. |
| Practice Address |
100 Freeman Dr Saint Peter MN 56082-3504 |
| Practice Telephone | 5079317125 |
| Practice Fax Number | 5079317126 |
| Mailing Telephone | 5079852111 |
| Mailing Fax Number | 5079317126 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2014-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 39742 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1417058066 | 01 | |
| MN | BLUE CROSS/BLUE SHIELD | 228G3BU | 01 |
| MN | 672025100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114571908 | Charles Jeffrey Butler | Massage Therapist | 233 Towne Square Park, Lexington, KY 40511-2097 | 2019-07-30 |
| 1417207135 | Charles Christopher Butler | Pharmacist | 1728 Prendergast Ln, Saint Louis, MO 63138-1725 | 2012-09-11 |
| 1508926106 | Charles Francis Butler | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2130 S Park St, Kalamazoo, MI 49001-3657 | 2006-12-12 |
| 1831271543 | Charles Adelbert Butler IIi | Dentist | 2250 Clarendon Blvd., Store F, Arlington, VA 22201 | 2006-10-20 |
| 1528004488 | Charles W Butler | Family Medicine | 3400 California Ave Sw Ste 300, Seattle, WA 98116-3307 | 2006-06-21 |
| 1164741153 | Charles Francis Butler | Internal Medicine | 1653 W Congress Pkwy, Rush, Chicago, IL 60612-3833 | 2010-05-31 |
| 1164639936 | Charles Eugene Butler | Audiologist | 2101 S Cynthia St, Mcallen, TX 78503-1294 | 2007-05-17 |
| 1902029739 | Charles Edward Butler | Social Worker | 6845 Fairview Rd, Charlotte, NC 28210-3500 | 2007-04-10 |
| 1881725364 | Charles M. Butler | Internal Medicine | 166 Stoneridge Dr, Columbia, SC 29210-8239 | 2007-03-08 |
| 1184710162 | Charles E. Butler | Surgery | 1515 Holcombe Blvd., Houston, TX 77030-4009 | 2006-10-05 |
| Street Address |
100 FREEMAN DR |
| City | SAINT PETER |
| State | MN |
| Zip Code | 56082-3504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011528 | Andrea Richard | Pharmacist | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2020-07-29 |
| 1457977373 | Robert James Haight | Pharmacist | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2020-06-17 |
| 1881219723 | Jodi Lynn Meerbeek | Pharmacist | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2020-06-16 |
| 1316584832 | Jessica Rae Waldron | Marriage & Family Therapist | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2019-12-03 |
| 1992349153 | Joseph Samuel Owen | Registered Nurse | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2019-10-31 |
| 1639632219 | Maria B Sargeant | Nurse Practitioner | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2019-04-10 |
| 1922568641 | Michelle Marie Dick | Social Worker | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2019-03-20 |
| 1871065151 | Julie Renee Nordquist | Nurse Practitioner | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2018-12-26 |
| 1841781226 | Elizabeth Ann Marti | Counselor | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2018-05-22 |
| 1356851372 | Kyle Yerks | Pharmacist | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2017-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295276079 | Ashley Jaspers | Nurse Practitioner | 1900 N. Sunrise Drive, Suite #200, St. Peter, MN 56082 | 2017-03-14 |
| 1841730876 | Go Therapy Inc | Speech-Language Pathologist | 830 Sunrise Dr Ste B, Saint Peter, MN 56082 | 2017-02-23 |
| 1487063210 | Ashley Krug | Specialist/Technologist | 800 West College Ave, Saint Peter, MN 56082 | 2014-08-06 |
| 1235578519 | Mikkel Dean Haugen | Dentist | 402 Sunrise Drive, St Peter, MN 56082 | 2013-06-19 |
| 1104163849 | House of Hope, Inc. | Community/Behavioral Health | 201 West Park Row, Suite B, Saint Peter, MN 56082 | 2013-01-15 |
| 1851579700 | Laura J. Hulsebus | Chiropractor | 206 West Walnut St, St Peter, MN 56082 | 2008-02-02 |
| 1588857072 | Michael Joseph Lange | Psychologist | 1703 Csah 15, St. Peter, MN 56082 | 2007-08-20 |
| 1235290420 | Andrew D. Lundquist | Podiatrist | 1901 Oid Minnesota Ave, Mankato Clinic @ Daniel's Health Center, St. Peter, MN 56082 | 2006-12-12 |
| 1962517037 | Mary A Snyder | Dentist | 202 W Walnut, St Peter, MN 56082 | 2006-08-20 |
| 1124041504 | Diane Ruth Bruder | Nurse Practitioner | 2000 Klein Street, St. Peter, MN 56082 | 2006-07-25 |
| Find all providers in zip 56082 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174507149 | Mohammed Solaiman | Family Medicine | 1900 Sunrise Dr Ste 200, Saint Peter, MN 56082-5385 | 2005-12-02 |
| 1104207174 | Kendra Lee Finn | Family Medicine | 1901 Old Minnesota Ave, Saint Peter, MN 56082-1763 | 2015-06-15 |
| 1982851671 | Nadia Malik | Family Medicine | 1900 Sunrise Dr, Mayo Clinic Health System, Saint Peter, MN 56082-5376 | 2008-08-25 |
| 1659462786 | Francisco Eduardo Serrano | Family Medicine | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2006-09-27 |
| 1467418681 | Kae B Loverink | Family Medicine | 1900 Sunrise Dr, Saint Peter, MN 56082-5376 | 2006-04-25 |
| 1881679843 | Kimberly Jean Beecher | Family Medicine | 1900 Sunrise Dr, Suite 200, Saint Peter, MN 56082-5376 | 2005-12-13 |
| 1992780548 | Mark S Akland | Family Medicine | 1900 Sunrise Dr Ste 200, Saint Peter, MN 56082-5385 | 2005-12-07 |
| 1134103815 | Elizabeth J Osborne | Family Medicine | 1900 Sunrise Dr Ste 200, Saint Peter, MN 56082-5385 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295349280 | Anna Dalrymple | Family Medicine | 3832 Mcknight Rd N, White Bear Lake, MN 55110-4874 | 2020-09-07 |
| 1760005771 | Revive Pain Centers Pa | Family Medicine | 14525 Highway 7 Ste 375, Minnetonka, MN 55345-3741 | 2020-05-26 |
| 1245862697 | North Iowa Mercy Clinics | Family Medicine | 2440 Bridge Ave, Albert Lea, MN 56007-2005 | 2020-02-04 |
| 1477196715 | The Doctors Medical Clinic, P.a. | Family Medicine | 1504 Whitebear Ave, St Paul, MN 55106 | 2019-10-18 |
| 1699336511 | Ruth Archibald | Family Medicine | 6962 Cottonwood Ct Nw, Rochester, MN 55901-8835 | 2019-06-21 |
| 1295399251 | Roberta Lynn Kopel | Family Medicine | 1605 W Lincoln Ave, Olivia, MN 56277-1260 | 2019-04-25 |
| 1558834390 | Donna Mae Mullenix | Family Medicine | 2849 Cty Rd 103, Barnum, MN 55707 | 2019-01-04 |
| 1083189203 | Altru Health System | Family Medicine | 23076 347th Street Se, Erskine, MN 56535-9466 | 2018-10-04 |
| 1477039204 | Dollar Clinic Pllc | Family Medicine | 1002 1st Ave N, Moorhead, MN 56560-2003 | 2018-07-16 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PETER |
| Zip Code | 56082 |
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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.