DR. JACK BUTTERFIELD (NPI# 1639154495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639154495 |
| Entity Type | Individual |
| Full Name | DR. JACK BUTTERFIELD |
| Credential | M.D. |
| Practice Address |
167 S Main St Roseville OH 43777-1284 |
| Mailing Address |
860 Bethesda Dr Zanesville OH 43701-1800 |
| Practice Telephone | 7406977373 |
| Practice Fax Number | 7406977683 |
| Mailing Telephone | 7404544651 |
| Mailing Fax Number | 7404544653 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2008-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35045078 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GROUP MEDICARE RAILROAD | CA1586 | 01 | |
| OH | UHC PIN | 0197989 | 01 |
| MEDICARE PTAN | BU0499444 | 01 | |
| OH | UNISON PIN | 000000177535 | 01 |
| OH | CARESOURCE PIN | 311413469030 | 01 |
| OH | ANTHEM PIN | 000000019419 | 01 |
| OH | 0437021 | 05 | |
| OH | MEDICARE RAILROAD | 080002140 | 01 |
| OH | GROUP MEDICAID | 0989499 | 01 |
| Street Address |
167 S MAIN ST |
| City | ROSEVILLE |
| State | OH |
| Zip Code | 43777-1284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356696918 | Lauren A Hogue | Physician Assistant | 167 S Main St, Roseville, OH 43777-1284 | 2012-07-19 |
| 1588612006 | Michael D Bobb Jr. | Family Medicine | 167 S Main St, Roseville, OH 43777-1284 | 2006-05-05 |
| 1700862679 | Rosalie Kelley | Nurse Practitioner | 167 S Main St, Roseville, OH 43777-1284 | 2005-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699078477 | Nelson Mccoy Melick | Anesthesiology | 8000 Fulton-rose Rd., Roseville, OH 43777 | 2010-12-16 |
| 1437371077 | Dawn M Blake | Home Health Aide | 100 1/2 Old Rainer Road, Roseville, OH 43777 | 2007-05-03 |
| 1811026453 | Village of Roseville | Ambulance | 9 W 1st St, Roseville, OH 43777 | 2007-03-02 |
| 1770712622 | Dana White | Licensed Practical Nurse | 284 W Lake St, Roseville, OH 43777-1120 | 2009-07-13 |
| 1457737868 | Tiffany Private Duty Nursing | Licensed Practical Nurse | 42 Severt Ln, Roseville, OH 43777-1179 | 2015-08-07 |
| 1891392833 | Lois Ann Guy | Homemaker | 87 E Athens Rd, Roseville, OH 43777-1212 | 2020-10-02 |
| 1861449043 | Care Equip, LLC | Pharmacy | 157 S Main St, Roseville, OH 43777-1238 | 2006-05-31 |
| 1801321773 | Alexander David Smith | Pharmacist | 157 S Main St, Roseville, OH 43777-1238 | 2017-04-27 |
| 1952534604 | Robyn Lynn Seenes | Licensed Practical Nurse | 139 Peggy St, Roseville, OH 43777-1243 | 2009-08-28 |
| 1285932657 | Melissa Marie Dillehay | Licensed Practical Nurse | 4480 Moxahala Ave, Roseville, OH 43777-9410 | 2011-03-08 |
| Find all providers in zip 43777 | ||||
| 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 |
|---|---|---|---|---|
| 1154711299 | Shahzad Anwar Md Inc | Family Medicine | 1478 Stone Point Dr # 290, Roseville, CA 95661-2869 | 2015-01-28 |
| 1902162845 | Stephanie Wood | Family Medicine | 568 N. Sunrise Avenue, Suite 250, Roseville, CA 95661-9348 | 2012-04-04 |
| 1467740696 | Gilbert R Luceno | Family Medicine | 2110 Professional Dr Ste 120, Roseville, CA 95661-3779 | 2011-07-21 |
| 1255620936 | Nancy Kemp | Family Medicine | 3009 Douglas Blvd, Suite 160, Roseville, CA 95661-3859 | 2011-04-01 |
| 1649586694 | Anna P Abalos Md Inc | Family Medicine | 701 Pleasant Grove Blvd, Suite 125, Roseville, CA 95678-6156 | 2010-08-27 |
| 1528389145 | Shahzad Anwar | Family Medicine | 1478 Stone Point Dr, Suite 290, Roseville, CA 95661-2869 | 2010-06-17 |
| 1740424480 | Diana Libertad Arteaga Falconi | Family Medicine | 2110 Professional Drive, Suite 120, Roseville, CA 95661 | 2009-04-24 |
| 1912144593 | Jennifer Anne Griffin | Family Medicine | 8 Medical Plaza Dr, Roseville, CA 95661-3106 | 2009-01-19 |
| 1922263151 | Erin M. Deane | Family Medicine | 568 N. Sunrise Ave., #250, Roseville, CA 95661 | 2008-07-28 |
| 1669655627 | Nine Family Healthcare | Family Medicine | 18263 E 10 Mile Rd Ste C, Roseville, MI 48066-5805 | 2007-12-13 |
| Find all providers in ROSEVILLE | ||||
Please comment or provide details below to improve the information on DR. JACK BUTTERFIELD.
| 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.