DAVIETTA BUTTY (NPI# 1669861548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669861548 |
| Entity Type | Individual |
| Full Name | DAVIETTA BUTTY |
| Practice Address |
4855 S Moorland Rd New Berlin WI 53151 |
| Mailing Address |
1630 W 33rd Pl Chicago IL 60608-6202 |
| Practice Telephone | 2624327599 |
| Practice Fax Number | 2624327694 |
| Mailing Telephone | 2487616924 |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2018-07-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 66509-20 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1669861548 | 05 |
| Street Address |
4855 S MOORLAND RD |
| City | NEW BERLIN |
| State | WI |
| Zip Code | 53151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649277278 | Daniel Dorrington | Pediatrics | 4855 S Moorland Rd, Suite 150, New Berlin, WI 53151-7401 | 2005-06-28 |
| 1497226781 | Brian Hoppe | Pharmacist | 4855 S Moorland Rd, New Berlin, WI 53151-7494 | 2018-12-11 |
| 1871041996 | Theresa Sue Ignaczak Bullis | Nurse Practitioner | 4855 S Moorland Rd, New Berlin, WI 53151-7494 | 2016-09-18 |
| 1508229949 | Eman Abdel-latief | Pediatrics | 4855 S Moorland Rd, New Berlin, WI 53151-7494 | 2016-04-02 |
| 1861863920 | Molly Schuelke | Physician Assistant | 4855 S Moorland Rd, New Berlin, WI 53151-7494 | 2015-10-15 |
| 1700256781 | Karla Michelle Quinones | Audiologist | 4855 S Moorland Rd, Suite 300, New Berlin, WI 53151-7494 | 2015-10-02 |
| 1104211416 | Regina Shea Dalla Riva | Pediatrics | 4855 S Moorland Rd, New Berlin, WI 53151-7494 | 2015-04-02 |
| 1306253117 | Elizabeth Frantal | Physician Assistant | 4855 S Moorland Rd, #150, New Berlin, WI 53151-7494 | 2014-07-14 |
| 1518371541 | Chasity T Brimeyer | Psychologist | 4855 S Moorland Rd, Headache Clinic, New Berlin, WI 53151-7494 | 2014-06-18 |
| 1588082028 | Apoorva Prasanna Murthy | Pediatrics | 4855 S Moorland Rd, New Berlin, WI 53151-7494 | 2014-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629527486 | Natural Look Salon and Wigs LLC | Durable Medical Equipment & Medical Supplies | 4805 S. Moorland Rd, New Berlin, WI 53151 | 2016-09-22 |
| 1396193033 | New Berlin Medical Services, LLC | Clinic/Center | 15324 W Beloit Road, New Berlin, WI 53151 | 2016-06-02 |
| 1063899680 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 15300 West Grange Avenue, New Berlin, WI 53151 | 2015-05-04 |
| 1871970368 | Mary Spath | Physical Therapy Assistant | 2810 South Acredale Road, New Berlin, WI 53151 | 2015-05-04 |
| 1669885471 | Wauwatosa Prescription Center, Inc. | Pharmacy | 4855 S Moorland Road, New Berlin, WI 53151 | 2014-06-09 |
| 1750711446 | Pure Family Chiropractic LLC | Chiropractor | 3504 S. Moorland Road, New Berlin, WI 53151 | 2013-11-18 |
| 1336578202 | Hamilton John Dowden | Chiropractor | 3504 S Moorland Rd, New Berlin, WI 53151 | 2013-11-01 |
| 1053653618 | Danielle Lynn Lucio | Acupuncturist | 15807 W. National Ave., New Berlin, WI 53151 | 2013-03-21 |
| 1306195110 | Marlena J Friedrich | Registered Nurse | 1709 S. 171st Street, New Berlin, WI 53151 | 2012-09-07 |
| 1548519176 | Patricia M Friedrich | Licensed Practical Nurse | 1709 So. 171st Street, New Berlin, WI 53151 | 2012-08-29 |
| Find all providers in zip 53151 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811350416 | Brittney Allison Krueger | Pediatrics | 4855 S Moorland Rd Ste 150, New Berlin, WI 53151-7495 | 2016-03-31 |
| 1679816813 | Rachel Crea Lucas | Pediatrics | 4855 N. Moorland Road, Urgent Care Clinic, New Berlin, WI 53151-7494 | 2013-04-05 |
| 1851369748 | Kristin M Millin | Pediatrics | 4855 S Moorland Rd Fl 3, New Berlin, WI 53151-7494 | 2006-03-08 |
| 1851385157 | William D Jeruc | Pediatrics | 4855 S Moorland Rd Ste 250, New Berlin, WI 53151-7494 | 2005-09-01 |
| 1649277278 | Daniel Dorrington | Pediatrics | 4855 S Moorland Rd, Suite 150, New Berlin, WI 53151-7401 | 2005-06-28 |
| 1508229949 | Eman Abdel-latief | Pediatrics | 4855 S Moorland Rd, New Berlin, WI 53151-7494 | 2016-04-02 |
| 1457713711 | Aaron Hanson | Pediatrics | 4855 S Moorland Rd Ste 250, New Berlin, WI 53151-7494 | 2016-03-25 |
| 1104211416 | Regina Shea Dalla Riva | Pediatrics | 4855 S Moorland Rd, New Berlin, WI 53151-7494 | 2015-04-02 |
| 1053723130 | Benjamin Landgraf | Pediatrics | 4855 S Moorland Rd Ste 250, New Berlin, WI 53151-7494 | 2014-05-23 |
| 1588082028 | Apoorva Prasanna Murthy | Pediatrics | 4855 S Moorland Rd, New Berlin, WI 53151-7494 | 2014-04-02 |
| Find all providers in NEW BERLIN | ||||
| City | NEW BERLIN |
| Zip Code | 53151 |
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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.