DR. BRYAN JOHN BUTEL (NPI# 1790309938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790309938 |
| Entity Type | Individual |
| Full Name | DR. BRYAN JOHN BUTEL |
| Credential | DO |
| Practice Address |
1400 E Downing St Tahlequah OK 74464-3324 |
| Mailing Address |
1360 S 34th St West Des Moines IA 50265-7730 |
| Practice Telephone | 9184560641 |
| Mailing Telephone | 5153211033 |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1400 E DOWNING ST |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 74464-3324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770581001 | Teresa Lynn Toombs | Nurse Anesthetist, Certified Registered | 1400 E Downing St, Tahlequah, OK 74464-3324 | 2005-07-11 |
| 1508481292 | Christopher B Gaskins | Internal Medicine | 1400 E Downing St, Tahlequah, OK 74464-3324 | 2020-06-09 |
| 1205463767 | Rahim Ruknudin Sewani | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, OK 74464-3324 | 2020-03-25 |
| 1679104780 | Ashley Cheyenne Sevilla | Physical Therapy Assistant | 1400 E Downing St, Tahlequah, OK 74464-3324 | 2020-01-28 |
| 1972144475 | Shelly Diane Prince | Nurse Practitioner | 1400 E Downing St, Tahlequah, OK 74464-3324 | 2019-10-05 |
| 1700447752 | Thucnhi Nguyen | Physical Therapist | 1400 E Downing St, Tahlequah, OK 74464-3324 | 2019-06-20 |
| 1447814256 | Laura Beth Harlen | Occupational Therapist | 1400 E Downing St, Tahlequah, OK 74464-3324 | 2019-04-26 |
| 1215590260 | Lyndsey Daggs | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, OK 74464-3324 | 2019-04-16 |
| 1174186183 | James L Wood | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, OK 74464-3324 | 2019-04-16 |
| 1003379868 | Brie Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, OK 74464-3324 | 2019-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253403 | Kendall Harris | Student in an Organized Health Care Education/Training Program | 100 Bliss Ave, Tahlequah, OK 74464 | 2020-04-07 |
| 1528609302 | Norma Brightly | Technician | 103 Sequoyah, Tahlequah, OK 74464 | 2019-10-03 |
| 1073175832 | Jody Lynn Dallis | Case Manager/Care Coordinator | Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 | 2019-07-02 |
| 1184287849 | Perry Jake Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 | 2019-04-18 |
| 1336657279 | Sidney Sheyenne Kimble | Case Manager/Care Coordinator | 1429 Jack Brown Lane, Tahlequah, OK 74464 | 2018-01-12 |
| 1891225686 | Nichols Bradley Alberty | Orthotist | 1294 East Downing, Suite 3, Tahlequah, OK 74464 | 2017-06-14 |
| 1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
| 1144777319 | Northeastern Oklahoma Community Health Centers, Inc. | Clinic/Center | 529 N. Oak St., Tahlequah, OK 74464 | 2016-09-06 |
| 1548713456 | Clement Isioma Nwadozi | Optometrist | 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 | 2016-07-27 |
| 1033532635 | Wesley Gragg | Specialist/Technologist | 603 North Grand Avenue, Tahlequah, OK 74464 | 2014-02-03 |
| Find all providers in zip 74464 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253403 | Kendall Harris | Student in an Organized Health Care Education/Training Program | 100 Bliss Ave, Tahlequah, OK 74464 | 2020-04-07 |
| 1184287849 | Perry Jake Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 | 2019-04-18 |
| 1003249392 | Charles Leon Dick Jr. | Student in an Organized Health Care Education/Training Program | 711 N East Ave, Apt E6, Tahlequah, OK 74464-2407 | 2013-08-09 |
| 1932723277 | Xuanchinh Tran | Student in an Organized Health Care Education/Training Program | 1373 E Boone St Ste 2300, Tahlequah, OK 74464-3365 | 2020-06-02 |
| 1952930257 | Athena Chatzigiannidis | Student in an Organized Health Care Education/Training Program | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2020-04-07 |
| 1942839394 | Sean Crawford | Student in an Organized Health Care Education/Training Program | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2020-04-07 |
| 1205463767 | Rahim Ruknudin Sewani | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, OK 74464-3324 | 2020-03-25 |
| 1104468610 | Lista Marie Watkins | Student in an Organized Health Care Education/Training Program | 1500 E Downing St Ste 214, Tahlequah, OK 74464-3379 | 2019-10-16 |
| 1811553761 | Kate Allen | Student in an Organized Health Care Education/Training Program | 1373 E Boone St Ste 2300, Tahlequah, OK 74464-3365 | 2019-05-16 |
| 1154985869 | David Ryan Markes | Student in an Organized Health Care Education/Training Program | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2019-04-28 |
| Find all providers in TAHLEQUAH | ||||
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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.