BUTLER NEUROLOGY PC (NPI# 1881775799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881775799 |
| Entity Type | Organization |
| Organization Name | BUTLER NEUROLOGY PC |
| Practice Address |
1264 Wesley Drive Suite 209 Memphis TN 38116 |
| Practice Telephone | 9013964958 |
| Practice Fax Number | 9013967657 |
| Mailing Telephone | 9013964958 |
| Mailing Fax Number | 9013967657 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAREL ANTHONY BUTLER (PRESIDENT CEO) |
| Authorized Official Telephone | 9013964958 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
0000027752 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICAID | 13422901 | 01 |
| TN | BCBS | 4075715 | 01 |
| TN | RR MEDICARE | P00093158 | 01 |
| Street Address |
1264 WESLEY DRIVE SUITE 209 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760737415 | Phyllis R Crump | Nurse Practitioner | 1264 Wesley Drive, Suite 501, Memphis, TN 38116-6456 | 2012-07-18 |
| 1134200025 | Lee Lyle Wardlaw | Internal Medicine | 1264 Wesley Drive, #602, Memphis, TN 38116-6459 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265296 | Heart To Home Healthcare Services Inc | In Home Supportive Care | 3385 Airways Boulevard, Suite 233, Memphis, TN 38116 | 2020-05-01 |
| 1912526088 | Sanitas Medical Center of Tennessee PC | Family Medicine | 1200 E Raines Rd, Suite 101, Memphis, TN 38116 | 2020-04-09 |
| 1548896715 | Annie M Griffin | In Home Supportive Care | 1014 Cullenwood Drive, Memphis, TN 38116 | 2020-03-19 |
| 1144865700 | Johnnie Mary Lawson | Technician | 5152 Schutt Rd, Memphis, TN 38116 | 2019-11-07 |
| 1013475193 | Peace of Mind Adult Daycare Services, LLC | Clinic/Center | 4283 Millbranch Rd, Memphis, TN 38116 | 2019-03-07 |
| 1023580909 | April Nicole Mallory | Home Health Aide | 3225 Kirby Whitten Space 12, Suite 201, Memphis, TN 38116 | 2018-12-17 |
| 1437641941 | Trinity Community Coalition Outreach | Clinic/Center | 4466 Elvis Presley Blvd Ste 260, Memphis, TN 38116 | 2018-05-31 |
| 1851848386 | Veronica Hudson | Speech-Language Pathologist | 1036 Chambliss Rd, Memphis, TN 38116 | 2016-09-01 |
| 1710434378 | Chloe Bunch | Speech-Language Pathologist | 1076 Chamblee Road, Memphis, TN 38116 | 2016-09-01 |
| 1033516109 | Comprehensive Pediatrics | Pediatrics | 4250 Faronia Road, Suite 3, Memphis, TN 38116 | 2014-12-04 |
| Find all providers in zip 38116 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861873846 | Rashi Krishnan | Psychiatry & Neurology | 1265 Union Avenue Dept of Neurology, Memphis, TN 38104 | 2015-06-15 |
| 1164841326 | Beth Anne Cavanaugh | Psychiatry & Neurology | 848 Adams Ave Ste 400l, Memphis, TN 38103-2816 | 2014-04-15 |
| 1417108796 | London Corporaton | Psychiatry & Neurology | 23 South Pauline Street, Suite 709, Memphis, TN 38104-3121 | 2008-10-06 |
| 1740459817 | Adrain B. Blotner Md PC | Psychiatry & Neurology | 6401 Poplar Ave Ste 316, Memphis, TN 38119-4806 | 2008-02-22 |
| 1003005885 | James H Jaster | Psychiatry & Neurology | 23 South Pauline Street, Suite 709, Memphis, TN 38104-3121 | 2007-10-17 |
| 1164634978 | Monisha Dutta | Psychiatry & Neurology | 880 Madison Avenue, Memphis, TN 38103-3409 | 2007-05-04 |
| 1891911954 | Rada Petrinjac-nenadic | Psychiatry & Neurology | 5100 Sanderlin Ave, Suite 2100, Memphis, TN 38117-4387 | 2007-04-17 |
| 1306994611 | Charles Hughes Hubbert | Psychiatry & Neurology | Memphis Va Hospital, Dept. Neurology, 1030 Jefferson Avenue, Memphis, TN 38104 | 2007-01-05 |
| 1477660306 | Marc David Malkoff | Psychiatry & Neurology | 855 Monroe Ave, Suite 415 Link Building, Memphis, TN 38103-4901 | 2006-08-24 |
| 1407813439 | Mark S Ledoux | Psychiatry & Neurology | 5050 Poplar Ave Ste 511, Memphis, TN 38157-0500 | 2006-04-26 |
| Find all providers in MEMPHIS | ||||
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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.