DR. JACK EVANS BUTTERWORTH JR. (NPI# 1912246901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912246901 |
Entity Type | Individual |
Full Name | DR. JACK EVANS BUTTERWORTH JR. |
Credential | M.D. |
Practice Address |
121 Westover Dr Bristol TN 37620-2947 |
Practice Telephone | 4236522240 |
Mailing Telephone | 4236522240 |
Enumeration Date | 2013-02-11 |
Last Update Date | 2013-02-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | MD0000007247 | TN | Allopathic & Osteopathic Physicians |
Street Address |
121 WESTOVER DR |
City | BRISTOL |
State | TN |
Zip Code | 37620-2947 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
Find all providers in zip 37620 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962062810 | Ariel Morley | Urology | 15 Riverside Avenue, Bristol, CT 06010 | 2019-06-13 |
1528227204 | Thomas Grimmett Breslin | Urology | 7 Dana Rd, Bristol, RI 02809-1401 | 2008-06-06 |
1609299130 | Highlands Urology | Urology | 28 Midway St, Ll Suite 1, Bristol, TN 37620-1706 | 2014-02-04 |
1639308810 | Kai Hans Hammerich | Urology | 25 Newell Rd Ste D21, Bristol, CT 06010 | 2009-07-08 |
1518123447 | Parrish F Moree | Urology | 350 Steeles Rd, Ste 1, Bristol, TN 37620 | 2008-07-30 |
1427228113 | Universtiy Urological Associates, Inc. | Urology | 1180 Hope St, Bristol, RI 02809-1126 | 2008-03-10 |
1710015839 | Bristol Urologic Associates PC | Urology | 8 Collins Rd, Bristol, CT 06010 | 2007-03-01 |
1780764688 | Bristol Urological Associates, P.C. | Urology | 350 Blountville Hwy, Suite 105, Bristol, TN 37620-0213 | 2006-10-16 |
1760435515 | John G. Griffith | Urology | 28 Midway St, Suite 105, Bristol, TN 37620-1706 | 2006-05-19 |
1861446676 | Chad T. Couch | Urology | 350 Blountville Hwy, Suite 105, Bristol, TN 37620-0213 | 2006-05-19 |
Find all providers in BRISTOL |
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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.