Allen P Butler (NPI# 1326045048, PAC ID# 7719059229) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1326045048 |
| PAC ID by PECOS | 7719059229 |
| Professional Enrollment ID | I20110330000141 |
| Full Name | Allen P Butler |
| Organization Legal Name | NORTHEAST GEORGIA OTOLARYNGOLOGY |
| Address |
2406 Lighthouse Manor Dr Gainesville GA 30501-7401 |
| Phone Number | 7705364352 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1998 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 3173550464 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110029 | NORTHEAST GEORGIA MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 2406 Lighthouse Manor Dr, Gainesville, GA 30501-7401 | 7705364352 | NORTHEAST GEORGIA OTOLARYNGOLOGY |
| Organization Legal Name | NORTHEAST GEORGIA OTOLARYNGOLOGY |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Harris Callahan | Otolaryngology | Northeast Georgia Otolaryngology | 2406 Lighthouse Manor Dr, Gainesville, GA 30501-7401 |
| Brennan P Wood | Otolaryngology | Northeast Georgia Otolaryngology | 2406 Lighthouse Manor Dr, Gainesville, GA 30501-7401 |
| Amy Reeder Britt | Qualified Audiologist | Northeast Georgia Otolaryngology | 2406 Lighthouse Manor Dr, Gainesville, GA 30501-7401 |
| Robert Michael Baskin | Otolaryngology | Northeast Georgia Otolaryngology | 2406 Lighthouse Manor Dr, Gainesville, GA 30501-7401 |
| Mary Elizabeth Byrd | Qualified Audiologist | Northeast Georgia Otolaryngology | 2406 Lighthouse Manor Dr, Gainesville, GA 30501-7401 |
| Paul H Garlich | Otolaryngology | Northeast Georgia Otolaryngology | 2406 Lighthouse Manor Dr, Gainesville, GA 30501-7401 |
| Courtney Vaughan | Physician Assistant | Northeast Georgia Otolaryngology | 2406 Lighthouse Manor Dr, Gainesville, GA 30501-7401 |
| Jeanne E Barno | Qualified Audiologist | Northeast Georgia Otolaryngology | 2406 Lighthouse Manor Dr, Gainesville, GA 30501-7401 |
| Scott M Stewart | Otolaryngology | Northeast Georgia Otolaryngology | 2406 Lighthouse Manor Dr, Gainesville, GA 30501-7401 |
| Christopher P Moor | Qualified Audiologist | Northeast Georgia Otolaryngology | 2406 Lighthouse Manor Dr, Gainesville, GA 30501-7401 |
| Street Address |
2406 LIGHTHOUSE MANOR DR |
| City | GAINESVILLE |
| State | GA |
| Zip | 30501-7401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Harris Callahan | Otolaryngology | Northeast Georgia Otolaryngology | 2406 Lighthouse Manor Dr, Gainesville, GA 30501-7401 |
| Brennan P Wood | Otolaryngology | Northeast Georgia Otolaryngology | 2406 Lighthouse Manor Dr, Gainesville, GA 30501-7401 |
| Amy Reeder Britt | Qualified Audiologist | Northeast Georgia Otolaryngology | 2406 Lighthouse Manor Dr, Gainesville, GA 30501-7401 |
| Robert Michael Baskin | Otolaryngology | Northeast Georgia Otolaryngology | 2406 Lighthouse Manor Dr, Gainesville, GA 30501-7401 |
| Mary Elizabeth Byrd | Qualified Audiologist | Northeast Georgia Otolaryngology | 2406 Lighthouse Manor Dr, Gainesville, GA 30501-7401 |
| Paul H Garlich | Otolaryngology | Northeast Georgia Otolaryngology | 2406 Lighthouse Manor Dr, Gainesville, GA 30501-7401 |
| Courtney Vaughan | Physician Assistant | Northeast Georgia Otolaryngology | 2406 Lighthouse Manor Dr, Gainesville, GA 30501-7401 |
| Jeanne E Barno | Qualified Audiologist | Northeast Georgia Otolaryngology | 2406 Lighthouse Manor Dr, Gainesville, GA 30501-7401 |
| Scott M Stewart | Otolaryngology | Northeast Georgia Otolaryngology | 2406 Lighthouse Manor Dr, Gainesville, GA 30501-7401 |
| Christopher P Moor | Qualified Audiologist | Northeast Georgia Otolaryngology | 2406 Lighthouse Manor Dr, Gainesville, GA 30501-7401 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leroy W Robinson Iii | Optometry | Lanier Eye Associates, LLC | 625 S Enota Nedr, Gainesville, GA 30501 |
| William C Ackerman | Ophthalmology | Lanier Eye Associates, LLC | 625 S Enota Nedr, Gainesville, GA 30501 |
| Julius Nathaniel Skeete | Optometry | 150 Pearl Nix Pkwy, D3a, Gainesville, GA 30501-0001 | |
| William T Crews | Chiropractic | 1864 Thompson Bridge Rd, Gainesville, GA 30501-1119 | |
| Julia H Strong | Clinical Social Worker | 1709 B Cleveland Hwy, Gainesville, GA 30501-1353 | |
| Kathryn W. Dudas | Family Medicine | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Yesenia Delosangeles | Clinical Social Worker | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Christy M Wagner | Family Medicine | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Catherine E Norton | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Jennifer A Roark | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Find all physicians in zip 30501 | |||
| City | GAINESVILLE |
| Zip Code | 30501 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | GAINESVILLE + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Allen P Butler.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.