Gary Tyler Butts (NPI# 1265896526, PAC ID# 9638466873) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1265896526 |
| PAC ID by PECOS | 9638466873 |
| Professional Enrollment ID | I20190826003962 |
| Full Name | Gary Tyler Butts |
| Organization Legal Name | IMC-DIAGNOSTIC AND MEDICAL CLINIC PC |
| Address |
1700 Springhill Ave Suite 100 Mobile AL 36604-1416 |
| Phone Number | 2514351200 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2860399623 |
| Number of Group Practice Members | 104 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010113 | MOBILE INFIRMARY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1700 Springhill Ave, Suite 100, Mobile, AL 36604-1416 | 2514351200 | IMC-DIAGNOSTIC AND MEDICAL CLINIC PC |
| Organization Legal Name | IMC-DIAGNOSTIC AND MEDICAL CLINIC PC |
| Physicians | 107 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose Nahun Galeas Soriano | Hematology/oncology | Imc-diagnostic and Medical Clinic PC | 188 Hospital Dr, Suite 303, Fairhope, AL 36532-2018 |
| Harrison B Pearl | Neurology | Imc-diagnostic and Medical Clinic PC | 1720 Spring Hill Ave, Suite 300, Mobile, AL 36604-1410 |
| Zaid Alnoah | Gastroenterology | Imc-diagnostic and Medical Clinic PC | 1700 Springhill Ave, Suite 100, Mobile, AL 36604-1416 |
| Deanna L Thomas | Nurse Practitioner | Imc-diagnostic and Medical Clinic PC | 831 C Hillcrest Rd, Mobile, AL 36695-3909 |
| Kevin K Varden | Internal Medicine | Imc-diagnostic and Medical Clinic PC | 7101 Hwy 90, Suite 104, Daphne, AL 36526-9517 |
| Damian J Collins | Internal Medicine | Imc-diagnostic and Medical Clinic PC | 95 Shell Rd, Saraland, AL 36571-2202 |
| Maher J Sahawneh | Pulmonary Disease | Imc-diagnostic and Medical Clinic PC | 297 S Jackson St B, Grove Hill, AL 36451-3231 |
| Roger M Alvarado | Internal Medicine | Imc-diagnostic and Medical Clinic PC | 2000 Mcmillan Ave, Bay Minette, AL 36507-4134 |
| Stephen T Simpson Jr. | Emergency Medicine | Imc-diagnostic and Medical Clinic PC | 95 Shell Rd, Saraland, AL 36571-2202 |
| Scott Q Carver | Family Medicine | Imc-diagnostic and Medical Clinic PC | 95 Shell Rd, Saraland, AL 36571-2202 |
| Street Address |
1700 SPRINGHILL AVE SUITE 100 |
| City | MOBILE |
| State | AL |
| Zip | 36604-1416 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zaid Alnoah | Gastroenterology | Imc-diagnostic and Medical Clinic PC | 1700 Springhill Ave, Suite 100, Mobile, AL 36604-1416 |
| Lawanda S Fantroy | Nurse Practitioner | Imc-diagnostic and Medical Clinic PC | 1700 Springhill Ave, Suite 100, Mobile, AL 36604-1416 |
| Sudeep Rao | Internal Medicine | Imc-diagnostic and Medical Clinic PC | 1700 Springhill Ave, Suite 100, Mobile, AL 36604-1416 |
| Tracey M Jones | Nurse Practitioner | Imc-diagnostic and Medical Clinic PC | 1700 Springhill Ave, Suite 100, Mobile, AL 36604-1416 |
| Daniela Weatherly | Family Medicine | Imc-diagnostic and Medical Clinic PC | 1700 Springhill Ave, Suite 100, Mobile, AL 36604-1416 |
| Crystal L Dorriety | Nurse Practitioner | Imc-diagnostic and Medical Clinic PC | 1700 Springhill Ave, Suite 100, Mobile, AL 36604-1416 |
| Marcia Littles | Internal Medicine | Imc-diagnostic and Medical Clinic PC | 1700 Springhill Ave, Suite 100, Mobile, AL 36604-1416 |
| Shannon K Harris | Nurse Practitioner | Imc-diagnostic and Medical Clinic PC | 1700 Springhill Ave, Suite 100, Mobile, AL 36604-1416 |
| William C Hicks Iii | Internal Medicine | Imc-diagnostic and Medical Clinic PC | 1700 Springhill Ave, Suite 100, Mobile, AL 36604-1416 |
| Chibuzo Clement Odigwe | Pulmonary Disease | Imc-diagnostic and Medical Clinic PC | 1700 Springhill Ave, Suite 100, Mobile, AL 36604-1416 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy Bartel | Nurse Practitioner | University of South Alabama | 1601 Ctr St, Suite 2s, Mobile, AL 36604 |
| Regena Simpson | Nurse Practitioner | University of South Alabama | 1601 Ctr St, Suite 1s, Mobile, AL 36604 |
| Eva M Alnajjar | Obstetrics/gynecology | University of South Alabama | 1601 Ctr St, Suite 3 S, Mobile, AL 36604 |
| Devin W Hudson | Nurse Practitioner | University of South Alabama | 1601 Ctr St, Suite 3n, Mobile, AL 36604 |
| Bassam Husam Rimawi | Obstetrics/gynecology | University of South Alabama | 1601 Ctr St, Suite 3 S, Mobile, AL 36604 |
| Charles R Hanes Ii | Obstetrics/gynecology | University of South Alabama | 1601 Ctr St, Suite 3 S, Mobile, AL 36604 |
| Melanie J Giambrone | Nurse Practitioner | University of South Alabama | 1601 Ctr St, Suite 2s, Mobile, AL 36604 |
| Sterling Wayne Mccolgin | Obstetrics/gynecology | University of South Alabama | 1601 Ctr St, Suite 3 S, Mobile, AL 36604 |
| William Kilgo | Neurology | University of South Alabama | 1601 Ctr St, Suite 2s, Mobile, AL 36604 |
| Amelia R Hewes | Obstetrics/gynecology | University of South Alabama | 1601 Ctr St, Suite 3 S, Mobile, AL 36604 |
| Find all physicians in zip 36604 | |||
| City | MOBILE |
| Zip Code | 36604 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MOBILE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Gary Tyler Butts.
| 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.