EMILY KATHRYN BUTTKUS PAC NPI 1417646464

NPI Information

NPI: 1417646464
Provider Name: EMILY KATHRYN BUTTKUS, PAC
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
100 PHYSICIANS WAY STE 110
LEBANON, TN
ZIP 37090
Phone: (615) 547-6700
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Emily Kathryn Buttkus, PAC is a surgical physician assistant in Lebanon, TN with 2 years of experience. Emily Kathryn Buttkus, PAC NPI is 1417646464. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 PHYSICIANS WAY STE 110
LEBANON, TN
ZIP 37090-107
Phone: (615) 547-6700

The NPI 1417646464 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/4/2023 and was last updated on 9/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		PA0000005515	TENNESSEE	No
2	363AS0400X	Physician Assistant	Surgical	PA5515	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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