WINFIELD E BUTLIN DPM NPI 1770504631

NPI Information

NPI: 1770504631
Provider Name: WINFIELD E BUTLIN, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual
Address:
2193 NORTHLAKE PKWY
STE 114
TUCKER, GA
ZIP 30084
Phone: (770) 938-5974
Get Directions

Winfield E Butlin, DPM is a podiatrist in Tucker, GA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Winfield E Butlin, DPM NPI is 1770504631. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2193 NORTHLAKE PKWY
STE 114
TUCKER, GA
ZIP 30084-116
Phone: (770) 938-5974
Fax: (770) 939-7393

The enumeration date for this NPI number is 7/23/2006 and was last updated on 8/28/2017.

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	213E00000X	Podiatrist		322	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	121113	OTHER	GEORGIA	BLUE CROSS BLUE SHIELD
2	48SCCWH	MEDICARE PIN	GEORGIA
3	00006311B	MEDICAID	GEORGIA
4	517896	OTHER		AETNA
5	1103400020	MEDICARE NSC	GEORGIA
6	316899	OTHER	GEORGIA	UNITED HEALTHCARE
7	T97520	MEDICARE UPIN	GEORGIA
8	P00370542	MEDICARE PIN	GEORGIA
9	480021837	OTHER		MCR RAILROAD

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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