Provider Demographics
NPI:1548279136
Name:BUTLER EMERGENCY PHYSICIANS ASSOCIATES
Entity type:Organization
Organization Name:BUTLER EMERGENCY PHYSICIANS ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:F
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-284-4550
Mailing Address - Street 1:5930 HAMILTON BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WESCOSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18106-9654
Mailing Address - Country:US
Mailing Address - Phone:724-284-4550
Mailing Address - Fax:724-281-4032
Practice Address - Street 1:911 E BRADY ST
Practice Address - Street 2:BUTLER MEMORIAL HOSPITAL EMERGENCY MEDICINE
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-4646
Practice Address - Country:US
Practice Address - Phone:724-284-4550
Practice Address - Fax:724-281-4032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012360090006Medicaid
PA0000635855OtherHIGHMARK BLUE SHIELD
PA635855Medicare ID - Type Unspecified