Dr. Ivan Lewis Butler , MD
General Practice • York, PA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ivan Butler has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Ivan Butler, MD was a registered General Practice practicing in York, PA. Throughout an active medical career spanning 7 years, Dr. Butler provided care at the practice location at 204 ST. CHARLES WAY until profile deactivation on 2019-09-16.
Practice Location & Contact Primary Location
204 St. Charles Way
Unit 364e
York, PA 17402
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in York, PA
Practicing in York, PA (434 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Practice Associates & Co-Workers
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Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
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Record deactivated on September 16, 2019
NPI status registered as active in NPPES database
Registered at 204 ST. CHARLES WAY, UNIT 364E, YORK, PA 17402 (Tel: 7178454208)
Registered at 204 ST. CHARLES WAY, UNIT 364E, YORK, PA 17402 (Tel: 7178454208)
Recorded as IVAN BUTLER, M.D.
General Practice (License #MD028571L in PA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
204 St. Charles Way, Unit 364e
York, PA 17402
Phone: 7178454208
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