Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 3684 | IA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 3684 | IA |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 3684 | IA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 3684 | IA |
N | 207XX0801X | Orthopaedic Trauma Surgeon | 3684 | IA |
NPI | 1699746693 |
---|---|
Provider Name | Frank Butera |
First Address | Newton, IA 50208-3135 |
Second Address | Newton, IA 50208-3135 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2006 |
Last Update Date | 12/12/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H55149 | (02) | |
P00310802 | RAILROAD MEDICARE (01) | IA |