| Butler Physician Services, Llc | |
|
3100 Oak Grove Rd Poplar Bluff MO 63901-1573 | |
| (573) 776-2000 | |
| Not Available |
| Full Name | Butler Physician Services, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3100 Oak Grove Rd, Poplar Bluff, Missouri |
| Authorized Official Name and Position | Lisha C Falk (VICE PRESIDENT) |
| Authorized Official Contact | 3376091221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Butler Physician Services, Llc 200 Corporate Blvd Lafayette LA 70508-3870 Ph: (800) 893-9698 | Butler Physician Services, Llc 3100 Oak Grove Rd Poplar Bluff MO 63901-1573 Ph: (573) 776-2000 |
| NPI Number | 1982056545 |
|---|---|
| Provider Enumeration Date | 07/07/2016 |
| Last Update Date | 05/01/2026 |
| Medicare PECOS PAC ID | 6608164561 |
|---|---|
| Medicare Enrollment ID | O20161007001160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982056545 | NPI | - | NPPES |
| MA6339 | Other | MO | MEDICARE OMISSOURI |
| 1982056545 | Medicaid | MO |
| Provider Name | Richard A Bertelsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427153766 PECOS PAC ID: 8527026855 Enrollment ID: I20050103000569 |
| Provider Name | Florence F Doman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699702035 PECOS PAC ID: 6800844473 Enrollment ID: I20050111000013 |
| Provider Name | Tirso J Aldana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356305684 PECOS PAC ID: 9931136215 Enrollment ID: I20050719000247 |
| Provider Name | Imran Q Cheema |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316992340 PECOS PAC ID: 8022037837 Enrollment ID: I20051121000988 |
| Provider Name | David K Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720029911 PECOS PAC ID: 3173412038 Enrollment ID: I20071026000113 |
| Provider Name | Sharon L Slayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669669537 PECOS PAC ID: 0840387239 Enrollment ID: I20071101000263 |
| Provider Name | Kenneth D Stone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578559027 PECOS PAC ID: 4183664915 Enrollment ID: I20081014000546 |
| Provider Name | Altamash Qureshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710911235 PECOS PAC ID: 8628086543 Enrollment ID: I20090304000739 |
| Provider Name | Timothy Hipskind |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265439640 PECOS PAC ID: 8022059591 Enrollment ID: I20090805000420 |
| Provider Name | Bijan Bastaninejad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972589968 PECOS PAC ID: 2961423264 Enrollment ID: I20100519000419 |
| Provider Name | Raghuveer R. Kura |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1285849927 PECOS PAC ID: 7315087269 Enrollment ID: I20100902001021 |
| Provider Name | Candice L Copeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548562531 PECOS PAC ID: 1850388299 Enrollment ID: I20101209001408 |
| Provider Name | Saumitra Biswas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699861740 PECOS PAC ID: 7810999133 Enrollment ID: I20110621000610 |
| Provider Name | Himanshu Mittal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366682239 PECOS PAC ID: 9739359852 Enrollment ID: I20110829000555 |
| Provider Name | Rachel J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558605873 PECOS PAC ID: 5890948061 Enrollment ID: I20130122000227 |
| Provider Name | Anil K Nadipelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114232865 PECOS PAC ID: 6002040078 Enrollment ID: I20131004000474 |
| Provider Name | Rami Alassaad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235449265 PECOS PAC ID: 5799903167 Enrollment ID: I20140826002419 |
| Provider Name | Kaci M Oneill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396133260 PECOS PAC ID: 0345567822 Enrollment ID: I20150320001321 |
| Provider Name | Ramesh B Guthikonda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508197997 PECOS PAC ID: 1951593821 Enrollment ID: I20150715000707 |
| Provider Name | Yochita Gullapalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235493842 PECOS PAC ID: 3173757028 Enrollment ID: I20150805007040 |
| Provider Name | Steven J Mezo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598854481 PECOS PAC ID: 1951444983 Enrollment ID: I20150826000683 |
| Provider Name | Omolola Ajoke Omotoso |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154514529 PECOS PAC ID: 4183781420 Enrollment ID: I20160314000288 |
| Provider Name | Nitin Sainani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952745093 PECOS PAC ID: 8123327921 Enrollment ID: I20160803001307 |
| Provider Name | Mario Alejandro Tapia Gomez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851563787 PECOS PAC ID: 2668542374 Enrollment ID: I20160926000060 |
| Provider Name | Adetoun Faniyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902244221 PECOS PAC ID: 7618261736 Enrollment ID: I20161011003134 |
| Provider Name | Kapil Vyas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447690987 PECOS PAC ID: 2961645205 Enrollment ID: I20161017000075 |
| Provider Name | Cynthia M Troiano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366450520 PECOS PAC ID: 9032179395 Enrollment ID: I20161019002476 |
| Provider Name | Shweta Garg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346537461 PECOS PAC ID: 1759503816 Enrollment ID: I20161104000831 |
| Provider Name | Ao Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841566403 PECOS PAC ID: 2062700263 Enrollment ID: I20161123000132 |
| Provider Name | Moses A Aderanti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932457371 PECOS PAC ID: 1850606203 Enrollment ID: I20161123000483 |
| Provider Name | Mohammad Ajmal Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487653838 PECOS PAC ID: 0345202552 Enrollment ID: I20161201000060 |
| Provider Name | Sergio M Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326276486 PECOS PAC ID: 4082867502 Enrollment ID: I20161213001638 |
| Provider Name | Vanessa A Cabaron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861456790 PECOS PAC ID: 0345135646 Enrollment ID: I20161222000036 |
| Provider Name | Natasha Telesford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639593395 PECOS PAC ID: 1355562927 Enrollment ID: I20170106001497 |
| Provider Name | Michael Ednie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023321072 PECOS PAC ID: 6002042660 Enrollment ID: I20170110000443 |
| Provider Name | Niranjan Gunasekaran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598108185 PECOS PAC ID: 5092008904 Enrollment ID: I20170126001208 |
| Provider Name | Emil Trevis Fernando |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982968129 PECOS PAC ID: 2567787237 Enrollment ID: I20170130000111 |
| Provider Name | Adetunji Adaraloye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457589350 PECOS PAC ID: 9537338934 Enrollment ID: I20170207000195 |
| Provider Name | Hang T Vu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730140476 PECOS PAC ID: 7810921137 Enrollment ID: I20170207000590 |
| Provider Name | Rajiv A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063434314 PECOS PAC ID: 9931154978 Enrollment ID: I20170216002764 |
| Provider Name | Jimmy Pyakurel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720240112 PECOS PAC ID: 4587832290 Enrollment ID: I20170217000461 |
| Provider Name | Ghanem S Abusbeih |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528026705 PECOS PAC ID: 5991750150 Enrollment ID: I20170816004156 |
| Provider Name | Miranda Krishna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700314010 PECOS PAC ID: 1254604176 Enrollment ID: I20170829000413 |
| Provider Name | Kimberly Buxton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790223709 PECOS PAC ID: 9638442650 Enrollment ID: I20170913000868 |
| Provider Name | Mudanai Panneerselvam Sabapathy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063498327 PECOS PAC ID: 0648200683 Enrollment ID: I20170927004086 |
| Provider Name | Tatyana Pankratova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013216324 PECOS PAC ID: 9931341864 Enrollment ID: I20171226001539 |
| Provider Name | Guirlaine Blot-sanon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588818504 PECOS PAC ID: 0446417018 Enrollment ID: I20180103001293 |
| Provider Name | Mohamed S Abdalaziz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538578075 PECOS PAC ID: 5597044792 Enrollment ID: I20180412000985 |
| Provider Name | Josh D Gast |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437404761 PECOS PAC ID: 9234454257 Enrollment ID: I20180524000264 |
| Provider Name | Omar Mijael Villarroel Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457325334 PECOS PAC ID: 7719204403 Enrollment ID: I20180630000154 |
| Provider Name | Anantha Devineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649655408 PECOS PAC ID: 8921395013 Enrollment ID: I20180719004072 |
| Provider Name | Silvia Pagoada Vallecillo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144624982 PECOS PAC ID: 6800143504 Enrollment ID: I20180726002491 |
| Provider Name | Muhammad Shabbir Ijaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306298377 PECOS PAC ID: 5092064501 Enrollment ID: I20180816001595 |
| Provider Name | Brenda Ann Mcgehee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275041311 PECOS PAC ID: 3274887922 Enrollment ID: I20181115000180 |
| Provider Name | Matthew Pulley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134606858 PECOS PAC ID: 9133478597 Enrollment ID: I20181121000172 |
| Provider Name | Abhishek Bhandiwad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588118020 PECOS PAC ID: 7012243165 Enrollment ID: I20190726000652 |
| Provider Name | Prachi Pophali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689110611 PECOS PAC ID: 7214266030 Enrollment ID: I20190904001371 |
| Provider Name | Sajjad Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851742092 PECOS PAC ID: 2961798236 Enrollment ID: I20191021000375 |
| Provider Name | Daniel Lapp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568844421 PECOS PAC ID: 9234449075 Enrollment ID: I20200827000538 |
| Provider Name | Amit Sharma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255738597 PECOS PAC ID: 3678869831 Enrollment ID: I20200827003529 |
| Provider Name | Derrick Clunis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407832579 PECOS PAC ID: 8527058015 Enrollment ID: I20210712003291 |
| Provider Name | Trevor Cabrera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780116392 PECOS PAC ID: 0840609038 Enrollment ID: I20210803001726 |
| Provider Name | Anne Burton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366405060 PECOS PAC ID: 5991708067 Enrollment ID: I20220328001312 |
| Provider Name | Sneha Kola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538711692 PECOS PAC ID: 9739561150 Enrollment ID: I20220802002090 |
| Provider Name | Moaz Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508429119 PECOS PAC ID: 0042548133 Enrollment ID: I20220811001647 |
| Provider Name | Syed Mk Anees |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780147223 PECOS PAC ID: 7517292295 Enrollment ID: I20220907001304 |
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