Basic Information
| Provider Information | |||||||||
| NPI: | 1477589026 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BUTZ | ||||||||
| FirstName: | TODD | ||||||||
| MiddleName: | MICHAEL | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3421 CONCORD RD | ||||||||
| Address2: | |||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174029001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178511405 | ||||||||
| FaxNumber: | 7178512479 | ||||||||
| Practice Location | |||||||||
| Address1: | 1001 S GEORGE ST | ||||||||
| Address2: | 2ND FLOOR | ||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174033676 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178512672 | ||||||||
| FaxNumber: | 7178512479 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/24/2006 | ||||||||
| LastUpdateDate: | 05/16/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | MD047531L | PA | N | Allopathic & Osteopathic Physicians | Hospitalist | 207R00000X | MD047531L | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 133959 | 01 | PA | UNISON-WMG CFA | OTHER | 768301 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 83857 | 01 | PA | GEISINGER | OTHER | 001462340 | 05 | PA | MEDICAID | 20097793 | 01 | PA | AMERIHEALTH MERCY-WMG YFM | OTHER | 50083032 | 01 | PA | CAPITAL BC-WMG YFM | OTHER | 264029 | 01 | PA | UNISON-WMG YFM | OTHER | 50083031 | 01 | PA | CAPITAL BC-WMG HFM | OTHER | 264027 | 01 | PA | UNISON-WMG HFM | OTHER | 30084 | 01 | PA | JOHNS HOPKINS | OTHER | 20097790 | 01 | PA | AMERIHEALTH MERCY-WMG HFM | OTHER | 50018399 | 01 | PA | CAPITAL BC-WMG CFA | OTHER | 5133065 | 01 | PA | AETNA | OTHER | 1523089 | 01 | PA | GATEWAY-WMG | OTHER | 20015132 | 01 | PA | AMERIHEALTH MERCY-WMG CFA | OTHER | 3102760 | 01 | PA | MAMSI-WMG CFA | OTHER |