Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marvin Ray Butler, PA-C

Individual provider Physician Assistant · NPI 1992741755

Marvin Ray Butler, PA-C is a Physician Assistant in Rogersville, Missouri. Qualified in 1979, 47 years ago. Practices with Hazel Hawkins Memorial Hospital, a 53-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
47
Licensed in
CA
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

542 Thunderbird Dr
Rogersville, MO 65742-9704
Phone: (813) 928-9743
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 53193 (CA)

Record details

NPI number1992741755
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 21, 2006
Last updated in NPPESDecember 12, 2024
Certification dateDecember 6, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Group practice Hazel Hawkins Memorial Hospital — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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