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

Mr. David Jonathan Butlak, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1881656189

Mr. David Jonathan Butlak, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Statesville, North Carolina. Qualified in 2000, 26 years ago. Practices with Chs Anesthesia Services Group Inc, a 737-clinician group and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
26
Licensed in
NC, SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

218 Old Mocksville Rd
Statesville, NC 28625-1930
Phone: (704) 838-7570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 160852 (NC)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 2690 (SC)

Record details

NPI number1881656189
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 4, 2006
Last updated in NPPESFebruary 28, 2011

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Chs Anesthesia Services Group Inc — 737 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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