OrganizationActive
Butlak Anesthesia Solutions, PA
NPI 1013207679 · Certified Registered Nurse Anesthetist · Statesville, NC
Provider details
- NPI number
- 1013207679
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- David Butlak, President(952) 442-9770
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1720 Davie Ave
Statesville, NC 28677
Phone: (888) 209-0305
Fax: (952) 442-3620
Street-level locationGet directions
Mailing address
400 E 10th St
Waconia, MN 55387-4552
Additional practice locations (1)
- 218 Old Mocksville RdStatesville, NC 28625-1930Phone: (704) 873-0281Fax: (952) 442-3620
Registry dates
- Enumerated
- 2011-04-15
- Last updated
- 2019-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.