NPIMap

Individual provider Active NPI

John Michael Butler II, MD

  • Emergency Medicine Physician
  • Winston Salem, NC
National Provider Identifier
1104280585
Registry record updated Sep 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2017-01925 Issued in NC
Practice address
Gme Wake Forest Baptist Medical Ctr
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone
(336) 716-5222
NPI assigned
Apr 11, 2016
Last updated
Sep 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X 2017-01925 NC Primary

Addresses

Primary practice location

Gme Wake Forest Baptist Medical Ctr
Medical Center Blvd
Winston Salem, NC 27157-0001

Mailing address

Gme Wake Forest Baptist Medical Ctr
Medical Center Blvd
Winston Salem, NC 27157-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180628001714 NC Practitioner - Emergency Medicine 0143515148 Reassigns benefits to 4 organizations
I20190730002050 VA Practitioner - Emergency Medicine 0143515148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

250 Hospital Dr
Lexington, NC 27292-6792
Phone (336) 716-2734

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2017-01925NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Jul 1, 2018 Accepting new patients
Lifebrite Hospital Group of Stokes, LLC Current Accepting new patients
Lifebrite Hospital Group of Stokes, LLC CurrentSince Apr 18, 2018 Accepting new patients
Wake Forest Emergency Providers CurrentSince Jul 1, 2019 Accepting new patients
Lifebrite Hospital Group of Stokes, LLC Current Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jun 1, 2019 Accepting new patients
Lifebrite Hospital Group of Stokes, LLC CurrentSince Apr 18, 2018 Accepting new patients

Locations

329 NC Highway 801 N
Bermuda Run, NC 27006
Phone (336) 716-8200

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

1570 NC 8 and 89 Hwy N
Danbury, NC 27016
Phone (336) 593-2831

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

250 Hospital Dr
Lexington, NC 27292
Phone (336) 238-4150

618 S Main St
Reidsville, NC 27320
Phone (336) 832-7965

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200

Interoperability endpoints

  • Direct secure messaging: jbutler2754555@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505865600000",
    "number": "1104280585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GME WAKE FOREST BAPTIST MEDICAL CTR",
            "address_2": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GME WAKE FOREST BAPTIST MEDICAL CTR",
            "address_2": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-11",
        "last_updated": "2017-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2017-01925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.