Active NPI
Walter R. Buhl, MD
- Family Medicine Physician
- Milwaukie, OR
National Provider Identifier
1174506604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD08309
- Practice address
- 3033 SE Monroe St
Milwaukie, OR 97222-6636 - Phone
- (503) 659-4988
- Fax
- (503) 659-4730
- NPI assigned
- Nov 29, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD08309 | OR | Primary |
Addresses
Primary practice location
3033 SE Monroe St
Milwaukie, OR 97222-6636
Mailing address
PO Box 22075
Milwaukie, OR 97269-2075
Phone (503) 659-4777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014076 | Medicaid | OR | |
| 080063859 | Other | OR | RR MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | 800657@lake.cernerdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- 800657@lake.cernerdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1174506604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22075",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972692075",
"telephone_number": "503-659-4777",
"fax_number": "503-652-5223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3033 SE MONROE ST",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972226636",
"telephone_number": "503-659-4988",
"fax_number": "503-659-4730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUHL",
"first_name": "WALTER",
"middle_name": "R.",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-29",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD08309",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014076",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "080063859",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "800657@lake.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "Lake District Hospital Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "700 S J St",
"city": "Lakeview",
"state": "OR",
"country_code": "US",
"postal_code": "976301623",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Milwaukie, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.