Active NPI
Robert Donovan Butter, D.O.
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- San Marcos, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- License
- H2278
- Practice address
- 1301 Wonder World Dr
San Marcos, TX 78666-7533 - Phone
- (512) 353-8979
- NPI assigned
- May 3, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | H2278 | TX | |
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | H2278 | TX | Primary |
Addresses
Primary practice location
1301 Wonder World Dr
San Marcos, TX 78666-7533
Mailing address
5224 75TH St Ste D
Lubbock, TX 79424-2525
Phone (806) 712-1096
Other practice location 1
11212 State Highway 151
Plaza 2 Suite 300
San Antonio, TX 78251-4498
Phone (210) 703-8454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Unity | Undersea and Hyperbaric Medicine | Current | Accepting new patients |
| Atascosa Emergency Medicine Associates PA | Emergency Medicine | Past | Accepting new patients |
| San Antonio Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Locations
7008 Indiana Ave
Ste A
Lubbock, TX 79413
Phone (806) 698-8088
5009 University Ave
Ste C
Lubbock, TX 79413
Phone (214) 945-4043
5224 75th St
Ste D
Lubbock, TX 79424
Phone (806) 791-0042
2833 Babcock Rd
Ste 105
San Antonio, TX 78229
Phone (210) 269-2060
11212 State Highway 151
Ste 300
San Antonio, TX 78251
Phone (210) 703-8200
1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979
1215 E Court St
Seguin, TX 78155
Phone (830) 379-2411
Interoperability endpoints
- rbutter286768@christushealth.direct-ci.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Lubbock, TX
- NPI 1679878268
Undersea and Hyperbaric Medicine
-
- Emergency Medicine Physician
- Jourdanton, TX
- NPI 1891017844
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1538371448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1265490809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5224 75TH ST STE D",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794242525",
"telephone_number": "806-712-1096",
"fax_number": "806-771-2093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 WONDER WORLD DR",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786667533",
"telephone_number": "512-353-8979"
}
],
"practiceLocations": [
{
"address_1": "11212 State Highway 151",
"address_2": "Plaza 2 Suite 300",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782514498",
"country_code": "US",
"telephone_number": "210-703-8454",
"fax_number": "210-703-8461",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUTTER",
"first_name": "ROBERT",
"middle_name": "DONOVAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "H2278",
"primary": false
},
{
"code": "2083P0011X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "TX",
"license": "H2278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Marcos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.