Individual provider Active NPI

Robert Donovan Butter, D.O.

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • San Marcos, TX
National Provider Identifier
1265490809
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
H2278 Issued in TX
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

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040804001577 TX Practitioner - Emergency Medicine 2961473681 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Unity Undersea and Hyperbaric Medicine CurrentSince Nov 21, 2012 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.