Active NPI
William L Buente, MD
- Diagnostic Radiology Physician
- Portsmouth, OH
National Provider Identifier
1386644177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 35039715
- Practice address
- 1805 27TH St
Portsmouth, OH 45662-2640 - Phone
- (740) 356-5000
- Fax
- (740) 353-7900
- NPI assigned
- Jul 22, 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 35039715 | OH | Primary |
Addresses
Primary practice location
1805 27TH St
Portsmouth, OH 45662-2640
Mailing address
1735 27TH St
Waller Building, Suite B06
Portsmouth, OH 45662-2677
Phone (740) 356-8008
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000198327 | Other | OH | BC/BS INDIVIDUAL PIN NO |
| P00176287 | Other | OH | SOM RR MDCR PIN NUMBER |
| 0489850 | Medicaid | OH | |
| 64780935 | Medicaid | KY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35039715 | OH | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374019200000",
"number": "1386644177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 27TH ST",
"address_2": "WALLER BUILDING, SUITE B06",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456622677",
"telephone_number": "740-356-8008",
"fax_number": "740-353-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 27TH ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456622640",
"telephone_number": "740-356-5000",
"fax_number": "740-353-7900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUENTE",
"first_name": "WILLIAM",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2013-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "35039715",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS INDIVIDUAL PIN NO",
"identifier": "000000198327",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOM RR MDCR PIN NUMBER",
"identifier": "P00176287",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0489850",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64780935",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.