Active NPI
Gordon Marion Butler III, M.D.
- Diagnostic Radiology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- N0670
- Practice address
- 5323 Harry Hines Blvd
Dallas, TX 75390-7201 - Phone
- (214) 590-8058
- NPI assigned
- Jul 17, 2007
- Last updated
- May 25, 2012
- 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 | N0670 | TX | Primary |
Addresses
Primary practice location
5323 Harry Hines Blvd
Dallas, TX 75390-7201
Mailing address
PO Box 845347
Dallas, TX 75284-5347
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
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Northwestern University Feinberg Medical School, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1625 Medical Ctr Dr
El Paso, TX 79902-5005
Phone (281) 870-4592
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N0670 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
Locations
1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1487811766
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Las Palmas del Sol Healthcare
- General Acute Care Hospital
- El Paso, TX
- NPI 1770536120
-
dba Midland Memorial Hospital
- General Acute Care Hospital
- Midland, TX
- NPI 1255325817
-
dba The Hospitals of Providence Sierra Campus
- General Acute Care Hospital
- El Paso, TX
- NPI 1215969787
-
dba The Hospitals of Providence Transmountain Campus
- General Acute Care Hospital
- El Paso, TX
- NPI 1538522412
-
dba The Hospitals of Providence Memorial Campus
- General Acute Care Hospital
- El Paso, TX
- NPI 1700801909
-
dba The Hospitals of Providence Sierra Campus
- Rehabilitation Hospital Unit
- El Paso, TX
- NPI 1780927277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337904000000",
"number": "1477752681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 845347",
"city": "DALLAS",
"state": "TX",
"postal_code": "752845347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5323 HARRY HINES BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "753907201",
"telephone_number": "214-590-8058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "GORDON",
"middle_name": "MARION",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-17",
"last_updated": "2012-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "N0670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.