Individual provider Active NPI

Ron Buttress

  • Hearing Instrument Specialist
  • Muskogee, OK
National Provider Identifier
1487243598
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
933 Issued in OK
Practice address
1006 N York St
Muskogee, OK 74403-3135
Phone
(918) 694-5270
Fax
(918) 682-9606
NPI assigned
Jan 13, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 933 OK Primary

Addresses

Primary practice location

1006 N York St
Muskogee, OK 74403-3135

Mailing address

1006 N York St
Muskogee, OK 74403-3135
Phone (918) 912-2026

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
933OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Hearing AIDS LLC Hearing Instrument Specialist CurrentSince Sep 28, 2021 Accepting new patients

Locations

1006 N York St
Muskogee, OK 74403
Phone (918) 694-5270

Organizations & group practices 1

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": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1487243598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 N YORK ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744033135",
            "telephone_number": "918-912-2026",
            "fax_number": "918-912-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 N YORK ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744033135",
            "telephone_number": "918-694-5270",
            "fax_number": "918-682-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTRESS",
        "first_name": "RON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OK",
            "license": "933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.

Verify at the official NPI Registry.