Individual provider Active NPI

William B Buselmeier, MD

  • Family Medicine Physician
  • Johnson City, TN
National Provider Identifier
1548608375
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD54566 Issued in TN
Practice address
101 Med Tech Pkwy Ste 100
Johnson City, TN 37604-4006
Phone
(423) 794-1800
Fax
(423) 794-1801
NPI assigned
Jun 14, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD54566 TN Primary

Addresses

Primary practice location

101 Med Tech Pkwy Ste 100
Johnson City, TN 37604-4006

Mailing address

PO Box 632476
Cincinnati, OH 45263-2476
Phone (423) 794-1800

Other identifiers 1

IdentifierTypeStateIssuer
3714470OtherTNGROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20160912001236 TN Practitioner - Family Practice 6800012188 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
East Tennessee State University Quillen College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of Franklin Healthcare Associates, PLLCGroup PAC ID 2466346291, 258 clinicians

Practice addresses (Care Compare)

101 Med Tech Pkwy
Suite 100
Johnson City, TN 37604-4006
Phone (423) 794-1800

313 Princeton Rd
Suite 3
Johnson City, TN 37601-2000
Phone (423) 282-5435

444 Clinchfield St
Kingsport, TN 37660-3858

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions11
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD54566TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Franklin Healthcare Associates PLLC Family Medicine CurrentSince Jul 12, 2021 Accepting new patients
Medical Education Assistance Corporation Family Medicine CurrentSince Aug 15, 2016 Accepting new patients
State of Franklin Healthcare Associates PLLC CurrentSince May 16, 2021 Accepting new patients
Medical Education Assistance Corporation Family Medicine Past Accepting new patients

Locations

222 E Main St
Johnson City, TN 37604
Phone (423) 433-6200

301 Med Tech Pkwy
Ste 120
Johnson City, TN 37604
Phone (423) 794-5590

215 E Springbrook Dr
Johnson City, TN 37601
Phone (423) 530-7900

101 Med Tech Pkwy
Ste 100
Johnson City, TN 37604
Phone (423) 431-7626

313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819

1242 W Shipley Ferry Rd
Kingsport, TN 37663
Phone (423) 239-7300

444 Clinchfield St
Ste 201
Kingsport, TN 37660
Phone (423) 230-2100

102 E Ravine Rd
Kingsport, TN 37660
Phone (423) 245-9600

Interoperability endpoints

  • Direct secure messaging: williambuselmeier@sofha.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1548608375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632476",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632476",
            "telephone_number": "423-794-1800",
            "fax_number": "423-794-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MED TECH PKWY STE 100",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044006",
            "telephone_number": "423-794-1800",
            "fax_number": "423-794-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSELMEIER",
        "first_name": "WILLIAM",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-14",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD54566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "3714470",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.