Organization Active NPI

Weldon F Butler MD PA

  • General Practice Physician
  • Odessa, TX
National Provider Identifier
1699941765
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
WELDON F BUTLER MD PA
Doing business as
Weldon F Butler MD PA
Practice address
700 Dotsy Ave
Odessa, TX 79763-4238
Phone
(432) 333-3295
Fax
(432) 333-8840
NPI assigned
May 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Weldon F Butler, MDNPI 1417941873
Title
Owner
Phone
(432) 333-3295

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

700 Dotsy Ave
Odessa, TX 79763-4238

Mailing address

700 Dotsy Ave
Odessa, TX 79763-4238
Phone (432) 333-3295

Other names 1

  • WELDON F BUTLER MD PA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081210000356 TX Part B Supplier - Clinic/Group Practice 6103987052 Receives reassigned benefits from 1 practitioner
Practice locations: Odessa, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0927179Weldon Butler, MD700 N Dotsy, Odessa, TX 79763Provider-performed microscopyApr 10, 2027

National Provider Directory

National Provider Directory

Locations

700 Dotsy Ave
Odessa, TX 79763
Phone (432) 333-3295

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1699941765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 DOTSY AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797634238",
            "telephone_number": "432-333-3295",
            "fax_number": "432-333-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 DOTSY AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797634238",
            "telephone_number": "432-333-3295",
            "fax_number": "432-333-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELDON F BUTLER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "WELDON",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-333-3295",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WELDON F BUTLER MD PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.