Mary E. Butcher, MD

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

MD00019355 Issued in WA

Practice address

451 Duvall Ave NE
Ste 100
Renton, WA 98059-4675

Phone

(425) 656-5500

Fax

(425) 656-5542

NPI assigned

Jun 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1700814589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 LIND AVE SW",
            "address_2": "STE 100",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980554934",
            "telephone_number": "425-656-5412",
            "fax_number": "425-656-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 DUVALL AVE NE",
            "address_2": "STE 100",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980594675",
            "telephone_number": "425-656-5500",
            "fax_number": "425-656-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTCHER",
        "first_name": "MARY",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "WA",
            "license": "MD00019355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1100809",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tabatha Burris, LMP
• Cheryl Burroughs, LMT
• Dina Burstein
• Jennifer Kelly Burzawa, M.D.
• Nicole A Bustamante, SLP
• Elizabeth Rose Butenko, DPT
• Alice Pauline Butler, MA
• Peggy D Butler, MS, MFT, RC
• Buttar Inc.
• Baljinder S Buttar, DENTIST

• Adult Medicine Physician in Renton, WA
• Providers in Renton, WA by specialty
• Adult Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.