Individual provider Active NPI

Marvel J Buhler, PA

  • Physician Assistant
  • Eagle Butte, SD
National Provider Identifier
1710907647
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0309 Issued in SD
Practice address
8000 E Hwy 212
Eagle Butte, SD 57625-0860
Phone
(605) 964-8000
Fax
(605) 964-1118
NPI assigned
Jul 21, 2006
Last updated
Jan 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0309 SD Primary

Addresses

Primary practice location

8000 E Hwy 212
Eagle Butte, SD 57625-0860

Mailing address

8000 E Hwy 212
Eagle Butte, SD 57625-0860
Phone (605) 964-8000

Other identifiers 2

IdentifierTypeStateIssuer
4994558OtherSDBCBS
6822253MedicaidSD

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)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health Care Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1710907647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 E HWY 212",
            "city": "EAGLE BUTTE",
            "state": "SD",
            "postal_code": "576250860",
            "telephone_number": "605-964-8000",
            "fax_number": "605-964-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 E HWY 212",
            "city": "EAGLE BUTTE",
            "state": "SD",
            "postal_code": "576250860",
            "telephone_number": "605-964-8000",
            "fax_number": "605-964-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUHLER",
        "first_name": "MARVEL",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4994558",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6822253",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Butte, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.