Mary Budke, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD 12915 Issued in OR

Practice address

1255 Hilyard St
Eugene, OR 97401-3718

Phone

(503) 686-7300

NPI assigned

Jun 19, 2006

Last updated

Dec 19, 2007By the provider in NPPES

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 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Eugene Emergency Physicians PC

  • Emergency Medicine Physician
  • Eugene, OR
  • NPI 1831133677
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1801831144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4078",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084078",
            "telephone_number": "888-633-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 HILYARD ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013718",
            "telephone_number": "503-686-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDKE",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD 12915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XPY188093",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067509",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA L & I",
            "identifier": "104892",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8279986",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDENCE",
            "identifier": "E97248",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "A021",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirsten Gwen Buckley, LMT
• Brett Buckner, MOT, MAED, OTR, ATC
• Juveen Marie Buckner, LCSW
• Keri Buczkowski
• Diana Budd, MA
• Amanda Buduris, PHD
• Carolyn Elaine Buel, ANP
• Jair Buestan
• Sidney Buffington, RN
• Jeanette Ellen Buford, LMT

• Emergency Medicine Physician in Eugene, OR
• Providers in Eugene, OR by specialty
• Emergency Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.