NPIMap

Individual provider Active NPI

Dorsey Fletcher Butterbaugh, PAC

  • Physician Assistant
  • Bel Air, MD
National Provider Identifier
1821015348
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0000011 Issued in MD
Practice address
500 Upper Chesapeake Drive
Upper Chesapeake Medical Center
Bel Air, MD 21014
Phone
(443) 643-2000
NPI assigned
Jul 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 C0000011 MD Primary

Addresses

Primary practice location

500 Upper Chesapeake Drive
Upper Chesapeake Medical Center
Bel Air, MD 21014

Mailing address

2 Britmore CT
Balto, MD 21234
Phone (410) 668-9998

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

State licenses

LicenseStateTypeSpecialty
C0000011MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
75TH Street Medical PA CurrentSince Jun 18, 2008 Accepting new patients
Dresnick Sterling Emergency Physicians of Maryland PA Past Accepting new patients
Upper Chesapeake Emergency Medicine Physicians, LLC Past Accepting new patients
Medlantic Healthcare Group Past Accepting new patients
Nephrology Center of Maryland, PA Past Accepting new patients
Sheppard Pratt Physicians, P.a. PastSince Jan 1, 1995 Accepting new patients
John C Gordon MD PA PastSince Oct 1, 1994 Accepting new patients
Chesapekae Perioperative Services L.L.C. Past Accepting new patients

Locations

7408 Coastal Hwy
Ocean City, MD 21842
Phone (410) 524-0075

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7494/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821015348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BRITMORE CT",
            "city": "BALTO",
            "state": "MD",
            "postal_code": "21234",
            "telephone_number": "410-668-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UPPER CHESAPEAKE DRIVE",
            "address_2": "UPPER CHESAPEAKE MEDICAL CENTER",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21014",
            "telephone_number": "443-643-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTERBAUGH",
        "first_name": "DORSEY",
        "middle_name": "FLETCHER",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0000011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.