Individual provider Active NPI

Elizabeth A Buetow, M.D.

  • Emergency Medicine Physician
  • Richmond, VA
National Provider Identifier
1851316210
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
LIMITED Issued in VA
Practice address
1401 Johnston Willis Dr
Richmond, VA 23235-4730
Phone
(804) 330-2000
NPI assigned
Jul 13, 2006
Last updated
Feb 19, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X D56581 MD
Emergency Medicine Physician 207P00000X LIMITED VA Primary
Emergency Medicine Physician 207P00000X 208024 NY
Emergency Medicine Physician 207P00000X 0101059120 VA

Addresses

Primary practice location

1401 Johnston Willis Dr
Richmond, VA 23235-4730

Mailing address

PO Box 17694
Baltimore, MD 21297-1694
Phone (866) 916-5259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070319000097 VA Practitioner - Emergency Medicine 4981707650 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors of Williamsburg PCGroup PAC ID 2466795604, 10 clinicians

Practice addresses (Care Compare)

5239 Monticello Ave
Suite Bandc
Williamsburg, VA 23188-8242
Phone (757) 279-2999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D56581MDMDEmergency Medicine Physician
208024NYMDEmergency Medicine Physician
0101059120VAMDEmergency Medicine Physician
LIMITEDVAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Williamsburg Emergency Physicians Emergency Medicine CurrentSince Oct 4, 2006 Accepting new patients
Doctors of Williamsburg, PC CurrentSince Oct 1, 2020 Accepting new patients
Williamsburg Emergency Physicians Emergency Medicine CurrentSince Oct 4, 2006 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine Past Accepting new patients
Virginia Emergency Physicians LLP Emergency Medicine Past Accepting new patients
Virginia Emergency Physicians LLP Emergency Medicine Past Accepting new patients
Virginia Emergency Physicians LLP Emergency Medicine Past Accepting new patients
Columbia Healthcare of Central Virginia Inc PastSince Apr 1, 2019 Accepting new patients
Virginia Emergency Physicians LLP Emergency Medicine Past Accepting new patients
Emergency Medicine Associates Emergency Medicine Past Accepting new patients

Locations

100 Sentara Cir
Williamsburg, VA 23188
Phone (678) 690-7826

5239 Monticello Ave
Ste Ab
Williamsburg, VA 23188

5239 Monticello Ave
Ste B
Williamsburg, VA 23188
Phone (757) 279-2999

5239 Monticello Ave
Ste Bc
Williamsburg, VA 23188
Phone (757) 279-2999

7201 Richmond Rd
Williamsburg, VA 23188
Phone (757) 279-2999

Organizations & group practices 10

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1851316210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17694",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212971694",
            "telephone_number": "866-916-5259",
            "fax_number": "231-922-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 JOHNSTON WILLIS DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232354730",
            "telephone_number": "804-330-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUETOW",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D56581",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "LIMITED",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "208024",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101059120",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.