Mary Catherine Buntin, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4010 Issued in SC

Practice address

9330 Medical Plaza Dr
North Charleston, SC 29406-9104

Phone

(843) 797-7000

NPI assigned

Aug 21, 2014

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Acs Primary Care Physicians - Southeast PC

  • Emergency Medicine Physician
  • Myrtle Beach, SC
  • NPI 1861430555

  SC

  Medicare reassignment
• Meritus Medical Center Inc

  • Diagnostic Radiology Physician
  • Hagerstown, MD
  • NPI 1184477911
  Care Compare group
• Meritus Medical Center Inc

  • Nurse Practitioner
  • Hagerstown, MD
  • NPI 1205176393
  Care Compare group
• Meritus Medical Center Inc

  • Community/Retail Pharmacy
  • Hagerstown, MD
  • NPI 1306623616
  Care Compare group
• Meritus Medical Center Inc

  • Community/Retail Pharmacy
  • Hagerstown, MD
  • NPI 1649949439
  Care Compare group
• Meritus Medical Center Inc

  • Rehabilitation Clinic/Center
  • Hagerstown, MD
  • NPI 1659391068
  Care Compare group
• Meritus Medical Center Inc

  • Health Educator
  • Hagerstown, MD
  • NPI 1710642749
  Care Compare group
• Meritus Medical Center Inc

  • General Acute Care Hospital
  • Hagerstown, MD
  • NPI 1942281266
  Care Compare group
• Meritus Medical Center, Inc.

  • Home Health Agency
  • Hagerstown, MD
  • NPI 1942290077
  Care Compare group
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Meritus Medical Center Inc 730 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 10, 2023.

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1851790232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 MEDICAL PLAZA DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 MEDICAL PLAZA DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069104",
            "telephone_number": "843-797-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22911 Jefferson Blvd",
            "address_purpose": "LOCATION",
            "city": "Smithsburg",
            "state": "MD",
            "postal_code": "217831617",
            "country_code": "US",
            "telephone_number": "301-824-3343",
            "fax_number": "301-824-6323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUNTIN",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09067",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C05479",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Dawn Bullington, PHARMD
• Carol Bulwinkle, LPC
• Elizabeth Heinz Bumgarner, NURSE
• Campbell Victoria Bun
• Esaunta Buncomb
• Ashley Burbage
• Mark Thomas Burbridge, DO
• Cale Burch
• Erika Burgess, MD
• Lakeisha Cerese Burgess

• All providers in North Charleston, SC
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.