Active NPI
Karen R Buntman, MD
- General Practice Physician
- Eugene, OR
National Provider Identifier
1861546301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 11981
- Practice address
- 74 E 18TH
Suite 1
Eugene, OR 97401-4081 - Phone
- (541) 343-8555
- Fax
- (541) 343-8555
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 11981 | OR | Primary |
Addresses
Primary practice location
74 E 18TH
Suite 1
Eugene, OR 97401-4081
Mailing address
74 E 18TH
Suite 1
Eugene, OR 97401-4081
Phone (541) 343-8555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269118 | Medicaid | OR | |
| A046501 | Other | PACIFIC SOURCE |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11981 | OR | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190764800000",
"number": "1861546301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 E 18TH",
"address_2": "SUITE 1",
"city": "EUGENE",
"state": "OR",
"postal_code": "974014081",
"telephone_number": "541-343-8555",
"fax_number": "541-343-8555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 E 18TH",
"address_2": "SUITE 1",
"city": "EUGENE",
"state": "OR",
"postal_code": "974014081",
"telephone_number": "541-343-8555",
"fax_number": "541-343-8555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNTMAN",
"first_name": "KAREN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2007-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OR",
"license": "11981",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269118",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFIC SOURCE",
"identifier": "A046501",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.