Walter Robertson Butler, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

28012 Issued in KY

Practice address

3430 Newburg Rd
Suite 212
Louisville, KY 40218-2497

Phone

(502) 454-8800

Fax

(502) 736-0140

NPI assigned

Aug 30, 2006

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Dr Charles Bensenhaver III LLC

  • Obesity Medicine (Psychiatry & Neurology) Physician
  • Louisville, KY
  • NPI 1962108118
  NPD

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421625600000",
    "number": "1871603886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 NEWBURG RD",
            "address_2": "SUITE 212",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402182497",
            "telephone_number": "502-454-8800",
            "fax_number": "502-736-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 NEWBURG RD",
            "address_2": "SUITE 212",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402182497",
            "telephone_number": "502-454-8800",
            "fax_number": "502-736-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "WALTER",
        "middle_name": "ROBERTSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "28012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100102210",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Butler
• Katherine Butler
• Lachara Butler, CRNA
• Leon Everett Butler Jr., M.D.
• Rachel Butler
• William Edwin Butler, LPCC, NCC
• John Anthony Butman, M.D.
• Abid S. Butt, M.D.
• Sharjeel Butt
• Rhonda K Buttleman, MD

• Specialist in Louisville, KY
• Providers in Louisville, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; 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.