Active NPI
Dewayne Butcher, MD
- Emergency Medicine Physician
- Hendersonville, NC
National Provider Identifier
1881691574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 37801
- Practice address
- 100 Hospital Dr
Hendersonville, NC 28792-5272 - Phone
- (828) 681-2146
- Fax
- (828) 651-9569
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 37801 | NC | Primary |
Addresses
Primary practice location
100 Hospital Dr
Hendersonville, NC 28792-5272
Mailing address
PO Box 308
Naples, NC 28760-0308
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8920447 | Medicaid | NC | |
| 930119503 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160429001296 | NC | Order and Referring Only - Emergency Medicine | 8729054556 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Emergency Solutions of Fletcher PLLC | Emergency Medicine | Past | Accepting new patients |
| Clyde Emergency Solutions LLC | Emergency Medicine | Past | Accepting new patients |
| Park Ridge Hospital | Past | Accepting new patients | |
| Fletcher Emergency Services, LLC | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Clyde, NC
- NPI 1417015066
-
- Anesthesiology Physician
- Fletcher, NC
- NPI 1871526616
-
- Emergency Medicine Physician
- Hendersonville, NC
- NPI 1689726275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1881691574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 308",
"city": "NAPLES",
"state": "NC",
"postal_code": "287600308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HOSPITAL DR",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287925272",
"telephone_number": "828-681-2146",
"fax_number": "828-651-9569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTCHER",
"first_name": "DEWAYNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "37801",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8920447",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "930119503",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hendersonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.