Erick A Buitrago, M.S.ED., LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

36001258A Issued in IN

Practice address

Athletic Training Department
Arena RM B-17
Terre Haute, IN 47809-0001

Phone

(812) 237-4066

Fax

(812) 237-9612

NPI assigned

Aug 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891705026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7979 SWEETWATER CT",
            "address_2": "APT. N",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478029503",
            "telephone_number": "812-237-4066",
            "fax_number": "812-237-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ATHLETIC TRAINING DEPARTMENT",
            "address_2": "ARENA RM B-17",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478090001",
            "telephone_number": "812-237-4066",
            "fax_number": "812-237-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUITRAGO",
        "first_name": "ERICK",
        "middle_name": "A",
        "credential": "M.S.ED., LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36001258A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINER LICENSE",
            "identifier": "36001258A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Libertie Buechner, RBT
• Andrea M Buehler
• Nicole Lynn Buell, PT
• Brian Buening
• Adaire Buffington
• Jessica Bun, MD
• Alexis Burger
• Alicia Marie Burger, LMT
• Kylie Burns, RBT
• Melissa Burns

• Athletic Trainer in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Athletic Trainer in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.