Organization Active NPI

Buettner Wound Care

  • Prevention Professional
  • Richmond, VA
National Provider Identifier
1922843788
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prevention ProfessionalTaxonomy code 405300000X
Legal business name
BUETTNER WOUND CARE
Practice address
7022 Bisque Ter
Richmond, VA 23238-1107
Phone
(804) 389-1865
NPI assigned
Jun 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Karin W. Buettner, MDNPI 1811971724
Title
Owner
Phone
(804) 389-1865

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prevention ProfessionalGroup: 193400000X SINGLE SPECIALTY GROUP 405300000X Primary

Addresses

Primary practice location

7022 Bisque Ter
Richmond, VA 23238-1107

Mailing address

7022 Bisque Ter
Richmond, VA 23238-1107
Phone (804) 389-1865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240823003288 VA Part B Supplier - Clinic/Group Practice 1658810437 Receives reassigned benefits from 1 practitioner
Practice locations: Mechanicsville, VA; Richmond, VA; Midlothian, VA; Petersburg, VA

National Provider Directory

National Provider Directory

Locations

611 Watkins Centre Pkwy
Ste 150
Midlothian, VA 23114
Phone (804) 765-6715

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1922843788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7022 BISQUE TER",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232381107",
            "telephone_number": "804-389-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7022 BISQUE TER",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232381107",
            "telephone_number": "804-389-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUETTNER WOUND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "BUETTNER",
        "authorized_official_first_name": "KARIN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-389-1865",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.