Active NPI
Adam S. Butera MD PA
- Psychiatry Physician
- Wichita Falls, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- ADAM S. BUTERA MD PA
- Practice address
- 1714 10TH St
Wichita Falls, TX 76301-5011 - Phone
- (940) 766-4482
- Fax
- (940) 766-4487
- NPI assigned
- Dec 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adam S Butera, MD
- Title
- Owner
- Phone
- (940) 766-4482
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
1714 10TH St
Wichita Falls, TX 76301-5011
Mailing address
1714 10TH St
Wichita Falls, TX 76301-5011
Phone (940) 766-4482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090218000624 | TX | Part B Supplier - Clinic/Group Practice | 6507961000 |
Receives reassigned benefits from 7 practitioners Practice locations: Wichita Falls, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2036853 | Adam S Butera MD PA | Certificate of waiver | Feb 13, 2028 |
National Provider Directory
National Provider DirectoryLocations
1714 10th St
Wichita Falls, TX 76301
Phone (940) 322-1075
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Austin, TX
- NPI 1356989339
TX
-
- Psychiatric/Mental Health Nurse Practitioner
- Wichita Falls, TX
- NPI 1508448739
TX
-
- Psychiatric/Mental Health Nurse Practitioner
- Wichita Falls, TX
- NPI 1659596450
TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394409600000",
"number": "1992865992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1714 10TH ST",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763015011",
"telephone_number": "940-766-4482",
"fax_number": "940-766-4487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1714 10TH ST",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763015011",
"telephone_number": "940-766-4482",
"fax_number": "940-766-4487"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADAM S. BUTERA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2014-03-10",
"status": "A",
"authorized_official_last_name": "BUTERA",
"authorized_official_first_name": "ADAM",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "940-766-4482",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita Falls, TX
- Accucare Clinic of North Texas, P.a.
- Rhianna Mae Acheson, DPT
- Lee Edward Ackley, PA-C, MPAS, RT(R)
- Rebecca Lynn Acuna, RBT
- Acute Care Surgery Texoma PLLC
- Christen Paige Addkison, LVN
- Advanced Heart and Vascular Medicine PLLC
- Advanced Medical Team PA
- Advanced Wound Therapy-TX, PLLC
- Adysen McNabb Counseling, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.