DOMINIQUE BULTSMA


Address: 169 Ashley Ave # Msc333, Charleston, SC 29425-8905
Phone: 8437922731

DOMINIQUE BULTSMA (NPI# 1033733704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033733704
Entity Type Individual
Full Name DOMINIQUE BULTSMA
Credential MD
Practice Address 169 Ashley Ave # Msc333
Charleston
SC 29425-8905
Practice Telephone 8437922731
Mailing Telephone 8437922731
Enumeration Date 2020-05-29
Last Update Date 2020-05-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine LL84222 SC Allopathic & Osteopathic Physicians

Office Location

Street Address 169 ASHLEY AVE # MSC333
City CHARLESTON
State SC
Zip Code 29425-8905

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730677709 Courtney Uhlar Family Medicine 169 Ashley Ave # Msc333, Charleston, SC 29425-9125 2018-04-25
1790302149 Pierce Arthur Jones Student in an Organized Health Care Education/Training Program 169 Ashley Ave # Msc333, Charleston, SC 29425-8905 2020-07-01
1447875091 Emily Ellen Wolery Emergency Medicine 169 Ashley Ave # Msc333, Charleston, SC 29425-8905 2020-06-10
1720602170 Rosemary Stowe Moak Internal Medicine 169 Ashley Ave # Msc333, Charleston, SC 29425-8905 2020-06-02
1811519259 Tarek A Behery Student in an Organized Health Care Education/Training Program 169 Ashley Ave # Msc333, Charleston, SC 29425-8905 2020-05-08
1205399516 Griffin John Salzer Student in an Organized Health Care Education/Training Program 169 Ashley Ave # Msc333, Charleston, SC 29425-1323 2019-04-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922607217 Krishna Bhandari Thoracic Surgery (Cardiothoracic Vascular Surgery) 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 2020-10-19
1649892456 Mary Macrae Lynch Social Worker 179 Ashley Avenue, Charleston, SC 29425 2020-05-14
1528600053 Amanda Watts Physician Assistant 135 Rutledge Ave. Msc 561, Charleston, SC 29425 2019-10-16
1851945497 Kacy Wonder Dentist 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 2019-08-01
1477114569 Justin Robert Silverman Surgery 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 2019-06-28
1740840024 Tyler Buckley Surgery 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 2019-06-18
1366001760 Rayphael Sebastian Hardy Internal Medicine 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 2019-06-10
1437718889 Samar Medani Internal Medicine Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 2019-06-10
1427617950 Emily Suzanne Nyers Internal Medicine 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 2019-06-09
1790343564 Alan Cowei Peh Psychiatry & Neurology 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 2019-06-05
Find all providers in zip 29425

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972128221 John Fincher Gist Bobo Internal Medicine 169 Ashley Ave Rm 202muh, Charleston, SC 29425-8905 2020-06-12
1831746874 Roper Saint Francis Physicians Network Internal Medicine 615 Wesley Dr Ste 120, Charleston, SC 29407-7206 2019-08-23
1104486463 Matthew Bruner Internal Medicine 162 Ashley Ave Rm 202, Charleston, SC 29425-8907 2019-06-19
1366001760 Rayphael Sebastian Hardy Internal Medicine 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 2019-06-10
1427617950 Emily Suzanne Nyers Internal Medicine 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 2019-06-09
1225697931 Shenia Lorraine Singleton Internal Medicine 706 Tahoe St, Charleston, SC 29407-6629 2019-06-07
1871152520 Elena Vlachos Internal Medicine 169 Ashley Aveneue Room 202 Main Hospital, Charleston, SC 29425-0001 2019-06-06
1750877890 Mona Ali Haj Internal Medicine 96 Jonathan Lucas St Rm 202, Charleston, SC 29425-8900 2018-07-02
1538654025 Megan Kathleen Veglia Internal Medicine 135 Rutledge Ave Fl 8, Charleston, SC 29425-8905 2018-06-27
1457881559 Milad Cesar El Hajj Internal Medicine 96 Jonathan Lucas St Ste 807, Charleston, SC 29425-8900 2017-06-13
Find all providers in CHARLESTON

Competitor

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City CHARLESTON
Zip Code 29425

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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