DR. MATTHEW WAYNE BULLOCK (NPI# 1316171580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316171580 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW WAYNE BULLOCK |
| Credential | D.O. |
| Practice Address |
1600 Medical Center Dr Ste G500 Huntington WV 25701-3659 |
| Mailing Address |
1249 15th St Ste 4093 Huntington WV 25701-3662 |
| Practice Telephone | 3046911262 |
| Mailing Telephone | 3046918722 |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2018-03-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
3280 | WV | Allopathic & Osteopathic Physicians |
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
2014-00364 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 605 Grove St, Salisbury, NC 281443233 | 7046336442 | 7046337569 |
| Street Address |
1600 MEDICAL CENTER DR STE G500 |
| City | HUNTINGTON |
| State | WV |
| Zip Code | 25701-3659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508837634 | Thomas E Reinsel | Orthopaedic Surgery | 1600 Medical Center Dr Ste G500, Huntington, WV 25701-3659 | 2006-01-27 |
| 1518457019 | William Fravel | Student in an Organized Health Care Education/Training Program | 1600 Medical Center Dr Ste G500, Huntington, WV 25701-3659 | 2018-05-10 |
| 1467942953 | Syed Adil | Student in an Organized Health Care Education/Training Program | 1600 Medical Center Dr Ste G500, Huntington, WV 25701-3659 | 2018-05-10 |
| 1124518626 | Tyag Patel | Student in an Organized Health Care Education/Training Program | 1600 Medical Center Dr Ste G500, Huntington, WV 25701-3659 | 2018-05-10 |
| 1629502984 | Galen Berdis | Student in an Organized Health Care Education/Training Program | 1600 Medical Center Dr Ste G500, Huntington, WV 25701-3659 | 2017-04-13 |
| 1700275260 | Melissa Sue Emery | Nurse Practitioner | 1600 Medical Center Dr Ste G500, Huntington, WV 25701-3659 | 2015-01-21 |
| 1124087846 | Michael A Gentile | Podiatrist | 1600 Medical Center Dr Ste G500, Huntington, WV 25701-3659 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607803 | Sara Tonya Hicks | Technician | 742 4th Avenue, Huntington, WV 25701 | 2020-10-21 |
| 1316550791 | Ethan Scott Miller | Counselor | 1538 Charleston Ave., Huntington, WV 25701 | 2020-08-26 |
| 1336752674 | Brock Riley Hapney | Student in an Organized Health Care Education/Training Program | 1538 Charelston Avenue, Huntington, WV 25701 | 2020-08-26 |
| 1558972224 | Ardith Ruth Bartram | Technician | 4045 C 8th Street Road, Huntington, WV 25701 | 2020-08-14 |
| 1144839614 | Randall Edward Short | Behavior Technician | 10th Sixth Avenue West, Huntington, WV 25701 | 2020-07-30 |
| 1609495191 | Melanie Jean Howard | Pharmacist | 1538 Charleston Avenue, Huntington, WV 25701 | 2020-04-14 |
| 1205472016 | Kelly Kauffer | Technician | 1012 Johns Court, Huntington, WV 25701 | 2019-11-27 |
| 1265082648 | Matt France | Technician | 3650 Taymor Rd, Huntington, WV 25701 | 2019-09-17 |
| 1538649348 | Kathryn Markus | Pharmacist | 1500 Medical Center Drive, Huntington, WV 25701 | 2018-08-21 |
| 1487155636 | Heather Marie Rogers | Nurse Practitioner | 940 4th Ave, Huntington, WV 25701 | 2018-02-23 |
| Find all providers in zip 25701 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770145435 | Curtis Kevin Grant | Orthopaedic Surgery | 1600 Medical Center Dr, Huntington, WV 25701-3656 | 2019-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578711552 | Christopher Don Courtney | Orthopaedic Surgery | 527 Medical Park Dr Ste 400, Bridgeport, WV 26330-9010 | 2008-09-03 |
| 1891705521 | Brian R Hamlin | Orthopaedic Surgery | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2006-08-08 |
| City | HUNTINGTON |
| Zip Code | 25701 |
Please comment or provide details below to improve the information on DR. MATTHEW WAYNE BULLOCK.
| 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.