MRS. QUIANA MARIA BULLOCK (NPI# 1326150731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326150731 |
| Entity Type | Individual |
| Full Name | MRS. QUIANA MARIA BULLOCK |
| Credential | PA-C |
| Practice Address |
1400 Blackhorse Hill Rd Coatesville PA 19320-2040 |
| Mailing Address |
305 Revere Ct Coatesville PA 19320-5923 |
| Practice Telephone | 6103847711 |
| Mailing Telephone | 6103809929 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA003506L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1400 BLACKHORSE HILL RD |
| City | COATESVILLE |
| State | PA |
| Zip Code | 19320-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114926177 | Julia Ann Stone | Psychologist | 1400 Blackhorse Hill Rd, Coatesville Va Medical Center, Coatesville, PA 19320-2040 | 2005-07-20 |
| 1700485356 | Abegale Lizabeth Nelson | Pharmacist | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2020-10-23 |
| 1427657154 | Amy Andreaggi | Pharmacist | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2020-10-23 |
| 1710592464 | Maura Marchese | Social Worker | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2020-09-10 |
| 1902441157 | Ashley Sutton | Psychologist | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2019-11-12 |
| 1548823339 | Brent Jeffery Jenkins | Pharmacist | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2019-04-17 |
| 1689237646 | Allison Webster | Pharmacist | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2019-04-16 |
| 1063984086 | Gina Lucchesi | Social Worker | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2096 | 2019-01-02 |
| 1700358033 | Brian Joseph Walters | Social Worker | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2018-12-27 |
| 1386115418 | Lori Ann Rathman | Social Worker | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2018-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962029306 | Ara Dadivanyan | Psychiatry & Neurology | 201 Reeceville Rd., Brandywine Hospital, Coatesville, PA 19320 | 2020-07-01 |
| 1669098919 | Sara Mostafa | Psychiatry & Neurology | Brandy Wine Hospital, 201 Reeceville Rd, Coatesville, PA 19320 | 2020-06-23 |
| 1225654072 | Laurie Bond | Counselor | 774 East Lincoln Highway, Coatesville, PA 19320 | 2020-06-17 |
| 1356964506 | Timothy Robert Derosa | Psychiatry & Neurology | Brandywine Hospital 201 Reeceville Rd., Coatesville, Pa, PA 19320 | 2020-05-22 |
| 1184264632 | Evolve Individual Services, LLC | Counselor | 135 E Chestnut St, 204, Coatesville, PA 19320 | 2020-01-13 |
| 1649824111 | Angela Lynne Sylvina | Social Worker | 1825 E Lincoln Highway, Coatesville, PA 19320 | 2019-08-01 |
| 1629540257 | Rhonda Jean Sanford | Social Worker | Coatesville Vamc, Attn: Rhonda Sanford, Lcsw, 1400 Blackhorse Hill Rd, Bldg 57, Rm 227, Coatesvillle, PA 19320 | 2018-12-20 |
| 1528540499 | Jetquatta Parker | Licensed Practical Nurse | 786 Coates St, Coatesville, PA 19320 | 2018-09-06 |
| 1639608052 | Shafkat Hussain | Pharmacist | 800 East Lincoln Highway, Coatesville, PA 19320 | 2017-06-08 |
| 1790222032 | Elizabeth Barnett | Counselor | 2034crest Dr, Coatesville, PA 19320 | 2017-01-25 |
| Find all providers in zip 19320 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578800090 | Chelsea Spiegelhalder | Physician Assistant | 744 E Lincoln Hwy, Coatesville, PA 19320-3590 | 2013-01-04 |
| 1487913828 | Alicia Frances Renna | Physician Assistant | 217 Reeceville Rd Ste C, Coatesville, PA 19320-1572 | 2012-05-04 |
| 1356645428 | Renee Dileo | Physician Assistant | 1825 E Lincoln Hwy, Coatesville, PA 19320-2407 | 2011-01-05 |
| 1235313222 | Michael Owen | Physician Assistant | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2007-12-26 |
| 1528102209 | Daniel Lee Jr. | Physician Assistant | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2007-02-16 |
| 1417043902 | Esau Mitchell | Physician Assistant | 1400 Blackhorse Hill Rd, Coatesville, PA 19320 | 2006-10-04 |
| 1568562601 | Gwendolyn M. Dickinson | Physician Assistant | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2006-09-25 |
| 1386747301 | Eric Egert | Physician Assistant | 1400 Black Horse Hill Rd, Coatesville Va Med Ctr, Coatesville, PA 19320 | 2006-09-06 |
| 1467554691 | Pamela M Toppi | Physician Assistant | 1400 Blackhorse Hill Rd, Building 38, Room 122, Coatesville, PA 19320-2040 | 2006-09-01 |
| 1427150648 | Theresa M Perri | Physician Assistant | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2006-09-01 |
| Find all providers in COATESVILLE | ||||
| City | COATESVILLE |
| Zip Code | 19320 |
Please comment or provide details below to improve the information on MRS. QUIANA MARIA 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.