KEATON MICHAEL BULLEN (NPI# 1366753063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366753063 |
| Entity Type | Individual |
| Full Name | KEATON MICHAEL BULLEN |
| Credential | D.O. |
| Practice Address |
75 Arch St Ste 302 Akron OH 44304-1432 |
| Mailing Address |
Po Box 3542 Akron OH 44309-3542 |
| Practice Telephone | 3302535046 |
| Practice Fax Number | 3302535095 |
| Mailing Telephone | 3309960347 |
| Mailing Fax Number | 3309960359 |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2013-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 34010881 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
75 ARCH ST STE 302 |
| City | AKRON |
| State | OH |
| Zip Code | 44304-1432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194189266 | Samer Shaker | Internal Medicine | 75 Arch St Ste 302, Akron, OH 44304 | 2016-04-05 |
| 1801258603 | Deep Patel | Internal Medicine | 75 Arch St Ste 302, Akron, OH 44304-1432 | 2016-03-22 |
| 1487037131 | Senyo Agidi | Internal Medicine | 75 Arch St Ste 302, Akron, OH 44304-1432 | 2015-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696147 | Caroline Laska | Nurse Practitioner | Summa, 525 East Market, Akron, OH 44304 | 2020-10-09 |
| 1053940916 | Priyanka Malini Ravindran | Student in an Organized Health Care Education/Training Program | Summa Health/emergency Medicine Residency, 525 East Market St., Akron, OH 44304 | 2020-04-03 |
| 1467081349 | Savannah Chavez | Student in an Organized Health Care Education/Training Program | Summa Health/emergency Medicine 525 East Market St., Akron, OH 44304 | 2020-04-03 |
| 1255960357 | Nicholas Gilliam | Student in an Organized Health Care Education/Training Program | Summa Health/psychiatry 525 E. Market Street, Akron, OH 44304 | 2020-04-02 |
| 1184252462 | Megan Carlson Ptasinski | Student in an Organized Health Care Education/Training Program | Summa Health/obgyn, 525 East Market St., Akron, OH 44304 | 2020-03-31 |
| 1871121889 | Haley Marie Coleman | Student in an Organized Health Care Education/Training Program | Summa Health/ Family Medicine Residency, 525 East Market St., Akron, OH 44304 | 2020-03-27 |
| 1154963387 | Andrew Tkacik | Physician Assistant | 151 N Forge St, Akron, OH 44304 | 2019-10-09 |
| 1457918328 | Brandy Deem | Counselor | 87 N Forge St, Akron, OH 44304 | 2019-05-24 |
| 1184187445 | Zoe Nastasic Jones | Student in an Organized Health Care Education/Training Program | Summa Health 525 East Market St., Akron, OH 44304 | 2019-04-12 |
| 1780147751 | Nidhi Khullar | Student in an Organized Health Care Education/Training Program | Summa Health Family Medicine Residency, 525 East Market St., Akron, OH 44304 | 2019-04-08 |
| Find all providers in zip 44304 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588225205 | Tanya Charlene Marshall | Internal Medicine | 1 Akron Avenue, Akron, OH 44307 | 2019-06-24 |
| 1609300961 | Peyman Adeli Sardo | Internal Medicine | 55 Arch Street Ste 1b, Summa Health/ Internal Medicine, Akron, OH 44304-1619 | 2017-04-13 |
| 1558893693 | Melanie Duhamel | Internal Medicine | 762 Eastland Ave Ste 140, Akron, OH 44305 | 2017-03-29 |
| 1659634657 | Rebekka Hom | Internal Medicine | 1 Park West Blvd Ste 200, Akron, OH 44320-4219 | 2012-06-25 |
| 1649545161 | Kathryn Pahls Conlin | Internal Medicine | 593 Mull Ave, Akron, OH 44313 | 2012-03-16 |
| 1659650091 | Chukwuma Soyinka Osifeso | Internal Medicine | One Akron General Avenue, Ste 1505, Akron, OH 44307 | 2011-08-16 |
| 1770872863 | Michael Anthony Fistek | Internal Medicine | 3593 S Arlington Rd Ste A, Akron, OH 44312-5271 | 2011-03-30 |
| 1902117625 | Joshua Michael Mcintire | Internal Medicine | 791 White Pond Dr Ste C, Akron, OH 44320-4202 | 2010-06-28 |
| 1801031976 | Daniel Joseph Chua | Internal Medicine | 525 E Market St Ste 3-e, Akron, OH 44304-1619 | 2008-12-03 |
| 1366604613 | Ogechi Muoh | Internal Medicine | 55 Arch St Ste G2, Akron, OH 44304-1424 | 2008-06-27 |
| Find all providers in AKRON | ||||
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| 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.