MR. WILLIAM JENNISON BULKLEY (NPI# 1386638286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386638286 |
Entity Type | Individual |
Full Name | MR. WILLIAM JENNISON BULKLEY |
Credential | MD |
Practice Address |
1000 W Kingshighway Ste 3 Paragould AR 72450-4141 |
Mailing Address |
Po Box 579 1000 W Kings Hwy Ste 3 Paragould AR 72451-0579 |
Practice Telephone | 8702408020 |
Practice Fax Number | 8702408028 |
Mailing Telephone | 8702408020 |
Mailing Fax Number | 8702408028 |
Enumeration Date | 2005-09-07 |
Last Update Date | 2013-10-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
K6995 | TX | Allopathic & Osteopathic Physicians |
N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
110242 | MO | Allopathic & Osteopathic Physicians |
Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
E1362 | AR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 131703001 | 05 |
Street Address |
1000 W KINGSHIGHWAY STE 3 |
City | PARAGOULD |
State | AR |
Zip Code | 72450-4141 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952308769 | Richard Lowell Hardcastle | Ophthalmology | 1000 W Kingshighway, Ste 5, Paragould, AR 72450-4141 | 2005-07-07 |
1639657984 | Hillary Tripod Jones | Audiologist | 1000 W Kingshighway, Paragould, AR 72450-4141 | 2018-07-30 |
1427421288 | Carie Cesare | Nurse Practitioner | 1000 W Kingshighway, Suite 4, Paragould, AR 72450 | 2015-11-02 |
1821356601 | Jennifer Ellen Susoreny-velgos | Surgery | 1000 W Kingshighway, Suite 13, Paragould, AR 72450 | 2012-04-30 |
1477836302 | Ammc Physician Services, Inc. | Internal Medicine | 1000 W Kingshighway, Paragould, AR 72450-4141 | 2011-09-27 |
1356638290 | Kirk A Coward | Nurse Practitioner | 1000 W Kingshighway, Suite 12, Paragould, AR 72450-4141 | 2011-06-29 |
1427350990 | Ammc Physician Services, Inc. | Urology | 1000 W Kingshighway, Paragould, AR 72450-4141 | 2010-12-03 |
1215247572 | Ammc Physician Services, Inc. | Orthopaedic Surgery | 1000 W Kingshighway, Paragould, AR 72450-4141 | 2010-10-20 |
1174850705 | Ammc Physician Services Inc | Surgery | 1000 W Kingshighway, Paragould, AR 72450-4141 | 2009-11-03 |
1891022422 | Ammc Physician Services Inc | Orthopaedic Surgery | 1000 W Kingshighway, Paragould, AR 72450-4141 | 2009-11-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063029460 | Onward and Upward Counseling, Pllc | Counselor | 100 North Rockingchair Road, Ste 3, Paragould, AR 72450 | 2020-09-29 |
1871104182 | Michele Lynn Jones | Technician | 2905 Stonegate Dr, Paragould, AR 72450 | 2020-08-11 |
1205457405 | Arkansas Methodist Hospital Corp. | Family Medicine | 1000 W. Kinshighway, Suite 14, Paragould, AR 72450 | 2020-04-29 |
1053968222 | Stewart Pediatric Therapy LLC | Occupational Therapist | 1908 Mockingbird Lane, Suite A, Paragould, AR 72450 | 2019-08-22 |
1821575911 | Ashley Brooke Mcleskey | Physical Therapy Assistant | 9504 Hwy 135 N, Paragould, AR 72450 | 2018-07-23 |
1437660925 | Susan Leigh Boling | Behavioral Analyst | 3171 Green 905 Road, Paragould, AR 72450 | 2017-10-24 |
1518481589 | Amy Elms | Nurse Practitioner | 1000 W Kingshighway Ste 3, Paragould, AR 72450 | 2017-08-01 |
1073065074 | Sarah Katherine Medley | Case Manager/Care Coordinator | 1101 West Morgan, Paragould, AR 72450 | 2016-10-26 |
1285097949 | Chelsea Lee Thompson | Family Medicine | 1110 W. Kingshighway, Paragould, AR 72450 | 2016-03-31 |
1609234269 | Bethel Burris Oliver | Dentist | 2713 W Kings Highway, Paragould, AR 72450 | 2016-02-10 |
Find all providers in zip 72450 |
Taxonomy Code | 207YX0905X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Otolaryngology/Facial Plastic Surgery |
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306814116 | Russellville Ear Nose and Throat Surgery Clinic, P.a. | Otolaryngology | 106 S Inglewood Ave, Russellville, AR 72801-3353 | 2006-03-08 |
1912973306 | Ezechiel R. Nehus | Otolaryngology | 200 N Quanah Ave, Russellville, AR 72801-2762 | 2006-02-24 |
1326013269 | Gary W Woodward | Otolaryngology | 621 E Matthews, Jonesboro, AR 72401-3145 | 2006-02-22 |
1851366140 | Joseph H Sales | Otolaryngology | 621 E Matthews Ave, Jonesboro, AR 72401-3145 | 2006-02-21 |
1639460777 | Philip Kurt Robb Jr. | Otolaryngology | 4301 W Markham St, 543, Little Rock, AR 72205-7101 | 2011-04-24 |
1467629469 | Ccent & Fps | Otolaryngology | 300 W White Mountain Blvd, Suite D, Lakeside, AR 85929-6533 | 2008-05-09 |
1174613665 | Emre Vural | Otolaryngology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2006-10-13 |
1659340297 | Ne Arkansas Otolaryngology Facial Surgery P A | Otolaryngology | 621 E Matthews Ave, Jonesboro, AR 72401-3145 | 2006-03-16 |
1730157256 | Nathan F. Austin | Otolaryngology | 106 S Inglewood Ave, Russellville, AR 72801-3353 | 2006-03-10 |
1013985969 | Stephen M. Killingsworth | Otolaryngology | 200 N Quanah Ave, Russellville, AR 72801-2762 | 2006-03-08 |
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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.