CAROLYN R BULLOCK (NPI# 1659350775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659350775 |
| Entity Type | Individual |
| Full Name | CAROLYN R BULLOCK |
| Credential | D.O. |
| Practice Address |
7630 Rivers Edge Dr Columbus OH 43235-1337 |
| Mailing Address |
5450 Frantz Rd Ste 360 Dublin OH 43016-4141 |
| Practice Telephone | 6145334000 |
| Practice Fax Number | 6145403979 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2019-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 34002995 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0427514 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558665273 | Carolyn Deolinda Bullock | Dentist | 320 5th St, Frederick, CO 80530 | 2011-01-10 |
| Street Address |
7630 RIVERS EDGE DR |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43235-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386648186 | Susan D Borchers | Internal Medicine | 7630 Rivers Edge Dr, Columbus, OH 43235-1337 | 2005-06-09 |
| 1437717014 | Caitlyn Cote | Nurse Practitioner | 7630 Rivers Edge Dr, Columbus, OH 43235-1329 | 2019-05-30 |
| 1487153714 | Lindsey Dyan Hoosic | Nurse Practitioner | 7630 Rivers Edge Dr, Columbus, OH 43235-1329 | 2018-02-01 |
| 1003338336 | Jamie M Mayo | Nurse Practitioner | 7630 Rivers Edge Dr, Columbus, OH 43235-1329 | 2017-07-07 |
| 1629500814 | Amanda Alzayed | Family Medicine | 7630 Rivers Edge Dr, Columbus, OH 43235-1329 | 2017-03-28 |
| 1962954347 | Tina Michele Ward | Nurse Practitioner | 7630 Rivers Edge Dr, Columbus, OH 43235 | 2016-11-01 |
| 1013376474 | Jacquelyn M Flowers | Nurse Practitioner | 7630 Rivers Edge Dr, Columbus, OH 43235-1329 | 2016-02-15 |
| 1962872143 | Carolyn M Brennan | Nurse Practitioner | 7630 Rivers Edge Dr, Columbus, OH 43235-1329 | 2015-10-01 |
| 1700128899 | Katherine Jeanne Kendjorsky | Internal Medicine | 7630 Rivers Edge Dr, Columbus, OH 43235 | 2013-03-26 |
| 1508153776 | Man Kien Phung | Internal Medicine | 7630 Rivers Edge Dr, Columbus, OH 43235-1329 | 2011-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323261 | Herbert G Gebert | Chore Provider | 864 Garehouse Lane, Columbus, OH 43235 | 2020-10-12 |
| 1306488119 | Emily Belcher | Case Manager/Care Coordinator | 2540 Billingsley Road, Columbus, OH 43235 | 2019-10-14 |
| 1013576677 | Sara Michel | Behavior Technician | 200 East Campus View Boulevard, Suite 200, Columbus, OH 43235 | 2019-06-07 |
| 1902368756 | Ability Chiropractic Lewis Center LLC | Chiropractor | 6329 Pullman Dr, Lewis Center, OH 43235 | 2019-04-02 |
| 1003390790 | Keith L Warren Sr. | Counselor | 7400 Huntington Dr, 7400 Huntington Dr, Columbus, OH 43235 | 2018-09-19 |
| 1497240907 | Mary Crouser | Case Manager/Care Coordinator | 7690 New Market Way, Columbus, OH 43235 | 2018-06-27 |
| 1164910923 | Sarah Clark | Dietitian, Registered | 8100 Ravines Edge Court, Columbus, OH 43235 | 2018-04-27 |
| 1700394921 | Amanda Daniel | Specialist/Technologist | 8375 Freedom Crossing Rd Unit J, Columbus, OH 43235 | 2018-01-22 |
| 1528579075 | Inxite Florida LLC | Case Management | 1 E Campus View Blvd Ste 320, Columbus, OH 43235 | 2017-10-23 |
| 1194243170 | Ohio Medical Transportation, Inc. | Ambulance | 2827 West Dublin-granville Road, Columbus, OH 43235 | 2017-08-30 |
| Find all providers in zip 43235 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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|---|---|---|---|---|
| 1386252757 | Eventus Wholehealth Midwest Inc | Family Medicine | 2100 Midway St # 3722, Columbus, IN 47201-3722 | 2020-07-21 |
| 1699320705 | Kelly Cephas-hill | Family Medicine | 2339 Linden Ave, Columbus, OH 43211-1631 | 2019-08-06 |
| 1043877962 | 1 On 1 Staffing and Wellness Clinic | Family Medicine | 1315 Delauney Ave Ste 201-a, Columbus, GA 31901-2367 | 2019-05-27 |
| 1952893950 | Midland Medical Group, LLC | Family Medicine | 1000 Georgesville Rd, Columbus, OH 43228 | 2018-06-05 |
| 1134635105 | 138 Med | Family Medicine | 30 Lakeridge Ct, Columbus, GA 31904-1800 | 2017-12-28 |
| 1689193922 | Timothy John Moore | Family Medicine | 180 Reinhard Ave, Columbus, OH 43206-2635 | 2017-09-19 |
| 1013437532 | Mission Medical Associates, Inc. | Family Medicine | 589 Peniel Rd, Columbus, NC 28722 | 2017-06-26 |
| 1942735287 | Dean Fordham | Family Medicine | 6886 Shadybrook Trl, Columbus, GA 31904-3802 | 2017-04-24 |
| 1487188587 | Steven Hanrahan | Family Medicine | 2000 10th Ave Ste 380, Columbus, GA 31901-3709 | 2017-04-14 |
| 1962935866 | Alexandra Blood | Family Medicine | 5868 N Hamilton Rd Ste 200, Columbus, OH 43230-1328 | 2017-04-07 |
| Find all providers in COLUMBUS | ||||
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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.