DR. MICHAEL S BULLOCK (NPI# 1669458758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669458758 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL S BULLOCK |
| Credential | MD |
| Practice Address |
520 Country Club Pkwy Eugene OR 97401-6036 |
| Practice Telephone | 5416835001 |
| Practice Fax Number | 5416831422 |
| Mailing Telephone | 5416835001 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
MD12542 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 238188 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295109890 | Michael Bullock | Social Worker | 150 Cross St, Akron, OH 44311-1026 | 2015-11-19 |
| 1609005446 | Michael Craig Bullock | Social Worker | 950 15th St, Augusta, GA 30901-2608 | 2009-07-14 |
| 1407055122 | Michael Henry Bullock | Social Worker | 5762 Bolsa Ave, #107, Huntington Beach, CA 92649-1172 | 2007-07-12 |
| Street Address |
520 COUNTRY CLUB PKWY |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-6036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801872171 | James F Fitzgibbons | Internal Medicine | 520 Country Club Pkwy, Eugene, OR 97401-6036 | 2005-12-19 |
| 1710473541 | Betty Goracke Olguin | Registered Nurse | 520 Country Club Pkwy, Eugene, OR 97401-6043 | 2018-07-04 |
| 1184965121 | Linn Lew Bergander | Physician Assistant | 520 Country Club Pkwy, Eugene, OR 97401-6043 | 2013-03-14 |
| 1073813127 | Emily Bucholtz | Pharmacist | 520 Country Club Pkwy, Eugene, OR 97401-6043 | 2010-10-22 |
| 1780902783 | Emily F Dunn | Radiology | 520 Country Club Pkwy, Eugene, OR 97401-6043 | 2010-05-14 |
| 1184950479 | Miho Teruya Dougherty | Internal Medicine | 520 Country Club Pkwy, Eugene, OR 97401-6043 | 2009-10-21 |
| 1922211424 | Haidy L Lee | Radiology | 520 Country Club Pkwy, Eugene, OR 97401-6043 | 2007-05-08 |
| 1295853901 | Radiology Associates, PC | Specialist | 520 Country Club Pkwy, Eugene, OR 97401-6036 | 2007-03-27 |
| 1427134287 | James Edward Butrynski | Internal Medicine | 520 Country Club Pkwy, Eugene, OR 97401-6043 | 2006-10-27 |
| 1245327121 | Oncology Associates of Oregon P C | Pharmacy | 520 Country Club Pkwy, Eugene, OR 97401-6043 | 2006-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780902783 | Emily F Dunn | Radiology | 520 Country Club Pkwy, Eugene, OR 97401-6043 | 2010-05-14 |
| 1922211424 | Haidy L Lee | Radiology | 520 Country Club Pkwy, Eugene, OR 97401-6043 | 2007-05-08 |
| 1477502813 | Merideth Michele Wendland | Radiology | 520 Country Club Pkwy, Eugene, OR 97401-6036 | 2006-05-10 |
| 1134105224 | Julie B Gemmell | Radiology | 520 Country Club Pkwy, Eugene, OR 97401-6036 | 2005-12-20 |
| 1255317335 | David C Fryefield | Radiology | 520 Country Club Pkwy, Eugene, OR 97401-6036 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417501420 | Oarm Services of Oregon PC | Radiology | 1713 Sw 24th St, Pendleton, OR 97801-4330 | 2019-07-29 |
| 1235549031 | Amar Srivastava | Radiology | 4805 Ne Glisan St, Garden Level, Portland, OR 97213 | 2014-05-01 |
| 1962848655 | Joshua M Walker | Radiology | 3181 Sw Sam Jackson Park Rd # Kpv4, Portland, OR 97239 | 2013-05-21 |
| 1740596105 | Kevin Forsythe | Radiology | 1457 G St, Springfield, OR 97477-4113 | 2010-08-24 |
| 1578610382 | Jerry Jeff Jaboin | Radiology | 3181 Sw Sam Jackson Park Rd # L337, Department of Radiation Medicine, Portland, OR 97239-3011 | 2007-01-04 |
| 1952467607 | Jerald Edward Albrich | Radiology | 2389 N Maple St, Canby, OR 97013-2106 | 2006-12-28 |
| 1427139120 | Radiation Therapy Consultants, PC | Radiology | 875 Oak St Se Ste 1080, Salem, OR 97301-3977 | 2006-10-18 |
| 1982702221 | Margaret J Thompson | Radiology | 12990 W Perrydale Rd, Amity, OR 97101-9519 | 2006-09-20 |
| 1881631745 | Grace E Yuh | Radiology | 2700 Se Stratus Ave Ste A, Mcminnville, OR 97128-6258 | 2006-06-01 |
| 1770520892 | Katie Anne Deming | Radiology | 1400 Nw Irving St, 527, Portland, OR 97209-2210 | 2006-05-31 |
| Find all providers with the same taxonomy | ||||
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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.