MARK DANIEL BULLOCK (NPI# 1699835017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699835017 |
| Entity Type | Individual |
| Full Name | MARK DANIEL BULLOCK |
| Credential | M.D. |
| Practice Address |
11055 Little Patuxent Pkwy Suite L-1 Columbia MD 21044-2896 |
| Mailing Address |
Po Box 1264 Laurel MD 20725-1264 |
| Practice Telephone | 4107407030 |
| Practice Fax Number | 4107407033 |
| Mailing Telephone | 4107407030 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2011-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | D41258 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346370277 | Mark Dana Bullock | Counselor | 6160 E Hayden Lake Rd, Hayden, ID 83835-7594 | 2007-03-07 |
| 1962419697 | Mark Richmond Bullock | Dentist | 1034 N Willis St, Abilene, TX 79603-4622 | 2006-08-02 |
| 1134482532 | Mark Jeffrey Bullock | Podiatrist | 5483 Gratiot Rd, Saginaw, MI 48638-6037 | 2012-06-20 |
| 1659690907 | Mark B Bullock | Counselor | 5200 Sw Macadam Ave, Suite 580, Portland, OR 97239-6103 | 2010-05-26 |
| Street Address |
11055 LITTLE PATUXENT PKWY SUITE L-1 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044-2896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992706618 | Bruce Michael Conger | Internal Medicine | 11055 Little Patuxent Pkwy, Suite103, Columbia, MD 21044-2896 | 2005-08-03 |
| 1861868622 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 11055 Little Patuxent Pkwy, Suite 204, Columbia, MD 21044-2896 | 2015-08-17 |
| 1427434521 | Stacy Bartolich | Nurse Practitioner | 11055 Little Patuxent Pkwy, Suite 205, Columbia, MD 21044-2896 | 2015-07-31 |
| 1225462963 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 11055 Little Patuxent Pkwy, Suite L-1, Columbia, MD 21044 | 2013-08-29 |
| 1356645220 | Howard Open Mri LLC | Clinic/Center | 11055 Little Patuxent Pkwy, Suite L9, Columbia, MD 21044-2896 | 2011-01-06 |
| 1548562119 | St. Agnes Healthcare, Inc. | Clinic/Center | 11055 Little Patuxent Pkwy, L6, Columbia, MD 21044-2896 | 2010-12-02 |
| 1427380302 | Maryland Ivf Fertility Health & Wellness Center | Clinic/Center | 11055 Little Patuxent Pkwy, Columbia, MD 21044-2896 | 2010-02-03 |
| 1124250923 | Katherine Mansfield Houle | Social Worker | 11055 Little Patuxent Pkwy, Suite 201, Columbia, MD 21044-2896 | 2009-08-13 |
| 1336374321 | Rafeena Bacchus | Internal Medicine | 11055 Little Patuxent Pkwy, Suite 104, Columbia, MD 21044-2896 | 2009-05-20 |
| 1902075997 | Charles J. Lancelotta Jr., M.d., P.a. | Specialist | 11055 Little Patuxent Pkwy, Suite L7, Columbia, MD 21044-2896 | 2008-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
| Find all providers in zip 21044 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1912523085 | Julia Anne Prodoehl | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Surgery, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-24 |
| 1285253336 | Providence Physician Practices LLC | Orthopaedic Surgery | 114 Gateway Corporate Blvd Ste 220a, Columbia, SC 29203-9785 | 2020-04-09 |
| 1528627346 | John Charles Sharpe | Orthopaedic Surgery | Orthopaedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2019-06-06 |
| 1578054383 | Michael Jefferson Spitnale | Orthopaedic Surgery | Orthopedic Surgery Clinic, 1801 Sunset Drive, Columbia, SC 29203 | 2018-05-29 |
| 1669901997 | Patrick David Rowan | Orthopaedic Surgery | 1100 Virginia Avenue Dc 953 00, Columbia, MO 65212-0001 | 2017-06-09 |
| 1699156760 | Paul Hutchinson | Orthopaedic Surgery | 1100 Virginia Ave Rm 4056, Columbia, MO 65212-0001 | 2015-06-15 |
| 1053722652 | Thomas Jenner Huber | Orthopaedic Surgery | 3250 Pulaski Hwy, Columbia, TN 38401-8516 | 2014-05-16 |
| 1437597325 | Hari O Gupta | Orthopaedic Surgery | 10700 Charter Dr Ste 140, Columbia, MD 21044-3631 | 2013-06-13 |
| 1487901807 | Southern Bone & Joint Specialists, Pa | Orthopaedic Surgery | 1215 Highway 98 Byp, Columbia, MS 39429-3702 | 2012-08-06 |
| Find all providers in COLUMBIA | ||||
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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.