KEITH A BULLER


Address: 1701 Oak Park Blvd, Lake Charles, LA 70601-8911
Phone: 3374943000

KEITH A BULLER (NPI# 1730197211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730197211
Entity Type Individual
Full Name KEITH A BULLER
Credential P.A.
Practice Address 1701 Oak Park Blvd
Lake Charles
LA 70601-8911
Practice Telephone 3374943000
Mailing Telephone 3374943000
Enumeration Date 2006-08-03
Last Update Date 2013-01-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA.200007.RX LA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA PENDING 05

Office Location

Street Address 1701 OAK PARK BLVD
City LAKE CHARLES
State LA
Zip Code 70601-8911

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972549855 Southwest Louisiana Hospital Association General Acute Care Hospital 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 2006-06-21
1699386672 Alexis Batiste Nurse Anesthetist, Certified Registered 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 2020-08-12
1912530510 Kathryn Claire Anderson Nurse Practitioner 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 2020-02-21
1902450851 Jed Michael Guillory Nurse Practitioner 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 2019-07-29
1598328189 Joshua Clayton Gray Nurse Practitioner 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 2019-04-18
1750846663 Memorial Medical Group, LLC Family Medicine 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 2019-02-05
1306331004 Austin Goings Nurse Practitioner 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 2018-06-25
1649767724 Melanie Bousegard White Nurse Practitioner 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 2018-04-16
1518461706 Brandon Shea Blanchard Nurse Practitioner 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 2018-03-21
1790293645 Lauren Courville Nurse Practitioner 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 2018-01-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144833872 Fresenius Medical Care Sulphur, LLC Clinic/Center 330 Chavanne Street, Lake Charles, LA 70601 2020-08-24
1174158844 Andrea Cormier Peer Specialist 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 2020-03-03
1588297303 Vivian Claire Miller Monceaux Chiropractor 780 Bayou Pines East Drive, Lake Charles, LA 70601 2020-02-20
1568001014 Swla Center for Health Services Clinic/Center 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 2020-01-02
1417512070 Ryan Nathaniel Vaisler Student in an Organized Health Care Education/Training Program 1525 Oak Park Blvd., Lake Charles, LA 70601 2019-05-08
1336600675 Hoh Palliative Care, LLC Family Medicine 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 2019-03-28
1073079026 Alawrass LLC Pharmacy 803 E Prien Lake Rd, Lake Charles, LA 70601 2019-02-14
1861962722 Ellaweena Woods Counselor 1409 Kirkman St., Lake Charles, LA 70601 2018-12-04
1770051963 Hanna Marie Rodriguez Counselor 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 2018-11-06
1023585213 Shandora Druilhet Case Manager/Care Coordinator 751 E Bayou Pines, Lake Charles, LA 70601 2018-10-26
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821506726 Jessica Danielle Casey Physician Assistant 1467 Hickory Ridge Dr, Lake Charles, LA 70611-3747 2018-01-14
1194243220 Kayla Jeanne Dansby Physician Assistant 4345 Nelson Rd Ste 201, Lake Charles, LA 70605-4183 2017-09-08
1588947956 Savannah Guidry Burnett Physician Assistant 3635 Nelson Rd, Lake Charles, LA 70605-1213 2011-09-22
1740577998 Jeffrey John Daigle Physician Assistant 1615 Wolf Cir, Lake Charles, LA 70605-2348 2011-07-07
1487649091 Staci Simon Boudreaux Physician Assistant 1747 Imperial Blvd, Lake Charles, LA 70605-5362 2005-09-20
1255939344 Alexis Griffin Physician Assistant 2640 Country Club Rd Ste 400, Lake Charles, LA 70605-6079 2020-10-12
1699323964 Lindsay Vincent Quebodeaux Physician Assistant 2640 Country Club Rd Ste 400, Lake Charles, LA 70605-6079 2019-08-29
1912560541 Haley Cook Cart Physician Assistant 1747 Imperial Blvd, Lake Charles, LA 70605-5362 2019-04-18
1659884385 Kathryn Olivia Zimmerman Physician Assistant 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 2017-11-16
1831639897 Paul Joseph Leger Physician Assistant 1701 Oak Park Blvd., Lake Charles, LA 70601 2017-02-24
Find all providers in LAKE CHARLES

Competitor

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City LAKE CHARLES
Zip Code 70601

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Dataset Information

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.

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