MARILYN MCGRATH BULLABOY


Address: Medical Center Blvd, Winston-salem, NC 27157-0001
Phone: 3367162255

MARILYN MCGRATH BULLABOY (NPI# 1922216969) 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) 1922216969
Entity Type Individual
Full Name MARILYN MCGRATH BULLABOY
Credential PA-C
Practice Address Medical Center Blvd
Winston-salem
NC 27157-0001
Mailing Address Po Box 344
Winston Salem
NC 27102-0344
Practice Telephone 3367162255
Mailing Telephone 3367162255
Enumeration Date 2007-05-21
Last Update Date 2007-09-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical 		101230 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address MEDICAL CENTER BLVD
City WINSTON-SALEM
State NC
Zip Code 27157-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013365758 Trevor James Tyner Student in an Organized Health Care Education/Training Program Medical Center Blvd, Winston-salem, NC 27103 2016-06-02
1245685866 Megan Brock Student in an Organized Health Care Education/Training Program Medical Center Blvd, Wake Forest Baptist Medical Center, Dept of Pediatrics, Winston-salem, NC 27157 2016-05-02
1871961573 Daniel Smith Nurse Anesthetist, Certified Registered Medical Center Blvd, Winston-salem, NC 27157-0001 2015-09-11
1265819692 Maria-carolina Orbay Student in an Organized Health Care Education/Training Program Medical Center Blvd, Winston-salem, NC 27103 2015-05-06
1053707307 Brent Frederick Hospitalist Medical Center Blvd, Winston-salem, NC 27157 2015-04-14
1720491889 Tiffany Earle Student in an Organized Health Care Education/Training Program Medical Center Blvd, Winston-salem, NC 27103 2014-06-06
1881822856 Christopher James Edwards Anesthesiology Medical Center Blvd, Wake Forest University, Baptist Medical Center, Winston-salem, NC 27157 2009-06-29
1245408988 Archana Manoj Shah Anesthesiology Medical Center Blvd, Winston-salem, NC 27157-0001 2008-02-15
1962684514 Christina Natale Condon Nurse Practitioner Medical Center Blvd, Winston-salem, NC 27157-0001 2007-12-05
1790966356 Hirenkumar Babubhai Patel Pediatrics Medical Center Blvd, Winston-salem, NC 27157-1184 2007-11-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255960241 Alexandra Marie Balmaceda Student in an Organized Health Care Education/Training Program Wake Forest Baptist Medical Center Pathology Dept, #1 Medical Center Blvd., Winston-salem, NC 27157 2020-04-02
1164916680 Jorie Elizabeth Gatts Student in an Organized Health Care Education/Training Program Wake Forest Baptist Medical Department of Pediatrics, Winston Salem, NC 27157 2018-06-18
1932606555 Alexi Rae Ellington Webb Student in an Organized Health Care Education/Training Program Wake Forest School of Medicine, Dept of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 2018-04-10
1851896674 Wasim Muhammad Student in an Organized Health Care Education/Training Program Wake Forest School of Medicine Dept. of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 2018-03-25
1336643535 Phillip Martin Kostelic Student in an Organized Health Care Education/Training Program Anesthesiology - Wake Forest Baptist Medical Center, 1 Medical Center Blvd, Winston-salem, NC 27157 2018-03-21
1831693324 Aleah Bond Student in an Organized Health Care Education/Training Program Anesthesiology Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-salem, NC 27157 2018-03-20
1134644859 Ilan Binyamin Klein Urology Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 2017-08-03
1023467529 Edward John Doyle IIi Student in an Organized Health Care Education/Training Program Wake Forest School of Medicine Dept. of Otolaryngology, Watlington Hall 4th Fl. Medical Center Boulevard, Winston-salem, NC 27157 2016-06-07
1477917888 Jordan Mae Burner Student in an Organized Health Care Education/Training Program Graduate Medical Education Office, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157 2016-04-12
1174900476 Kate Elise Winterbottom Speech-Language Pathologist 4 Janeway Medical Center Blvd, Hearing and Speech, Winston Salem, NC 27157 2015-05-06
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235351891 Brenda W. Mckinney Physician Assistant Medical Center Blvd - Employee Health, Meads Hall - Ground Floor, Winston-salem, NC 27157-0001 2007-05-03
1376671503 Frances C Greenlee Physician Assistant Lower Level Reynolds Gym-wingate Rd, Wingate Rd, Winston-salem, NC 27109-7386 2007-03-01
1588623003 Mark Lee Seatvet Physician Assistant 190 Kimel Park Dr, Winston-salem, NC 27103-6946 2006-03-22
1215974811 Jennifer Hughes Chapman Physician Assistant 799 Hickory Tree Rd, Winston-salem, NC 27127-9139 2006-06-01
1871546275 Debbie Adams Hauser Physician Assistant 1400 Westgate Center Dr, Winston-salem, NC 27103-3104 2006-05-18
1528016797 Ryan Matthew Quarless Physician Assistant 3001 Lyndhurst Ave, Winston-salem, NC 27103-4007 2006-05-04
1134177306 Luke Alexander Pearsall Physician Assistant 3001 Lyndhurst Ave, Winston-salem, NC 27103-4007 2006-05-04
1760445118 Paul Warren Bailey Physician Assistant 190 Kimel Park Dr, Winston-salem, NC 27103-6946 2006-04-07
1114987971 William Benjamin Smith IIi Physician Assistant 190 Kimel Park Dr, Winston-salem, NC 27103-6946 2006-03-24
1639139512 Arthur Thomas Coppley Physician Assistant 190 Kimel Park Dr, Winston-salem, NC 27103-6946 2006-03-24
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Competitor

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City WINSTON-SALEM
Zip Code 27157

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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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