Mark Robert Bombulie (NPI# 1013350263, PAC ID# 3678821626) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1013350263 |
| PAC ID by PECOS | 3678821626 |
| Professional Enrollment ID | I20180807003259 |
| Full Name | Mark Robert Bombulie |
| Organization Legal Name | ANESTHESIA ASSOCIATES OF GAINESVILLE, LLC |
| Address |
743 Sping St Ne Gainesville GA 30501-3741 |
| Phone Number | 7705327179 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 2013 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 2769381771 |
| Number of Group Practice Members | 76 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110029 | NORTHEAST GEORGIA MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 743 Sping St Ne, Gainesville, GA 30501-3741 | 7705327179 | ANESTHESIA ASSOCIATES OF GAINESVILLE, LLC |
| Organization Legal Name | ANESTHESIA ASSOCIATES OF GAINESVILLE, LLC |
| Physicians | 92 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charisse N Stovall | Anesthesiology | Anesthesia Associates of Gainesville, LLC | 1200 Hamilton Pl, Gainesville, GA 30501-3844 |
| Kaitlin Schieman | Anesthesiology Assistant | Anesthesia Associates of Gainesville, LLC | 743 Sping St Ne, Gainesville, GA 30501-3741 |
| John T Mclean | Anesthesiology Assistant | Anesthesia Associates of Gainesville, LLC | 743 Sping St Ne, Gainesville, GA 30501-3741 |
| Eric D Shapiro | Anesthesiology | Anesthesia Associates of Gainesville, LLC | 1200 Hamilton Pl, Gainesville, GA 30501-3844 |
| John Zimmerman | Anesthesiology | Anesthesia Associates of Gainesville, LLC | 1200 Hamilton Pl, Gainesville, GA 30501-3844 |
| Jeffrey Daniel Walker | Anesthesiology Assistant | Anesthesia Associates of Gainesville, LLC | 1200 Hamilton Pl, Gainesville, GA 30501-3844 |
| Courtney F Cummings | Anesthesiology Assistant | Anesthesia Associates of Gainesville, LLC | 743 Sping St Ne, Gainesville, GA 30501-3741 |
| Un Kim Ehret | Anesthesiology Assistant | Anesthesia Associates of Gainesville, LLC | 743 Sping St Ne, Gainesville, GA 30501-3741 |
| Jorja Miller | Anesthesiology Assistant | Anesthesia Associates of Gainesville, LLC | 743 Sping St Ne, Gainesville, GA 30501-3741 |
| Kerry T Zottnick | Anesthesiology | Anesthesia Associates of Gainesville, LLC | 1200 Hamilton Pl, Gainesville, GA 30501-3844 |
| Street Address |
743 SPING ST NE |
| City | GAINESVILLE |
| State | GA |
| Zip | 30501-3741 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaitlin Schieman | Anesthesiology Assistant | Anesthesia Associates of Gainesville, LLC | 743 Sping St Ne, Gainesville, GA 30501-3741 |
| John T Mclean | Anesthesiology Assistant | Anesthesia Associates of Gainesville, LLC | 743 Sping St Ne, Gainesville, GA 30501-3741 |
| Courtney F Cummings | Anesthesiology Assistant | Anesthesia Associates of Gainesville, LLC | 743 Sping St Ne, Gainesville, GA 30501-3741 |
| Un Kim Ehret | Anesthesiology Assistant | Anesthesia Associates of Gainesville, LLC | 743 Sping St Ne, Gainesville, GA 30501-3741 |
| Jorja Miller | Anesthesiology Assistant | Anesthesia Associates of Gainesville, LLC | 743 Sping St Ne, Gainesville, GA 30501-3741 |
| Caleb Stewart | Anesthesiology Assistant | Anesthesia Associates of Gainesville, LLC | 743 Sping St Ne, Gainesville, GA 30501-3741 |
| Ezra D Ellis | Pathology | Gainesville Regional Pathology Associates, PC | 743 Sping St Ne, Gainesville, GA 30501-3741 |
| Robert M Mccormac | Pathology | Gainesville Regional Pathology Associates, PC | 743 Sping St Ne, Gainesville, GA 30501-3741 |
| Sumi G So | Pathology | Gainesville Regional Pathology Associates, PC | 743 Sping St Ne, Gainesville, GA 30501-3741 |
| Matthew Parks | Anesthesiology | Anesthesia Associates of Gainesville, LLC | 743 Sping St Ne, Gainesville, GA 30501-3741 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leroy W Robinson Iii | Optometry | Lanier Eye Associates, LLC | 625 S Enota Nedr, Gainesville, GA 30501 |
| William C Ackerman | Ophthalmology | Lanier Eye Associates, LLC | 625 S Enota Nedr, Gainesville, GA 30501 |
| Julius Nathaniel Skeete | Optometry | 150 Pearl Nix Pkwy, D3a, Gainesville, GA 30501-0001 | |
| William T Crews | Chiropractic | 1864 Thompson Bridge Rd, Gainesville, GA 30501-1119 | |
| Julia H Strong | Clinical Social Worker | 1709 B Cleveland Hwy, Gainesville, GA 30501-1353 | |
| Kathryn W. Dudas | Family Medicine | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Yesenia Delosangeles | Clinical Social Worker | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Christy M Wagner | Family Medicine | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Catherine E Norton | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Jennifer A Roark | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Find all physicians in zip 30501 | |||
| City | GAINESVILLE |
| Zip Code | 30501 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | GAINESVILLE + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Mark Robert Bombulie.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.