Johnny R Bullock
KEYSTONE HOSPITALIST SERVICES OF MS INC


Address: 100 Hospital Dr, Tylertown, MS 39667-2022
Phone: 6018762122

Johnny R Bullock (NPI# 1043268709, PAC ID# 3971562976) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1043268709
PAC ID by PECOS 3971562976
Professional Enrollment ID I20041006000254
Full Name Johnny R Bullock
Organization Legal Name KEYSTONE HOSPITALIST SERVICES OF MS INC
Address 100 Hospital Dr
Tylertown
MS 39667-2022
Phone Number 6018762122
Gender M
Credential MD
Medical School UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year 1993
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 7517103864
Number of Group Practice Members 38
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
251324 WALTHALL COUNTY GENERAL HOSPITAL CAH

Other Locations

Address Phone Organization
100 Hospital Dr, Tylertown, MS 39667-2022 6018762122 KEYSTONE HOSPITALIST SERVICES OF MS INC

Organization Information

Organization Legal Name KEYSTONE HOSPITALIST SERVICES OF MS INC
Physicians 18

Physicians with the same organization

Name Specialty Organization Address
Evan L Underwood Family Medicine Keystone Hospitalist Services of Ms Inc 1102 Rose St, Prentiss, MS 39474-5200
Victor Oluwaseun Sonaike Family Medicine Keystone Hospitalist Services of Ms Inc 130 Highland Pkwy, Picayune, MS 39466-5574
Daniel G Stevens Emergency Medicine Keystone Hospitalist Services of Ms Inc 1102 Rose St, Prentiss, MS 39474-5200
Jeffrey Tipton Nurse Practitioner Keystone Hospitalist Services of Ms Inc 15200 Community Rd, Gulfport, MS 39503-3085
Sharon Mitchell Collins Family Medicine Keystone Hospitalist Services of Ms Inc 100 Hospital Dr, Tylertown, MS 39667-2022
Herbert Floyd Emergency Medicine Keystone Hospitalist Services of Ms Inc 1102 Rose St, Prentiss, MS 39474-5200
Arthur A Levy Emergency Medicine Keystone Hospitalist Services of Ms Inc 1102 Rose St, Prentiss, MS 39474-5200
O'neil J Pyke Internal Medicine Keystone Hospitalist Services of Ms Inc 100 Hospital Dr, Tylertown, MS 39667-2022
Earl L Mahaffey General Practice Keystone Hospitalist Services of Ms Inc 1102 Rose St, Prentiss, MS 39474-5200
Peter J Jensen Family Medicine Keystone Hospitalist Services of Ms Inc 1560 Sumrall Rd, Columbia, MS 39429-2654

Office Location

Street Address 100 HOSPITAL DR
City TYLERTOWN
State MS
Zip 39667-2022

Physicians in the same location

Name Specialty Organization Address
Frank M Batcha Family Medicine St Lukes Clinic - Wood River LLC 100 Hospital Dr, Suite 201, Ketchum, ID 83340-9998
Dan S Fairman Internal Medicine St Lukes Clinic - Wood River LLC 100 Hospital Dr, Ketchum, ID 83340-9998
Quinn Mary Kneifl Physician Assistant Pender Community Hospital District 100 Hospital Dr, Pender, NE 68047-4507
Hassan Khalil Internal Medicine 100 Hospital Dr, Montrose, PA 18801-6402
Shashank Bhatt Internal Medicine 100 Hospital Dr, Montrose, PA 18801-6402
Ellen T Leavell Emergency Medicine Gem Capital Physicians Pllc 100 Hospital Dr, Louisburg, NC 27549-2256
Andrew John Krieger Emergency Medicine Gem Capital Physicians Pllc 100 Hospital Dr, Louisburg, NC 27549-2256
Dione E Blansit Certified Registered Nurse Anesthetist (crna) Mercy Clinic Springfield Communities 100 Hospital Dr, Lebanon, MO 65536-9210
Vikas Sharma Internal Medicine Mercy Clinic Springfield Communities 100 Hospital Dr, Lebanon, MO 65536-9210
Chainarong Limvarapuss Hematology/oncology Solano Hematology - Oncology 100 Hospital Dr, Suite 110, Vallejo, CA 94589-2577
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Physicians in the same zip code

Name Specialty Organization Address
Carla Mitchell Armstrong Family Medicine 155 Hospital Dr, Tylertown, MS 39667-2021
Irby Lee Campbell Certified Registered Nurse Anesthetist (crna) Sayer and Soileau Anesthesia LLC 100 Hospital Dr, Tylertown, MS 39667-2022
Sharon Mitchell Collins Family Medicine Keystone Hospitalist Services of Ms Inc 100 Hospital Dr, Tylertown, MS 39667-2022
O'neil J Pyke Internal Medicine Keystone Hospitalist Services of Ms Inc 100 Hospital Dr, Tylertown, MS 39667-2022
Arthur C Martin Interventional Cardiology 100 Hospital Dr, Tylertown, MS 39667-2022
Kent C Kyzar Family Practice Keystone Hospitalist Services of Ms Inc 100 Hospital Dr, Tylertown, MS 39667-2022
Patricia D Patterson Nurse Practitioner Keystone Hospitalist Services of Ms Inc 100 Hospital Dr, Tylertown, MS 39667-2022
Julius Keith Speed Family Practice Keystone Hospitalist Services of Ms Inc 100 Hospital Dr, Tylertown, MS 39667-2022
Deborah Elizabeth Gatlin Internal Medicine Keystone Hospitalist Services of Ms Inc 100 Hospital Dr, Tylertown, MS 39667-2022
Robert A Gannaway Family Practice Keystone Hospitalist Services of Ms Inc 100 Hospital Dr, Tylertown, MS 39667-2022
Find all physicians in zip 39667

Competitor

Search similar physicians

City TYLERTOWN
Zip Code 39667
Specialty INTERNAL MEDICINE
City + Specialty TYLERTOWN + INTERNAL MEDICINE

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Dataset Information

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.

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