JOHN BULLOCK (NPI# 1043705122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043705122 |
| Entity Type | Individual |
| Full Name | JOHN BULLOCK |
| Practice Address |
2860 E Flamingo Rd Ste K Las Vegas NV 89121-5270 |
| Mailing Address |
5598 La Perla Ct Las Vegas NV 89122-8390 |
| Practice Telephone | 7023185005 |
| Mailing Telephone | 6197216188 |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2018-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063526390 | John Samuel Bullock | Pharmacist | 1000 Farm Market Road 300, Levelland, TX 79336-6235 | 2006-08-17 |
| 1942217757 | John David Bullock | Family Medicine | 1238 Highway 42, Sumrall, MS 39482 | 2006-08-02 |
| 1194799775 | John W Bullock | Physician Assistant | 2785 Boleyn Dr, Colorado Springs, CO 80920-5383 | 2006-02-13 |
| 1750774634 | John Robert Bullock | Ophthalmology | 2023 Professional Center Dr, Orange Park, FL 32073-4472 | 2015-03-16 |
| 1083866248 | John A Bullock | Dentist | 29292 Sw Town Center Loop E, Wilsonville, OR 97070-9491 | 2008-10-21 |
| 1477736486 | John Herbert Bullock | Pharmacist | 460 County Road 111, Manorville, NY 11949-3372 | 2007-12-12 |
| 1811901846 | John Paul Bullock Jr. | Ophthalmology | 400 Westhampton Sta, Richmond, VA 23226-3330 | 2006-07-27 |
| Street Address |
2860 E FLAMINGO RD STE K |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89121-5270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710058573 | Absolute Home Care Inc. | Exclusive Provider Organization | 2860 E Flamingo Rd Ste K, Las Vegas, NV 89121-5270 | 2006-11-13 |
| 1417558289 | Alien Almirall Puente | Technician | 2860 E Flamingo Rd Ste K, Las Vegas, NV 89121-5270 | 2020-11-06 |
| 1144821141 | Roza Zahedi | Technician | 2860 E Flamingo Rd Ste K, Las Vegas, NV 89121-5270 | 2020-11-05 |
| 1689275638 | Rahel Tesfom | Technician | 2860 E Flamingo Rd Ste K, Las Vegas, NV 89121-5270 | 2020-11-05 |
| 1891396263 | Alex Hilton | Technician | 2860 E Flamingo Rd Ste K, Las Vegas, NV 89121-5270 | 2020-11-03 |
| 1265046957 | Elizabeth Santos Lopez | Technician | 2860 E Flamingo Rd Ste K, Las Vegas, NV 89121-5270 | 2020-09-01 |
| 1679187462 | Mario Eduardo Reytor Vega | Technician | 2860 E Flamingo Rd Ste K, Las Vegas, NV 89121-5270 | 2020-08-31 |
| 1760095020 | Yargey Beaujardin Cruz | Technician | 2860 E Flamingo Rd Ste K, Las Vegas, NV 89121-5270 | 2020-08-26 |
| 1689287138 | John Angelo Rodriguez | Technician | 2860 E Flamingo Rd Ste K, Las Vegas, NV 89121-5270 | 2020-08-25 |
| 1730791351 | Alba Luz Cortez | Technician | 2860 E Flamingo Rd Ste K, Las Vegas, NV 89121-5270 | 2020-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379117 | Western State Behavioral Health and Psychiatric Services | Psychologist | 3910 Pecos-mcleod Interconnect, Las Vegas, NV 89121 | 2020-09-01 |
| 1962025155 | Arieste Diaz Perez | Clinic/Center | 3777 Pecos-mcleod Interconnect, Suite 101, Las Vegas, NV 89121 | 2020-05-21 |
| 1366071904 | Vanesa Silva | Behavior Technician | 4714 Flamigo Rd, Las Vegas, NV 89121 | 2020-04-06 |
| 1053955732 | Valente Solis Santiago | Technician | 2785 E. Desert Inn Rd Ste. 240, Las Vegas, NV 89121 | 2019-11-05 |
| 1750938981 | Ken Ernst | Rehabilitation Practitioner | Primary Solutions Medical Billing, 4525 S. Sandhill Rd Ste #112, Las Vegas, NV 89121 | 2019-08-22 |
| 1902450455 | Tracey Anora Henry | Counselor | 3675 Pecos Mecleod Ste 900, Las Vegas, NV 89121 | 2019-08-01 |
| 1679127096 | Wilma Guadalupe Nunez | Chore Provider | 2860 East Flamingo, Suite C, Las Vegas, NV 89121 | 2019-07-25 |
| 1487213807 | Karla Susana Ayala | Chore Provider | 2860 E. Flamingo Rd Ste K., Las Vegas, NV 89121 | 2019-06-10 |
| 1447819164 | Jovita Garcia-perez | Chore Provider | 2860 E. Flamingo Suite C, Suite C, Las Vegas, NV 89121 | 2019-06-06 |
| 1164081972 | Maria Isabel Castellanos Gonzalez | Chore Provider | 2860 E. Flamingo Rd Ste K, Las Vegas, NV 89121 | 2019-06-06 |
| Find all providers in zip 89121 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396628 | Jill Azevedo | Technician | 6300 Black Mesa Ct, Las Vegas, NV 89142-7919 | 2020-11-06 |
| 1396346409 | Johanna Dwyer | Technician | 5755 E Lake Mead Blvd Apt D, Las Vegas, NV 89156-6859 | 2020-11-04 |
| 1063013274 | Lloyd Major | Technician | 3830 University Center Dr Apt 318, Las Vegas, NV 89119-7420 | 2020-11-04 |
| 1861093239 | Raiquave Morgan | Technician | 5256 Tamarus St Apt B, Las Vegas, NV 89119-5047 | 2020-11-03 |
| 1669073250 | Chrissy Bowser | Technician | 3355 Spg Mnt Rd Ste 67, Las Vegas, NV 89102-8633 | 2020-11-02 |
| 1235739392 | Maxima Del Carmen Garcia | Technician | 3580 E Alexander Rd Apt 2016, Las Vegas, NV 89115 | 2020-10-28 |
| 1427657196 | Hector Querubin | Technician | 5400 S Maryland Pkwy Apt 165, Las Vegas, NV 89119-2642 | 2020-10-22 |
| 1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
| 1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
| 1356940654 | Shannon Gordon | Technician | 1224 W Lake Mead Blvd, Las Vegas, NV 89106-2415 | 2020-10-19 |
| Find all providers in LAS VEGAS | ||||
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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.