HENDY BULTER JEAN


Address: 100 Wason Ave, Springfield, MA 01107-1381
Phone: 4137942759

HENDY BULTER JEAN (NPI# 1063823193) 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) 1063823193
Entity Type Individual
Full Name HENDY BULTER JEAN
Credential M.D.
Practice Address 100 Wason Ave
Springfield
MA 01107-1381
Mailing Address 1414 Blue Hill Ave Apt 2
Mattapan
MA 02126-2252
Practice Telephone 4137942759
Mailing Telephone 8573332788
Enumeration Date 2014-05-12
Last Update Date 2019-10-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 01080998A IN Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program 272059 MA Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
585 Schenectady Ave # K4, Brooklyn, NY 112031851 7813636771

Office Location

Street Address 100 WASON AVE
City SPRINGFIELD
State MA
Zip Code 01107-1381

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801893359 Amado Ramos Munson Physician Assistant 100 Wason Ave, Suite 120, Springfield, MA 01107-1381 2005-06-30
1972089597 Roksolana V Voshchilo Audiologist 100 Wason Ave, Springfield, MA 01107-1381 2018-07-17
1184179517 Renal and Transplant Associates of New England, PC Transplant Surgery 100 Wason Ave, Ste 200, Springfield, MA 01107-1381 2016-08-15
1235535204 Renal and Transplant Associates of New England PC Transplant Surgery 100 Wason Ave, Suite 200, Springfield, MA 01107-1381 2014-11-18
1033546643 Lisa Ann Salisbury Physician Assistant 100 Wason Ave, Suite 120, Springfield, MA 01107-1381 2013-09-27
1548576135 Laurette Lynn Patten Nurse Practitioner 100 Wason Ave, 230, Springfield, MA 01107-1179 2010-08-20
1366762932 Pioneer Valley Plastic Surgery LLC Surgery 100 Wason Ave, Suite 360, Springfield, MA 01107-1119 2010-06-07
1316265622 Lauren Busekroos Otolaryngology 100 Wason Ave, Suite 100, Springfield, MA 01107-1381 2010-05-11
1275865131 Hemant Magoo Internal Medicine 100 Wason Ave, Suite 200, Springfield, MA 01107-1381 2010-02-03
1578733457 Kevin Patrick Asher Urology 100 Wason Ave, Suite 120, Springfield, MA 01107-1381 2008-03-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740702547 Domingo Nieves Jr. Counselor 2225 Main St., Springfield, MA 01107 2017-07-13
1801318266 Denise Lawson Counselor 2257 Main Street, Springfield, MA 01107 2017-07-07
1568912491 Trina Cysz Nurse Practitioner 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 2016-10-04
1609322262 Toheeb Oladimeji Bakare Counselor 322 Birnie Avenue, Springfield, MA 01107 2016-09-01
1952701161 Jalissa Sostre Counselor 32 Abbe Ave, Springfield, MA 01107 2014-08-26
1659799161 Elizabeth A. Otmaskin Obstetrics & Gynecology 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 2014-04-01
1205268885 Catherine Matejcek Davies Counselor 246 Park Street, Springfield, MA 01107 2013-08-06
1750723268 Jasdeep S. Badwal Allergy & Immunology 2 Medical Center Dr Ste 406, Springfield, MA 01107 2013-07-25
1255691846 Medical Express Urgent Care Center, Co. Inc. Physical Medicine & Rehabilitation 438 Chestnut Street, Springfield, MA 01107 2012-05-17
1205166642 Matthew R Kelley Audiologist 100 Wason, Suite 100, Springfield, MA 01107 2010-01-07
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639675077 Anand Kanjolia, M.d. LLC Internal Medicine 222 Carew St Fl 4, Springfield, MA 01104-4109 2018-04-04
1376068817 Personal Primary Care and Weight Management, LLC Internal Medicine 299 Carew St Ste 234, Springfield, MA 01104-2368 2017-08-05
1184145682 Basma Al-bast Internal Medicine 701 N 1st St Ste 434, Springfield, IL 62702-3757 2017-07-05
1689124604 John Duff Internal Medicine 2909 S Camber Ave, Springfield, MO 65809-3547 2016-10-13
1669834941 Siddhi Joshi Internal Medicine 5501 Backlick Rd Ste 105, Springfield, VA 22151-3940 2016-03-24
1265898936 Mohammad Rahimuddin Internal Medicine 2556 Snyder Domer Rd, Springfield, OH 45502-8161 2016-01-11
1376908913 Abdul Hannan Internal Medicine 315 W Carpenter St # B, Springfield, IL 62702 2015-12-28
1033589304 Hshs Medical Group Inc Internal Medicine 3215 Executive Park Dr, Springfield, IL 62703-4514 2015-09-30
1679992895 Ahlam Elbadri Internal Medicine 2115 S Fremont Ave Ste 2300, Springfield, MO 65804-2233 2014-04-15
1528487543 Barbara Vinci Internal Medicine 2443 Troy Rd, Springfield, OH 45504-4233 2014-04-08
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Competitor

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City SPRINGFIELD
Zip Code 01107

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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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