SCOTT JAY BULLARD (NPI# 1083689053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083689053 |
| Entity Type | Individual |
| Full Name | SCOTT JAY BULLARD |
| Credential | MD |
| Practice Address |
1000 Waterman Way Tavares FL 32778-5266 |
| Mailing Address |
Po Box 3130 Ocala FL 34478-3130 |
| Practice Telephone | 3522533333 |
| Mailing Telephone | 3528678311 |
| Mailing Fax Number | 3528671053 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2007-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | ME73700 | FL | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 00026615 | AL | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
00026615 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 41880 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235457128 | Scott Bullard | Physical Therapist | 19841 Wolf Rd, Mokena, IL 60448-1315 | 2010-05-17 |
| Street Address |
1000 WATERMAN WAY |
| City | TAVARES |
| State | FL |
| Zip Code | 32778-5266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306841044 | David G Koo | Family Medicine | 1000 Waterman Way, Tavares, FL 32778 | 2005-06-18 |
| 1982227591 | Mariel Battung Delos Santos | Physical Therapist | 1000 Waterman Way, Tavares, FL 32778-5266 | 2020-05-19 |
| 1134748791 | Grace Dirani | Physical Therapy Assistant | 1000 Waterman Way, Tavares, FL 32778-5266 | 2020-04-14 |
| 1568098135 | Michelle Maes | Physical Therapist | 1000 Waterman Way, Tavares, FL 32778-5266 | 2020-03-16 |
| 1326673211 | Jessica Nadona Sweet | Speech-Language Pathologist | 1000 Waterman Way, Tavares, FL 32778-5266 | 2020-03-11 |
| 1518502327 | Victoria Rose Gerace | Dietitian, Registered | 1000 Waterman Way, Tavares, FL 32778-5266 | 2019-11-15 |
| 1396388674 | Christopher Thomas Jacob | Nurse Anesthetist, Certified Registered | 1000 Waterman Way, Tavares, FL 32778-5266 | 2019-10-19 |
| 1851940035 | Florida Hospital Waterman Inc | Rehabilitation Unit | 1000 Waterman Way, Tavares, FL 32778-5266 | 2019-09-10 |
| 1841851243 | Martha Georgette Velez | Nurse Practitioner | 1000 Waterman Way, Tavares, FL 32778-5266 | 2019-06-26 |
| 1437623998 | Bryan James Mccall | Nurse Practitioner | 1000 Waterman Way, Tavares, FL 32778-5266 | 2019-01-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487173753 | Erica Denise Irvin | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4681 Marsh Harbor Dr, Tavares, FL 32778 | 2017-09-18 |
| 1922522499 | J&t Divine Care | Home Health | 1554 Auburn Hills Ct, Tavares, FL 32778 | 2017-07-27 |
| 1841738721 | Kelli Maragh | Behavior Technician | 12237 Tavares Ridge Circle, Tavares, FL 32778 | 2017-02-10 |
| 1831633692 | Amanda Williams Sellers | Nurse Practitioner | 1858 Mayo Dr, Tavares, FL 32778 | 2016-12-13 |
| 1235680042 | Natalie Roaine Ash-maheux | Occupational Therapist | 4501 Waterman Way, Tavares, FL 32778 | 2016-10-17 |
| 1396295713 | Sumiko Burley- Collins | Community Health Worker | 1572 Auburn Hills Court, Tavares, FL 32778 | 2016-10-10 |
| 1295100980 | Sunshine Therapy Group, Pa | Speech-Language Pathologist | 2050 Classique Lane, Tavares, FL 32778 | 2015-12-06 |
| 1093188385 | Jana Michelle England | Counselor | 1300 Duncan, Tavares, FL 32778 | 2015-11-09 |
| 1467865980 | Reshma Balmick | Hearing Instrument Specialist | 500 West Burleigh Blvd., Tavares, FL 32778 | 2014-06-03 |
| 1861825739 | Shelagh Kathryn Wood-gouveia | Nurse Practitioner | 1390 East Burleigh Blvd., Tavares, FL 32778 | 2013-08-15 |
| Find all providers in zip 32778 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235572587 | Rest Assured Anesthesia | Anesthesiology | 1878 Mayo Dr., Tavares, FL 32778-4308 | 2013-04-16 |
| 1194866939 | Molly Fitzpatrick | Anesthesiology | 10000 Waterman Way, Tavares, FL 32778 | 2007-02-12 |
| 1275799637 | Mary Theresa Elengical | Anesthesiology | 1000 Waterman Way, Department of Anesthesia, Tavares, FL 32778-5266 | 2008-08-05 |
| 1902064652 | Vikas Kumar | Anesthesiology | 1000 Waterman Way, Tavares, FL 32778-5266 | 2008-05-29 |
| 1538388871 | Radhakrisna Rajulapati | Anesthesiology | 1000 Waterman Way, Tavares, FL 32778-5266 | 2007-04-25 |
| 1588731954 | Jana Petra | Anesthesiology | 1000 Waterman Way, Tavares, FL 32778-5266 | 2006-11-29 |
| 1932201449 | Jon M Furbee | Anesthesiology | 1000 Waterman Way, Tavares, FL 32778-5266 | 2006-09-04 |
| 1881702918 | Robert C. Smith Jr. | Anesthesiology | 1000 Waterman Way, Tavares, FL 32778-5266 | 2006-08-28 |
| 1366550519 | Kenneth A Buddendorf IIi | Anesthesiology | 1000 Waterman Way, Tavares, FL 32778-5266 | 2006-08-28 |
| 1649388893 | Kenneth M Kupke | Anesthesiology | 1000 Waterman Way, Tavares, FL 32778-5266 | 2006-08-28 |
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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.