MR. MARK JEFFREY BULLOCK (NPI# 1134482532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134482532 |
| Entity Type | Individual |
| Full Name | MR. MARK JEFFREY BULLOCK |
| Credential | D.P.M. |
| Practice Address |
5483 Gratiot Rd Saginaw MI 48638-6037 |
| Mailing Address |
1447 North Harrison Saginaw MI 48602 |
| Practice Telephone | 9897995557 |
| Practice Fax Number | 9897992840 |
| Mailing Telephone | 9897995557 |
| Mailing Fax Number | 9897995557 |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2017-08-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
5901002436 | MI | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346370277 | Mark Dana Bullock | Counselor | 6160 E Hayden Lake Rd, Hayden, ID 83835-7594 | 2007-03-07 |
| 1962419697 | Mark Richmond Bullock | Dentist | 1034 N Willis St, Abilene, TX 79603-4622 | 2006-08-02 |
| 1659690907 | Mark B Bullock | Counselor | 5200 Sw Macadam Ave, Suite 580, Portland, OR 97239-6103 | 2010-05-26 |
| 1699835017 | Mark Daniel Bullock | Orthopaedic Surgery | 11055 Little Patuxent Pkwy, Suite L-1, Columbia, MD 21044-2896 | 2006-12-08 |
| Street Address |
5483 GRATIOT RD |
| City | SAGINAW |
| State | MI |
| Zip Code | 48638-6037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114986858 | James J Jesko | Orthopaedic Surgery | 5483 Gratiot Rd, Saginaw, MI 48638-6037 | 2006-03-21 |
| 1376193532 | Brandon Robert Worden | Physical Therapist | 5483 Gratiot Rd, Saginaw, MI 48638-6037 | 2019-09-18 |
| 1730527631 | Jeffrey Donald Osborne | Orthopaedic Surgery | 5483 Gratiot Rd, Saginaw, MI 48638-6037 | 2013-06-13 |
| 1295862415 | Cheryl Ann Howard | Physical Therapist | 5483 Gratiot Rd, Saginaw, MI 48638-6037 | 2007-02-27 |
| 1346328663 | Kevin L. Blosser | Specialist/Technologist | 5483 Gratiot Rd, Saginaw, MI 48638-6037 | 2006-11-02 |
| 1770680753 | Greta L. Dijak | Physical Therapist | 5483 Gratiot Rd, Saginaw, MI 48638-6037 | 2006-09-20 |
| 1780615708 | Saginaw Valley Bone & Joint Center PC | Specialist | 5483 Gratiot Rd, Saginaw, MI 48638-6037 | 2006-07-06 |
| 1073573754 | Danielle C Duncan | Specialist | 5483 Gratiot Rd, Saginaw, MI 48638-6037 | 2006-03-25 |
| 1942260021 | Michael J Wolohan | Specialist | 5483 Gratiot Rd, Saginaw, MI 48638-6037 | 2006-03-24 |
| 1932168341 | Kurt A Menapace | Specialist | 5483 Gratiot Rd, Saginaw, MI 48638-6037 | 2006-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235604547 | Kristina Susan Spohn | Behavior Technician | 300 Saint Andrews Rd Ste 408, Saginaw, MI 48638 | 2018-10-12 |
| 1538686803 | Jennifer A Nickels | Behavioral Analyst | 300 Saint Andrews Rd Ste 409, Saginaw, MI 48638 | 2017-08-27 |
| 1013209634 | Ryan D Michelson Dds Plc | Dentist | 65 North Frost Drive, Saginaw, MI 48638 | 2011-05-16 |
| 1477645539 | Mark Walter Pankonin | Family Medicine | 1600 Midland Rd, Saginaw, MI 48638 | 2006-09-28 |
| 1386735579 | John Edwin Galsterer | Dentist | 5605 Colony Drive North, Saginaw, MI 48638 | 2006-09-27 |
| 1699873075 | Phadej Keopunna | Urology | 70 North Frost Dr, Saginaw, MI 48638 | 2006-09-20 |
| 1790881902 | Jeffrey John Dwan | Dentist | 595 N Center Rd, Ste 5, Saginaw, MI 48638 | 2006-09-15 |
| 1396705364 | Christina Marie Barba | Physical Therapist | 4884 Gratiot Avenue, Suite 19, Saginaw, MI 48638 | 2006-03-24 |
| 1538136353 | Joseph E Oesterling | Specialist | 1740 Midland Rd, Saginaw, MI 48638 | 2006-03-01 |
| 1558916650 | Kayela Lynn Oberloier | Behavior Technician | 300 Saint Andrews Rd Ste 408, Saginaw, MI 48638 | 2019-08-06 |
| Find all providers in zip 48638 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245612829 | Laura Reitz | Podiatrist | 4701 Towne Centre Rd Ste 303, Saginaw, MI 48604-2833 | 2015-06-19 |
| 1457656563 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 816 Towne Ct, Suite 100, Saginaw, TX 76179-1279 | 2011-01-20 |
| 1851602858 | Advanced Foot and Ankle Associates Pllc | Podiatrist | 833 Towne Ct, Saginaw, TX 76179-1280 | 2010-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056665 | Radu Purtuc Dpm Pllc | Podiatrist | 20005 Hidden Oaks Dr, Brownstown, MI 48183-3276 | 2020-09-03 |
| 1790300978 | Bhavik Patel | Podiatrist | 16001 W 9 Mile Rd Fl 2, Southfield, MI 48075-4818 | 2020-06-12 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1770104580 | Ali Chami | Podiatrist | 20115 River Oaks Dr, Dearborn Heights, MI 48127-2709 | 2020-05-04 |
| 1780233627 | Bloomfield Foot & Ankle Specialists Pllc | Podiatrist | 43750 Woodward Ave Ste 102, Bloomfield Hills, MI 48302-5063 | 2019-09-04 |
| 1063068435 | Monaghan Post-vasold Podiatry Plc | Podiatrist | 5377 N Waldo Rd, Midland, MI 48642-9713 | 2019-08-12 |
| 1598323909 | Lakeside Foot & Leg Care Pllc | Podiatrist | 14322 Grandview Dr, Sterling Heights, MI 48313-3447 | 2019-05-31 |
| 1285297481 | J Weber Medical Group Pllc | Podiatrist | 620 Woodmere Ave Ste C, Traverse City, MI 49686-3397 | 2019-04-15 |
| 1093219743 | Holland Community Hospital | Podiatrist | 3299 N Wellness Dr Ste 230, Holland, MI 49424-7271 | 2018-03-19 |
| 1780182907 | Jeffrey Schwalb Dpm Pllc | Podiatrist | 5755 W Maple Rd Ste 115, W Bloomfield, MI 48322-4415 | 2018-01-23 |
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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.