JOHN W BULLOCK


Address: 2785 Boleyn Dr, Colorado Springs, CO 80920-5383
Phone: 7192650017

JOHN W BULLOCK (NPI# 1194799775) 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) 1194799775
Entity Type Individual
Full Name JOHN W BULLOCK
Credential PA-C
Practice Address 2785 Boleyn Dr
Colorado Springs
CO 80920-5383
Practice Telephone 7192650017
Mailing Telephone 7192650017
Enumeration Date 2006-02-13
Last Update Date 2014-10-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 013098 NY Physician Assistants & Advanced Practice Nursing Providers

Other Providers JOHN BULLOCK

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
1043705122 John Bullock Chore Provider 2860 E Flamingo Rd Ste K, Las Vegas, NV 89121-5270 2018-06-29
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

Office Location

Street Address 2785 BOLEYN DR
City COLORADO SPRINGS
State CO
Zip Code 80920-5383

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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265054431 Kimberly Goyack Physician Assistant 10807 New Allegiance Dr Ste 450, Colorado Springs, CO 80921-3722 2020-05-11
1891316089 Chase Devalk Physician Assistant 560 Thames Dr, Colorado Springs, CO 80906-4839 2020-04-29
1841846193 Caroline Selting Physician Assistant 2255 Oak Hills Dr, Colorado Springs, CO 80919-3477 2019-08-13
1578121935 Raymond Shaun Wolff Physician Assistant 6936 Shea Dr Apt A, Colorado Springs, CO 80902-7334 2019-05-31
1063996288 Matthew Steven Chernikovich Physician Assistant 5134 N Nevada Ave Ste 100, Colorado Springs, CO 80918-8699 2018-09-24
1649798018 Adam Robert Sahlberg Physician Assistant 10222 Desert Bloom Way, Colorado Springs, CO 80925-1345 2017-09-06
1851821334 Jennifer Abbott Physician Assistant 6071 E Woodmen Rd Ste Unit300, Colorado Springs, CO 80923-2607 2017-06-15
1912431081 Brandon Eliott Griffis Physician Assistant 3803 N Chestnut St, Colorado Springs, CO 80907-4107 2017-04-16
1508309709 Aleksandr M Kaplun Physician Assistant 155 Printers Pkwy Ste 23, Colorado Springs, CO 80910-6100 2016-11-21
1972059038 Shelby Lynne Ransdell Physician Assistant 116 Sherri Dr, Colorado Springs, CO 80911-1447 2016-08-29
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Competitor

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City COLORADO SPRINGS
Zip Code 80920

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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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