JONATHAN FAIN BULLMAN (NPI# 1396795621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396795621 |
| Entity Type | Individual |
| Full Name | JONATHAN FAIN BULLMAN |
| Credential | PA |
| Practice Address |
6002 Berryhill Road Santa Rosa Medical Center Milton FL 32570 |
| Mailing Address |
5612 Balleybunion Dr Pace FL 32571-9585 |
| Practice Telephone | 8506265130 |
| Mailing Telephone | 8509944245 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2014-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1061450 | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6002 BERRYHILL ROAD SANTA ROSA MEDICAL CENTER |
| City | MILTON |
| State | FL |
| Zip Code | 32570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902365604 | Megan Lasure | Behavior Technician | 5950 Berryhill Medical Park Dr Ste B, Milton, FL 32570 | 2019-03-13 |
| 1104328681 | Katherine Smith Lockler | Foster Care Agency | 6357 Brigadier Road, Milton, FL 32570 | 2018-03-01 |
| 1750565768 | Emerald Coast Surgical Specialists Pa | Surgery | 5992 Berryhill Road, 203, Milton, FL 32570 | 2007-12-27 |
| 1285815662 | Chandria Lynn Johnson Md Pa | Obstetrics & Gynecology | 5950 Berryhill Medical Park Dr, Suite B, Milton, FL 32570 | 2007-11-14 |
| 1659590255 | Medical Associates Ltd | Specialist | 5950 Berryhill Medical, Milton, FL 32570 | 2007-04-24 |
| 1255404620 | Jonathan E Fountain Md | Family Medicine | 5976 Berryhill Rd, Milton, FL 32570 | 2006-11-15 |
| 1043317530 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 6501 Caroline St Hwy 90, Milton, FL 32570 | 2006-09-19 |
| 1497764484 | Jennfer A Godfrey | Speech-Language Pathologist | 5165 Canal Street, Milton, FL 32570 | 2006-08-07 |
| 1316977135 | Rural Metro of North Florida Inc | Ambulance | 4930 Glover Lane, Milton, FL 32570 | 2006-07-04 |
| 1558304519 | Pensacola Nephrology Pa | Specialist | 5934 Berryhill Medical Park Dr, Suite 1, Milton, FL 32570 | 2006-06-14 |
| Find all providers in zip 32570 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336765940 | Richard Benjamin Wilhite | Physician Assistant | 7119 Langley St Ste 101, Milton, FL 32570-6105 | 2020-06-19 |
| 1447668975 | Mary Claire Walsh | Physician Assistant | 927 Ethan Allen Hwy, Suite 2, Milton, VT 05468-9746 | 2014-07-29 |
| 1609916410 | Mary Blanchette | Physician Assistant | 69 Reedsdale Rd, Milton, MA 02186-3309 | 2007-02-08 |
| 1679648455 | Patricia Hannon | Physician Assistant | 28312 Lewes Georgetown Highway, Cool Spring Office Park, Milton, DE 19968 | 2006-11-21 |
| 1326074337 | Thomas E. Johnson | Physician Assistant | 1347 Hillview Dr, Milton, WV 25541-1513 | 2006-06-23 |
| 1407338932 | App of Florida Ed, LLC | Physician Assistant | 6002 Berryhill Rd, Milton, FL 32570-5062 | 2018-08-31 |
| 1922590637 | Shelby Ellis Grice | Physician Assistant | 5992 Berryhill Rd Ste 302, Milton, FL 32570-1017 | 2018-05-30 |
| 1972989879 | Kelly Sernyee Young | Physician Assistant | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2015-08-03 |
| 1851774830 | Sean Michael Ryan | Physician Assistant | 5500 Stewart St, Milton, FL 32570 | 2015-07-08 |
| 1669877759 | Meaghan Hart | Physician Assistant | 100 Highland St, Suite 300, Milton, MA 02186-3881 | 2014-10-31 |
| Find all providers in MILTON | ||||
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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.