KELLY JOHNSON BUMGARNER


Address: 5720 Blazer Pkwy, Dublin, OH 43017-3566
Phone: 6147611151

KELLY JOHNSON BUMGARNER (NPI# 1760754683) 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) 1760754683
Entity Type Individual
Full Name KELLY JOHNSON BUMGARNER
Practice Address 5720 Blazer Pkwy
Dublin
OH 43017-3566
Practice Telephone 6147611151
Mailing Telephone 6147611151
Enumeration Date 2012-02-08
Last Update Date 2015-07-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
0110003813 VA Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 5720 BLAZER PKWY
City DUBLIN
State OH
Zip Code 43017-3566

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043455595 Yang Shen Dermatology 5720 Blazer Pkwy, Dublin, OH 43017-3566 2008-12-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770048894 Teresa O'connell Dermatology Timeless Skin Solutions, 31 South High St, Dublin, OH 43017 2019-02-02
1356814560 Trishaya Spain-austin Behavior Technician 545 Metro Place North, Suite 100, Dublin, OH 43017 2019-01-10
1669955902 Tamara Moss Occupational Therapist 10516 Sawmill Road, Suite B, Dublin, OH 43017 2018-09-12
1548753692 Complex Wound Consultant L.L.C. Surgery 5712 Southby Ct, Dublin, OH 43017 2018-06-13
1063916948 Enabling Recovery LLC Community/Behavioral Health 5945 Sawmill Rd Ste B, Dublin, OH 43017 2018-03-23
1750898839 Inner Health Chiropractic, Inc Chiropractor 220 West Bridge, Inner Health Chiropractic, Dublin, OH 43017 2018-01-10
1598274144 Catherine Ann Albrecht Case Manager/Care Coordinator 525 Metro Place N., Dublin, OH 43017 2017-09-27
1346769338 Rachel Mary Baldwin Speech-Language Pathologist 9892 Macdonald Dr., Dublin, OH 43017 2017-09-12
1629596275 Julie Battaglia Counselor 525 Metro Place, Suite 100, Dublin, OH 43017 2017-09-05
1205365541 Tracey Lechner Speech-Language Pathologist 7424 Coventry Woods Drive, Dublin, OH 43017 2017-06-09
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023497989 Jeffrey William Blitz Physician Assistant 7698 Scioto Crossing Blvd, Dublin, OH 43016-7660 2015-05-26
1679654693 Deborah Ware Fordham Physician Assistant 1826 Veterans Boulevard, Carl Vinson Va Medical Center, Dublin, GA 31021 2006-10-17
1629026117 Lana K Lott Physician Assistant 102 Fairview Park Dr, Dublin, GA 31021-2500 2006-05-05
1588629802 Patricia Kelly Bush Physician Assistant 6905 Hospital Dr Ste 130, Dublin, OH 43016-9600 2006-04-19
1023647450 Amanda Mcguffin Physician Assistant 5945 Sawmill Rd, Dublin, OH 43017-1623 2020-04-07
1497188619 Sharon D Tiernan-lang Physician Assistant 5701 8th St, Dublin, CA 94568-3305 2013-08-12
1821251034 Dean Winslow Parsons Physician Assistant 6905 Hospital Dr Ste 130, Dublin, OH 43016-9600 2008-07-08
1568491215 Julie M Molina Physician Assistant 6905 Hospital Dr, Suite 130, Dublin, OH 43016-9600 2006-07-02
1093742140 Jeffrey Robert Fisher Physician Assistant 6905 Hospital Dr, Suite 130, Dublin, OH 43016-9600 2006-06-26
1891741575 Dublin Emergency Physicians LLC Physician Assistant 200 Industrial Blvd, Dublin, GA 31021-2981 2006-05-25
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Competitor

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City DUBLIN
Zip Code 43017

Improve Information

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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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