Richard J Bultman (NPI# 1316946189, PAC ID# 3577581982) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1316946189 |
| PAC ID by PECOS | 3577581982 |
| Professional Enrollment ID | I20090120000209 |
| Full Name | Richard J Bultman |
| Organization Legal Name | MEMORIAL FAMILY PRACTICE ASSOCIATES, LLC |
| Address |
4711 Hwy 17 S Suite B1 Orange Park FL 32003-8251 |
| Phone Number | 9042785048 |
| Gender | M |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 1969 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8820003411 |
| Number of Group Practice Members | 48 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4711 Hwy 17 S, Suite B1, Orange Park, FL 32003-8251 | 9042785048 | MEMORIAL FAMILY PRACTICE ASSOCIATES, LLC |
| Organization Legal Name | MEMORIAL FAMILY PRACTICE ASSOCIATES, LLC |
| Physicians | 55 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Kashmer | General Surgery | Memorial Family Practice Associates, LLC | 4711 Hwy 17 S, Suite B1, Orange Park, FL 32003-8251 |
| Elizabeth Jahjah | Nurse Practitioner | Memorial Family Practice Associates, LLC | 1205 Monument Rd, Suite 203, Jacksonville, FL 32225-6482 |
| Lateya Foxx | Neuropsychiatry | Memorial Family Practice Associates, LLC | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| Aino E Mueller | Family Medicine | Memorial Family Practice Associates, LLC | 2755 Blanding Blvd, Suite 109, Middleburg, FL 32068-5629 |
| Denver D Nutter | Family Medicine | Memorial Family Practice Associates, LLC | 6111 Beach Blvd, Jacksonville, FL 32216-2751 |
| Jaya L Krishna | Family Medicine | Memorial Family Practice Associates, LLC | 8837 Goodbys Executive Dr, Jacksonville, FL 32217-4605 |
| Jack E Giddings | Family Medicine | Memorial Family Practice Associates, LLC | 1731 University Blvd S, Jacksonville, FL 32216-8928 |
| Angel J Torres | Physician Assistant | Memorial Family Practice Associates, LLC | 1594 Kingsley Ave, Orange Park, FL 32073-4546 |
| John D Deperi | General Surgery | Memorial Family Practice Associates, LLC | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| Janet F Underkofler | Physician Assistant | Memorial Family Practice Associates, LLC | 4689 Hwy 17, Suite 14, Fleming Island, FL 32003-4831 |
| Street Address |
4711 HWY 17 S SUITE B1 |
| City | ORANGE PARK |
| State | FL |
| Zip | 32003-8251 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Kashmer | General Surgery | Memorial Family Practice Associates, LLC | 4711 Hwy 17 S, Suite B1, Orange Park, FL 32003-8251 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karlee Butler Norell | Physical Therapy | Hughston Orthopaedic Southeast PC | 4689 Hwy 17, Suite 11 and 12, Fleming Island, FL 32003 |
| Barbara J Mcdougall | Psychologist, Clinical | 4609 Hwy 17 1, Fleming Island, FL 32003 | |
| Jeffrey Blake Burnette | Orthopedic Surgery | Hughston Orthopaedic Southeast PC | 4689 Hwy 17, Suite 11 and 12, Fleming Island, FL 32003 |
| Emily D Benn | Physical Therapy | Hughston Orthopaedic Southeast PC | 4689 Hwy 17, Suite 11 and 12, Fleming Island, FL 32003 |
| Paul Baldwin | Orthopedic Surgery | Hughston Orthopaedic Southeast PC | 4689 Hwy 17, Suite 11 and 12, Fleming Island, FL 32003 |
| Mark Thomas Gould | Orthopedic Surgery | Hughston Orthopaedic Southeast PC | 4689 Hwy 17, Suite 11 and 12, Fleming Island, FL 32003 |
| Vanessa J Embry | Nurse Practitioner | Hcr Manor Care Medical Services of Florida LLC | 1125 Fleming Plantation Blvd, Fleming Island, FL 32003-3389 |
| Murren Hill | Psychologist, Clinical | 414 Old Hard Rd, Suite 108, Fleming Island, FL 32003-3407 | |
| Sathavaram Aravind Reddy | Interventional Pain Management | Jacksonville Spine Center Pa | 2349 Village Square Pkwy, Suite 107, Fleming Island, FL 32003-4319 |
| Janell L Miller | Nurse Practitioner | Jacksonville Spine Center Pa | 2349 Village Square Pkwy, Suite 107, Fleming Island, FL 32003-4319 |
| Find all physicians in zip 32003 | |||
| City | ORANGE PARK |
| Zip Code | 32003 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ORANGE PARK + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Richard J Bultman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.