Daniel P Bullock (NPI# 1366544017, PAC ID# 6002966249) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1366544017 |
| PAC ID by PECOS | 6002966249 |
| Professional Enrollment ID | I20090610000460 |
| Full Name | Daniel P Bullock |
| Organization Legal Name | LAKE PLACID SPORTS MEDICINE PLLC |
| Address |
675 State Route 3 Plattsburgh NY 12901-6562 |
| Phone Number | 5185231327 |
| Gender | M |
| Medical School | DARTMOUTH MEDICAL SCHOOL |
| Graduation Year | 2003 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 5698745743 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330079 | ADIRONDACK MEDICAL CENTER |
| 330250 | CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR |
| 330084 | ALICE HYDE MEDICAL CENTER |
| 330197 | CANTON-POTSDAM HOSPITAL |
| 331302 | ELIZABETHTOWN COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 675 State Route 3, Plattsburgh, NY 12901-6562 | 5185231327 | LAKE PLACID SPORTS MEDICINE PLLC |
| Organization Legal Name | LAKE PLACID SPORTS MEDICINE PLLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bartlomiej Wojciech Szczech | Orthopedic Surgery | Lake Placid Sports Medicine Pllc | 75 Park St, Elizabethtown, NY 12932-2300 |
| Tracey A Viola | Family Medicine | Lake Placid Sports Medicine Pllc | 75 Park St, Elizabethtown, NY 12932-2300 |
| Andrew M Friebel | Physician Assistant | Lake Placid Sports Medicine Pllc | 75 Park St, Elizabethtown, NY 12932-2300 |
| Eugene Byrne | Orthopedic Surgery | Lake Placid Sports Medicine Pllc | 75 Park St, Elizabethtown, NY 12932-2300 |
| William J Smith | Orthopedic Surgery | Lake Placid Sports Medicine Pllc | 75 Park St, Elizabethtown, NY 12932-2300 |
| Street Address |
675 STATE ROUTE 3 |
| City | PLATTSBURGH |
| State | NY |
| Zip | 12901-6562 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glenn S Schroyer | Family Medicine | Plattsburgh Medical Care, Pllc | 675 State Route 3, Plattsburgh, NY 12901-6562 |
| Timothy E Foley | Physician Assistant | Plattsburgh Medical Care, Pllc | 675 State Route 3, Plattsburgh, NY 12901-6562 |
| Joseph C Samaras | Family Medicine | Plattsburgh Medical Care, Pllc | 675 State Route 3, Plattsburgh, NY 12901-6562 |
| Thomas Gavin | Physician Assistant | Plattsburgh Medical Care, Pllc | 675 State Route 3, Plattsburgh, NY 12901-6562 |
| Jodi R Hamel | Nurse Practitioner | Plattsburgh Medical Care, Pllc | 675 State Route 3, Plattsburgh, NY 12901-6562 |
| Scott A Liberty | Physician Assistant | Plattsburgh Medical Care, Pllc | 675 State Route 3, Plattsburgh, NY 12901-6562 |
| Sarah L Howell | Nurse Practitioner | Plattsburgh Medical Care, Pllc | 675 State Route 3, Plattsburgh, NY 12901-6562 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin Ambler | Internal Medicine | 128 Boynton Ave, Plattsburgh, NY 12901-1237 | |
| William N Pelton | Internal Medicine | 164 Boynton Ave, Suite 103, Plattsburgh, NY 12901-1241 | |
| Jacques Piche | Otolaryngology | 164 Boynton Ave, Suite 306, Plattsburgh, NY 12901-1241 | |
| Craig G Hurwitz | Nephrology | 52 Tom Miller Rd, Plattsburgh, NY 12901-1252 | |
| Sabieli Kabeli | Pulmonary Disease | Adirondack Pulmonary and Sleep Medicine Pllc | 142 Boynton Ave, Suite A, Plattsburgh, NY 12901-1292 |
| Lauren A Caniano | Nurse Practitioner | Adirondack Pulmonary and Sleep Medicine Pllc | 142 Boynton Ave, Suite A, Plattsburgh, NY 12901-1292 |
| Cheryl A Kabeli | Nurse Practitioner | Adirondack Pulmonary and Sleep Medicine Pllc | 142 Boynton Ave, Suite A, Plattsburgh, NY 12901-1292 |
| David J Anderson | Family Medicine | 154 Prospect Ave, Plattsburgh, NY 12901-1302 | |
| Staci L Carter-kelly | Physician Assistant | Champlain Valley Physicians Hospital Medical Center | 75 Beekman St, Plattsburgh, NY 12901-1438 |
| Ann M Watts | Registered Dietitian Or Nutrition Professional | Champlain Valley Physicians Hospital Medical Center | 75 Beekman St, Plattsburgh, NY 12901-1438 |
| Find all physicians in zip 12901 | |||
| City | PLATTSBURGH |
| Zip Code | 12901 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | PLATTSBURGH + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Daniel P Bullock.
| 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.