Tara L Wyche Bullock (NPI# 1720008931, PAC ID# 9537127212) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1720008931 |
| PAC ID by PECOS | 9537127212 |
| Professional Enrollment ID | I20041228000626 |
| Full Name | Tara L Wyche Bullock |
| Organization Legal Name | INSPIRA HEALTH NETWORK MEDICAL GROUP PC |
| Address |
155 Bridgeton Pike Suite C Mullica Hill NJ 08062-2669 |
| Phone Number | 8564780136 |
| Gender | F |
| Credential | MD |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4880797570 |
| Number of Group Practice Members | 125 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310081 | INSPIRA MEDICAL CENTER WOODBURY |
| 310032 | INSPIRA MEDICAL CENTER VINELAND |
| 310069 | INSPIRA MEDICAL CENTER ELMER |
| Address | Phone | Organization |
|---|---|---|
| 155 Bridgeton Pike, Suite C, Mullica Hill, NJ 08062-2669 | 8564780136 | INSPIRA HEALTH NETWORK MEDICAL GROUP PC |
| Organization Legal Name | INSPIRA HEALTH NETWORK MEDICAL GROUP PC |
| Physicians | 125 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Epstein | Family Medicine | Inspira Health Network Medical Group PC | 485 Williamstown Rd, Sicklerville, NJ 08081-1777 |
| Josephine Urbina | Obstetrics/gynecology | Inspira Health Network Medical Group PC | 155 Bridgeton Pike, Suite B, Mullica Hill, NJ 08062-2669 |
| Alexandra Wagner | Certified Nurse Midwife (cnm) | Inspira Health Network Medical Group PC | 389 Harding Hwy, Suite 1, Elmer, NJ 08318-2057 |
| Edward Pirolli | Family Medicine | Inspira Health Network Medical Group PC | 201 Tomlin Station Rd, Suite D, Mullica Hill, NJ 08062-1612 |
| Marjorie E Affel | Family Medicine | Inspira Health Network Medical Group PC | 798 Centerton Rd, Pittsgrove, NJ 08318-3945 |
| Stuti Ahlawat | Radiation Oncology | Inspira Health Network Medical Group PC | 54 Oak St, Woodbury, NJ 08096-1677 |
| Nicole C Zucconi | Family Medicine | Inspira Health Network Medical Group PC | 1120 Delsea Dr N, Glassboro, NJ 08028-1444 |
| John Edward Patricelli | General Surgery | Inspira Health Network Medical Group PC | 525 State St, Suite 6, Elmer, NJ 08318-2164 |
| Catherine M Gerety | Nurse Practitioner | Inspira Health Network Medical Group PC | 660 Woodbury Glassboro Rd, Suite 26, Sewell, NJ 08080-3738 |
| Sanjay Kumar | Vascular Surgery | Inspira Health Network Medical Group PC | 1102 E Chestnut Ave, Vineland, NJ 08360-5002 |
| Street Address |
155 BRIDGETON PIKE SUITE C |
| City | MULLICA HILL |
| State | NJ |
| Zip | 08062-2669 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Josephine Urbina | Obstetrics/gynecology | Inspira Health Network Medical Group PC | 155 Bridgeton Pike, Suite B, Mullica Hill, NJ 08062-2669 |
| Blissa Usher | Nurse Practitioner | Inspira Health Network Medical Group PC | 155 Bridgeton Pike, Suite C, Mullica Hill, NJ 08062-2669 |
| Susan D Lotkowski | Neurology | Inspira Health Network Medical Group PC | 155 Bridgeton Pike, Suite A, Mullica Hill, NJ 08062-2669 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Claudine M De Dan | Family Medicine | 34 Colson Ln, Suite B, Mullica Hill, NJ 08062-1502 | |
| Byron S Hapner | Obstetrics/gynecology | Regional Womens Health Group LLC | 34 Colson Ln, Mullica Hill, NJ 08062-1502 |
| Anna J Hanson | Obstetrics/gynecology | Regional Womens Health Group LLC | 34 Colson Ln, Mullica Hill, NJ 08062-1502 |
| Leisa O Flynn | Obstetrics/gynecology | Regional Womens Health Group LLC | 34 Colson Ln, Mullica Hill, NJ 08062-1502 |
| Jeffrey Gibson | Obstetrics/gynecology | Regional Womens Health Group LLC | 34 Colson Ln, Mullica Hill, NJ 08062-1502 |
| Vivian Vega | Obstetrics/gynecology | Regional Womens Health Group LLC | 34 Colson Ln, Mullica Hill, NJ 08062-1502 |
| Lynsey M Beams | Obstetrics/gynecology | Regional Womens Health Group LLC | 34 Colson Ln, Mullica Hill, NJ 08062-1502 |
| Edward Pirolli | Family Medicine | Inspira Health Network Medical Group PC | 201 Tomlin Station Rd, Suite D, Mullica Hill, NJ 08062-1612 |
| Peter A Sarkos | Orthopedic Surgery | Premier Orthopaedic and Sports Medicine Assoc of Southern Nj LLC | 201 Tomlin Station Rd C, Mullica Hill, NJ 08062-1612 |
| Eddie S Wu | Orthopedic Surgery | Premier Orthopaedic and Sports Medicine Assoc of Southern Nj LLC | 201 Tomlin Station Rd C, Mullica Hill, NJ 08062-1612 |
| Find all physicians in zip 08062 | |||
| City | MULLICA HILL |
| Zip Code | 08062 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MULLICA HILL + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Tara L Wyche 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.