John L Bundrick (NPI# 1265791784, PAC ID# 9537303045) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1265791784 |
| PAC ID by PECOS | 9537303045 |
| Professional Enrollment ID | I20180919004009 |
| Full Name | John L Bundrick |
| Organization Legal Name | GEORGIA WEST IMAGING PC |
| Address |
705 Dixie St Carrollton GA 30117-3818 |
| Phone Number | 7708369660 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 2012 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 3577556521 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110011 | TANNER MEDICAL CENTER - CARROLLTON |
| 110015 | TANNER MEDICAL CENTER VILLA RICA |
| 111320 | HIGGINS GENERAL HOSPITAL |
| 011306 | |
| 111316 | WARM SPRINGS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 705 Dixie St, Carrollton, GA 30117-3818 | 7708369660 | GEORGIA WEST IMAGING PC |
| 220 Rock St, Griffin, GA 30224-4235 | 7702294660 | GRIFFIN IMAGING, LLC |
| 10 Eastbrook Bend, Peachtree City, GA 30269 | 7703054674 | OUTPATIENT IMAGING, LLC |
| Organization Legal Name | GEORGIA WEST IMAGING PC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexandre F Morin | Diagnostic Radiology | Georgia West Imaging PC | 200 Allen Memorial Dr, Bremen, GA 30110-2012 |
| Robert S Hyslop | Diagnostic Radiology | Georgia West Imaging PC | 705 Dixie St, Carrollton, GA 30117-3818 |
| Michael S Pont | Diagnostic Radiology | Georgia West Imaging PC | 705 Dixie St, Carrollton, GA 30117-3818 |
| Marissa A Fiore | Diagnostic Radiology | Georgia West Imaging PC | 705 Dixie St, Carrollton, GA 30117-3818 |
| Brian Weber | Diagnostic Radiology | Georgia West Imaging PC | 200 Allen Memorial Dr, Bremen, GA 30110-2012 |
| Darin M Brummett | Diagnostic Radiology | Georgia West Imaging PC | 705 Dixie St, Carrollton, GA 30117-3818 |
| Timothy N Ozburn | Diagnostic Radiology | Georgia West Imaging PC | 705 Dixie St, Carrollton, GA 30117-3818 |
| Richard Eric Rosebrock | Diagnostic Radiology | Georgia West Imaging PC | 200 Allen Memorial Dr, Bremen, GA 30110-2012 |
| Maria Heck | Nurse Practitioner | Georgia West Imaging PC | 705 Dixie St, Carrollton, GA 30117-3818 |
| Ho Nien Lin | Diagnostic Radiology | Georgia West Imaging PC | 705 Dixie St, Carrollton, GA 30117-3818 |
| Street Address |
705 DIXIE ST |
| City | CARROLLTON |
| State | GA |
| Zip | 30117-3818 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lorien A Goodale | Pathology | West Georgia Pathology, LLC | 705 Dixie St, Carrollton, GA 30117-3818 |
| Elizabeth Dykeman | Nurse Practitioner | Apogee Medical Group Georgia | 705 Dixie St, Carrollton, GA 30117-3818 |
| Graciela Joy Mcree | Certified Registered Nurse Anesthetist (crna) | Tmc-west Georgia Anesthesia Associates Inc. | 705 Dixie St, Carrollton, GA 30117-3818 |
| Demetra D Mcglothin | Certified Registered Nurse Anesthetist (crna) | Tmc-west Georgia Anesthesia Associates Inc. | 705 Dixie St, Carrollton, GA 30117-3818 |
| Agnes Nambiro-kasolo | Hospitalist | Apogee Medical Group Georgia | 705 Dixie St, Carrollton, GA 30117-3818 |
| Harish B Pillai | Hospitalist | Apogee Medical Group Georgia | 705 Dixie St, Carrollton, GA 30117-3818 |
| Nathan L Hundley | Emergency Medicine | Carrollton Emergency Physicians PC | 705 Dixie St, Carrollton, GA 30117-3818 |
| Colby J Williamson | Certified Registered Nurse Anesthetist (crna) | Tmc-west Georgia Anesthesia Associates Inc. | 705 Dixie St, Carrollton, GA 30117-3818 |
| Paul L Duso | Certified Registered Nurse Anesthetist (crna) | Tmc-west Georgia Anesthesia Associates Inc. | 705 Dixie St, Carrollton, GA 30117-3818 |
| Christopher Arant | Cardiovascular Disease (cardiology) | Tanner Medical Group Inc | 705 Dixie St, Suite 401, Carrollton, GA 30117-3872 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hermogenes B Pagsisihan | Family Medicine | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Lindsey B Roenigk | Critical Care (intensivists) | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Lauren Holcombe | Nurse Practitioner | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Savannah Bryanna Jackson | Nurse Practitioner | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Jeffrey S Reid | Internal Medicine | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Joseph M Jellicorse | Family Medicine | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Elizabeth K Scholl | Physician Assistant | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Mandi C Fowler | Physician Assistant | Primary Care Group of West Georgia | 100 Professional Park, Carrollton, GA 30117 |
| James C Huff | Optometry | 702 Bankhead Hwy, Carrollton, GA 30117-1962 | |
| James Charnitski | Chiropractic | 1223 N Park St, Carrollton, GA 30117-2261 | |
| Find all physicians in zip 30117 | |||
| City | CARROLLTON |
| Zip Code | 30117 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | CARROLLTON + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on John L Bundrick.
| 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.