Dennis M Bullen, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN204525 Issued in OH

Practice address

2793 Shawnee Rd
Lima, OH 45806-1444

Phone

(419) 227-8209

Fax

(419) 222-6007

NPI assigned

May 25, 2006

Last updated

Oct 31, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9641/brand/2/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Endoscopy Center of West Central Ohio, LLC

  • Ambulatory Surgical Clinic/Center
  • Lima, OH
  • NPI 1578745568

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• The Gastroenterology Clinic & Endoscopy Center Inc

  • Gastroenterology Physician
  • Warren, OH
  • NPI 1952497117
  Medicare reassignment NPD
• Anesthesiology Consultants of Toledo, Inc

  • Anesthesiology Physician
  • Toledo, OH
  • NPI 1366482119
  NPD (past)
• Associated Anesthesiologists of Springfield

  • Pain Medicine (Anesthesiology) Physician
  • Springfield, OH
  • NPI 1770675936
  NPD (past)
• Bel-Park Anesthesia Associates, Inc.

  • Anesthesiology Physician
  • Youngstown, OH
  • NPI 1508813528

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Doctors Anesthesia Services of Columbus Inc

  • Anesthesiology Physician
  • New Albany, OH
  • NPI 1275577157
  NPD (past)
• Gastroenterology Associates Inc

  • Clinic/Center
  • Canton, OH
  • NPI 1124173596
  NPD (past)
• Gastroenterology Associates Inc

  • Gastroenterology Physician
  • Canton, OH
  • NPI 1184779639
  NPD (past)
• Grant Anesthesia Services LTD

  • Anesthesiology Physician
  • Columbus, OH
  • NPI 1366431132
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Lima Memorial Professional Corporation

  • Specialist
  • Lima, OH
  • NPI 1457474900
  NPD (past)
• University of Toledo Physicians LLC

  • Internal Medicine Physician
  • Toledo, OH
  • NPI 1942296033
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1174579924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12525 SPRINGFIELD RD",
            "city": "NEW SPRINGFIELD",
            "state": "OH",
            "postal_code": "444439783",
            "telephone_number": "330-549-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2793 SHAWNEE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458061444",
            "telephone_number": "419-227-8209",
            "fax_number": "419-222-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLEN",
        "first_name": "DENNIS",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN204525",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "COA 02041-NA",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANA NO.",
            "identifier": "041281",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0950707",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022890730001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Briana Buettner
• Mark Buettner, PA-C
• William Michael Buettner, DDS
• Melanie D Buff
• Albert Bui, DO
• Madison Bullinger, APRN-CNP
• Bullock Home Care (Right at Home)
• Sandra Jean Bullock, R.N.
• Yvonn Nacole Bundley
• Andrea Burden, RN

• Certified Registered Nurse Anesthetist in Lima, OH
• Providers in Lima, OH by specialty
• Certified Registered Nurse Anesthetist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.