Individual provider Active NPI

Jennifer Zane Bullock, MD

  • Allergy & Immunology Physician
  • Columbus, OH
National Provider Identifier
1346287976
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
35-08-2026 Issued in OH
Practice address
170 Northwoods Blvd Ste 120
Columbus, OH 43235-4711
Phone
(614) 635-9606
NPI assigned
Jun 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 35-08-2026 OH Primary

Addresses

Primary practice location

170 Northwoods Blvd Ste 120
Columbus, OH 43235-4711

Mailing address

PO Box 933377
Cleveland, OH 44193-0038
Phone (614) 635-9606

Other practice location 1

170 Northwoods Blvd Ste 20
Columbus, OH 43235-4711
Phone (614) 635-9606

Other practice location 2

200 N Plaza Blvd
Chillicothe, OH 45601-1798
Phone (740) 672-2772

Other practice location 3

975 Bethesda Dr Bldg 7
Zanesville, OH 43701-7500
Phone (740) 454-1760

Other identifiers 1

IdentifierTypeStateIssuer
2632628MedicaidOH

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address Bullock.Jennifer.007.0350062@JBM.meditab.direct-ci.com
Direct Messaging Address Bullock.Jennifer.007.0350062@JBM.meditab.direct-ci.com Dr. Jennifer Bullock Allergy and Asthma LLC
Direct Messaging Address Bullock.Jennifer.007.0350062@JBM.meditab.direct-ci.com Dr. Jennifer Bullock Allergy and Asthma LLC
Direct Messaging Address Bullock.Jennifer.007.0350062@JBM.meditab.direct-ci.com Dr. Jennifer Bullock Allergy and Asthma LLC
Direct Messaging Address Bullock.Jennifer.007.0350062@JBM.meditab.direct-ci.com Dr. Jennifer Bullock Allergy and Asthma LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060627000091 OH Practitioner - Allergy/Immunology 3971515438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Ohio State University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Jennifer Bullock Allergy and Asthma LLCGroup PAC ID 0749619005, 8 clinicians

Practice addresses (Care Compare)

975 Bethesda Dr
BLDG 7
Zanesville, OH 43701-7500
Phone (740) 454-1760

Merit-based Incentive Payment System (MIPS)

Final score
95.07 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
83.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Jennifer Bullock Allergy and Asthma LLC CurrentSince Mar 1, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Ohio Psychiatric Associates, Inc Past Accepting new patients

Locations

200 N Plaza Blvd
Chillicothe, OH 45601
Phone (740) 672-2772

170 Northwoods Blvd
Ste 20
Columbus, OH 43235
Phone (614) 635-9606

170 Northwoods Blvd
Ste 120
Columbus, OH 43235
Phone (614) 635-9606

975 Bethesda Dr
Bldg 7
Zanesville, OH 43701
Phone (740) 452-4539

Interoperability endpoints

  • Direct secure messaging: bullock.jennifer.007.0350062@jbm.meditab.direct-ci.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1346287976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933377",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930038",
            "telephone_number": "614-635-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 NORTHWOODS BLVD STE 120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354711",
            "telephone_number": "614-635-9606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 Northwoods Blvd Ste 20",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432354711",
            "country_code": "US",
            "telephone_number": "614-635-9606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 N Plaza Blvd",
            "address_purpose": "LOCATION",
            "city": "Chillicothe",
            "state": "OH",
            "postal_code": "456011798",
            "country_code": "US",
            "telephone_number": "740-672-2772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "975 Bethesda Dr Bldg 7",
            "address_purpose": "LOCATION",
            "city": "Zanesville",
            "state": "OH",
            "postal_code": "437017500",
            "country_code": "US",
            "telephone_number": "740-454-1760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "JENNIFER",
        "middle_name": "ZANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "OH",
            "license": "35-08-2026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2632628",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bullock.Jennifer.007.0350062@JBM.meditab.direct-ci.com",
            "affiliation": "N",
            "address_1": "200 N Plaza Blvd",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456011798",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bullock.Jennifer.007.0350062@JBM.meditab.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Dr. Jennifer Bullock Allergy and Asthma LLC",
            "address_1": "170 Northwoods Blvd Ste 20",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432354711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bullock.Jennifer.007.0350062@JBM.meditab.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Dr. Jennifer Bullock Allergy and Asthma LLC",
            "address_1": "975 Bethesda Dr Bldg 7",
            "city": "Zanesville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "437017500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bullock.Jennifer.007.0350062@JBM.meditab.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Dr. Jennifer Bullock Allergy and Asthma LLC",
            "address_1": "200 N Plaza Blvd",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456011798",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bullock.Jennifer.007.0350062@JBM.meditab.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Dr. Jennifer Bullock Allergy and Asthma LLC",
            "address_1": "170 Northwoods Blvd Ste 120",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432354711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.