NPIMap

Organization Active NPI

Dr. Jennifer Bullock Allergy and Asthma LLC

  • Allergy Physician
  • Columbus, OH
National Provider Identifier
1730720970
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
DR. JENNIFER BULLOCK ALLERGY AND ASTHMA LLC
Practice address
170 Northwoods Blvd Ste 120
Columbus, OH 43235-4711
Phone
(614) 635-9606
NPI assigned
Sep 30, 2019
Organization subpart
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

Authorized official

Name
Jennifer BullockNPI 1346287976
Title
Owner
Phone
(614) 635-9606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X 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

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

Other practice location 2

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

Other practice location 3

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200407003557 OH Part B Supplier - Clinic/Group Practice 0749619005 Receives reassigned benefits from 8 practitioners
Practice locations: Chillicothe, OH; Columbus, OH; Zanesville, OH

National Provider Directory

National Provider Directory

Locations

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

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

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1730720970",
    "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": "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": "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": "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": {
        "organization_name": "DR. JENNIFER BULLOCK ALLERGY AND ASTHMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-635-9606"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.