Active NPI
Oana Radu Bulugean, M.D.
- Dermatopathology (Pathology) Physician
- Brunswick, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology (Pathology) Physician
- License
- MD444477
- Practice address
- 203 Indigo Dr
Brunswick, GA 31525-6865 - Phone
- (912) 261-2669
- Fax
- (912) 261-0561
- NPI assigned
- Sep 19, 2012
- Last updated
- Jul 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology (Pathology) Physician | 207ZD0900X | 444477 | PA | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | MD444477 | PA | Primary |
Addresses
Primary practice location
203 Indigo Dr
Brunswick, GA 31525-6865
Mailing address
203 Indigo Dr
Brunswick, GA 31525-6865
Phone (912) 261-2669
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 69935 | Other | GA | PATHOLOGY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southeastern Pathology Associates PC
Practice addresses (Care Compare)
1601 Watson Blvd
Warner Robins, GA 31093-3431
Phone (478) 322-5155
800 Prudential Dr
Jacksonville, FL 32207-8202
Phone (912) 261-2669
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 444477 | PA | MD | Dermatopathology (Pathology) Physician |
| MD444477 | PA | MD | Dermatopathology (Pathology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Care Inc | Past | Accepting new patients |
Interoperability endpoints
- obulugean744493@direct.shands.ufl.edu
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anatomic Pathology & Clinical Pathology Physician
- Brunswick, GA
- NPI 1821104704
-
- Anatomic Pathology & Clinical Pathology Physician
- Brunswick, GA
- NPI 1992963268
FL
-
- Primary Care Clinic/Center
- Waycross, GA
- NPI 1538367149
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Piedmont Columbus Regional Midtown
- General Acute Care Hospital
- Columbus, GA
- NPI 1255401519
-
dba Baptist Medical Center
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562630400000",
"number": "1871844647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 INDIGO DR",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315256865",
"telephone_number": "912-261-2669",
"fax_number": "912-261-0561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 INDIGO DR",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315256865",
"telephone_number": "912-261-2669",
"fax_number": "912-261-0561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULUGEAN",
"first_name": "OANA",
"middle_name": "RADU",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-19",
"last_updated": "2019-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "PA",
"license": "444477",
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "PA",
"license": "MD444477",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PATHOLOGY",
"identifier": "69935",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.