Dr. Smitha Bullock

M.D. | Pediatric Cardiology | Female

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Complete Profile:

Dr. Smitha Bullock basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Dr. Smitha Bullock
Credential :	M.D.
Gender :	Female

Business Address:

Dr. Smitha Bullock address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	601 S Floyd St, Suite 602 Louisville, KY, 40202-1845 United States
Phone Number :	502-585-4802
Fax Number :	502-589-1256

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1336308444
NPI Entity Type :	Individual
First Enrolment Date :	04 Jun, 2008
Last Updated On :	13 Oct, 2020

Medicare Participation:

Dr. Smitha Bullock participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	8527214634
Medicare Enrollment ID :	I20120806000451
Primary Specialty :	Pediatric Medicine
Medical School :	George Washington University School Of Medicine
Graduation Year :	2005
Accepts Medicare?	Yes. Dr. Smitha Bullock accepts medicare insurance.

Group Practice Association:

Dr. Smitha Bullock is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Smitha Bullock is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Norton Childrens Medical Group Llc	3779917596	109	411 E Chestnut St 5a Louisville, KY - 402021713 Ph: 5025887450	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Smitha Bullock are as mentioned. Primary taxonomy code for Dr. Smitha Bullock, M.D. is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	Yes	45511	KY

Legacy Identifiers:

Other legacy medical identifiers of Dr. Smitha Bullock such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
7100224090	MEDICAID	KY

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 909 Louisville, KY, 40201-0909 United States
Phone Number :	502-585-4802
Fax Number :	502-589-1256

Business Location:

Patients can refer following map for directions to Dr. Smitha Bullock practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.