OrganizationActive
Sharon M Bullock
NPI 1205841624 · Health Maintenance Organization · Blue Ash, OH
Provider details
- NPI number
- 1205841624
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Sharon Bullock, Independent LPN(513) 709-9344
- License
- PN090343 (OH)
Specialties & taxonomies
Managed Care Organizations
Nursing Service Providers
Agencies
Managed Care Organizations
Managed Care Organizations
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4549 Cooper Rd
Blue Ash, OH 45242-5607
Phone: (513) 398-2456
Street-level locationGet directions
Mailing address
4549 Cooper Rd
Blue Ash, OH 45242-5607
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.