DR. RICHARD PATRICK SULLIVAN (NPI# 1023168796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023168796 |
| Entity Type | Individual |
| Full Name | DR. RICHARD PATRICK SULLIVAN |
| Credential | M.D. |
| Practice Address |
3101 Ridge Rd W Building C Rochester NY 14626-3249 |
| Practice Telephone | 5852251700 |
| Practice Fax Number | 5852251439 |
| Mailing Telephone | 5852251700 |
| Mailing Fax Number | 5852251439 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2011-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 142774 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00740996 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578985479 | Richard A Sullivan | Counselor | 26 Viden Rd, Quincy, MA 02169-7907 | 2014-01-10 |
| 1568695864 | Richard John Sullivan | Massage Therapist | 3524 Se Stark St, Portland, OR 97214-3154 | 2009-09-02 |
| 1467676700 | Richard Hugh Sullivan | Dentist | 5023 Harpeth Dr, Brentwood, TN 37027-7511 | 2007-04-11 |
| 1841325461 | Richard James Sullivan | Contractor | 2155 Ne 187th St, North Miami Beach, FL 33179-4311 | 2007-02-22 |
| 1275607624 | Richard Joseph Sullivan | Internal Medicine | 7904 Turin Rd, Rome, NY 13440-1933 | 2006-11-20 |
| 1023127651 | Richard Michael Sullivan | Social Worker | 410 Gidney Ave Stop 3, Newburgh, NY 12550-3764 | 2006-08-29 |
| 1528075785 | Richard Sullivan | Pharmacist | 863 W Foothill Blvd, Claremont, CA 91711-3302 | 2006-08-01 |
| 1588694434 | Richard M Sullivan | Social Worker | 5420 Shimerville Rd, Clarence, NY 14031-1118 | 2006-07-04 |
| 1821567611 | Richard Sullivan | Counselor | 1525 Fullilove Dr, Bossier City, LA 71112-3346 | 2018-11-21 |
| 1285014993 | Richard Hugh Sullivan Iv | Dentist | 5023 Harpeth Dr, Brentwood, TN 37027-7511 | 2015-06-08 |
| Street Address |
3101 RIDGE RD W BUILDING C |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14626-3249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053376566 | Edward B Ogden | Obstetrics & Gynecology | 3101 Ridge Rd W, Building D, Rochester, NY 14626-3249 | 2006-04-18 |
| 1871711168 | Milano&guzik,d.d.s.,pllc | Dentist | 3101 Ridge Rd W, Rochester, NY 14626-3249 | 2007-04-23 |
| 1093865701 | Ridgewood Med-peds, LLP | Pediatrics | 3101 Ridge Rd W, Building C, Rochester, NY 14626-3249 | 2007-01-12 |
| 1316097017 | Robin Gallob | Nurse Practitioner | 3101 Ridge Rd W, Building C, Rochester, NY 14626-3249 | 2007-01-12 |
| 1720138407 | Lisa Anne Smith | Internal Medicine | 3101 Ridge Rd W, Building C, Rochester, NY 14626-3249 | 2007-01-12 |
| 1497838502 | Beverly Shaheen | Nurse Practitioner | 3101 Ridge Rd W, Building D, Rochester, NY 14626-3249 | 2006-10-23 |
| 1992897409 | West Ridge Obstetrics and Gynecology, LLP | Obstetrics & Gynecology | 3101 Ridge Rd W, Building D, Rochester, NY 14626-3249 | 2006-09-29 |
| 1891887352 | Colleen A. L. Raymond | Obstetrics & Gynecology | 3101 Ridge Rd W, Building D, Rochester, NY 14626-3249 | 2006-09-29 |
| 1730287558 | John Kenneth Chamberlain | Internal Medicine | 3101 Ridge Rd W, Rochester, NY 14626-3249 | 2006-09-20 |
| 1538171160 | Kristi Michelle Cowell-kusak | Internal Medicine | 3101 Ridge Rd W, Bldg C, Rochester, NY 14626-3249 | 2006-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760978084 | Elizabeth M Neenan | Nurse Practitioner | 105 Canal Landing Blvd. Suite 1, Rochester, NY 14626 | 2018-07-10 |
| 1811488737 | Anthony Richard Mesolella | Dentist | 2081 W Ridge Rd Ste 204, Rochester, NY 14626 | 2018-05-26 |
| 1285157370 | Heather Kate Byam | Nurse Anesthetist, Certified Registered | 280 Mill Road, Rochester, NY 14626 | 2017-07-20 |
| 1710415039 | Abner O De Los Santos | Dentist | 120 Erie Canal Dr Ste 150, Rochester, NY 14626 | 2017-05-31 |
| 1609308709 | Ulfat Shafiq | Dentist | 1100 Long Pond Rd Ste 115, Greece, NY 14626 | 2017-03-29 |
| 1174982953 | S.a.v.o.c L.l.c | Preferred Provider Organization | 2833 West Ridge Road, Pearle Vision Ridgemont Plaza Suite 'a', Rochester, NY 14626 | 2016-02-22 |
| 1700244357 | Kerri Anne Sawyer | Registered Nurse | 82 Southridge Drive, Rochester, NY 14626 | 2016-02-10 |
| 1518398106 | Braces of Greece | Exclusive Provider Organization | 770 Fetzner Rd., Rochester, NY 14626 | 2013-12-06 |
| 1477983443 | Amy Pawlyk | Licensed Practical Nurse | 116 Annie Lane, Rochester, NY 14626 | 2013-11-12 |
| 1689911208 | Kathleen Zimmerman | Occupational Therapist | 1555 Long Pond Rd., 4th Floor, Rochester, NY 14626 | 2013-01-16 |
| Find all providers in zip 14626 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598244212 | Syed Siraj Masood, Md, PC | Pediatrics | 1295 Portland Ave Ste 17, Rochester, NY 14621-2726 | 2018-08-13 |
| 1851896187 | Hamdi A Ali | Pediatrics | 26 Mayo Park Dr Se, Rochester, MN 55904 | 2018-03-28 |
| 1427565613 | Legacy Pediatrics LLC | Pediatrics | 1815 Clinton Ave S Ste 360, Rochester, NY 14618-5725 | 2018-01-09 |
| 1932561073 | Legacy Pediatrics | Pediatrics | 1815 South Clinton Avenue Ste 360, Rochester, NY 14618 | 2016-03-28 |
| 1558780809 | Christina Wu | Pediatrics | 1425 Portland Ave # 228, Rochester, NY 14621-3001 | 2014-04-15 |
| 1356785059 | Adria Lara Roberti Miller | Pediatrics | 1815 S Clinton Ave Ste 310, Rochester, NY 14618 | 2013-04-24 |
| 1295001543 | Karla Suter | Pediatrics | 1800 English Rd., Rochester, NY 14616-0001 | 2012-03-30 |
| 1780950139 | Rachel Diamond | Pediatrics | 1425 Portland Ave Ste 300, Rochester, NY 14621-3001 | 2012-03-30 |
| 1861791485 | Regina Kay Rowe | Pediatrics | Pediatric Infectious Diseases 601 Elmwood Avenue, Rochester, NY 14642 | 2011-03-22 |
| 1164727475 | Irondequoit Pediatrics, Pllc | Pediatrics | 809 East Ridge Road, Rochester, NY 14621-1710 | 2011-01-18 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.