MR. BRENDAN SULLIVAN (NPI# 1023540853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023540853 |
Entity Type | Individual |
Full Name | MR. BRENDAN SULLIVAN |
Practice Address |
5333 Mcauley Dr Rm 5011 Ypsilanti MI 48197-1003 |
Practice Telephone | 7347128700 |
Mailing Telephone | 7347128700 |
Enumeration Date | 2017-03-30 |
Last Update Date | 2020-10-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174724686 | Brendan Michael Sullivan | Physical Therapist | 105 Stockton Sq, Pottstown, PA 19465-7599 | 2007-05-31 |
1174521140 | Brendan P Sullivan | Internal Medicine | 1135 Clifton Ave, Suite 206, Clifton, NJ 07013-3642 | 2005-07-13 |
1518431949 | Brendan R Sullivan | Counselor | 108 W Market St, Bloomington, IL 61701-3918 | 2019-01-18 |
1144660754 | Brendan James Sullivan | Internal Medicine | 75 Francis St, Boston, MA 02115-6110 | 2013-06-27 |
1336480144 | Brendan D. Sullivan | Social Worker | 711 Devon Ave, Suite 203, Park Ridge, IL 60068-4713 | 2013-03-05 |
1619215597 | Brendan G. Sullivan | Speech-Language Pathologist | 1251 White Mountain Hwy, North Conway, NH 03860-5154 | 2013-01-28 |
1780643908 | Brendan L Sullivan | Pediatrics | 9010 Lorton Station Blvd, Suite 100, Lorton, VA 22079-4792 | 2006-03-18 |
1962494740 | Brendan Sullivan | Physical Therapist | 8 Century Hill Dr, Suite 201, Latham, NY 12110-2193 | 2005-08-18 |
Street Address |
5333 MCAULEY DR RM 5011 |
City | YPSILANTI |
State | MI |
Zip Code | 48197-1003 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386624591 | Jaclyn Randel | Family Medicine | 5333 Mcauley Dr Rm 5011, Ypsilanti, MI 48197-1003 | 2006-01-23 |
1356793954 | Iha Health Services Corporation | Internal Medicine | 5333 Mcauley Dr Rm 5011, Ypsilanti, MI 48197-1003 | 2016-07-07 |
1790076537 | Michael Francis | Physician Assistant | 5333 Mcauley Dr Rm 5011, Ypsilanti, MI 48197-1003 | 2011-04-27 |
1669590352 | Mark A Weiner | Internal Medicine | 5333 Mcauley Dr Rm 5011, Ypsilanti, MI 48197-1003 | 2007-03-27 |
1487744512 | Sarah Cookinham | Internal Medicine | 5333 Mcauley Dr Rm 5011, Ypsilanti, MI 48197-1003 | 2006-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
Find all providers in zip 48197 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306453303 | Eddie D Williams | Student in an Organized Health Care Education/Training Program | 507 Pearl St, Ypsilanti, MI 48197-2076 | 2020-09-24 |
1548878390 | Mobina Shrestha | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Academic Internal Medicine Clinic, Suite 4001, Ypsilanti, MI 48197-8633 | 2020-07-17 |
1790313849 | Cynthia Elizabeth Tetreault | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 2120, Ypsilanti, MI 48197-8633 | 2020-04-01 |
1144861527 | Naiomi C Wilson | Student in an Organized Health Care Education/Training Program | 4910 Sycamore Dr, Ypsilanti, MI 48197-6107 | 2019-10-07 |
1881157311 | Tobias Philip Keeney-bonthrone | Student in an Organized Health Care Education/Training Program | Academic Surgery Clinic, 5333 Mcauley Drive, Suite 2115, Ypsilanti, MI 48197-8633 | 2019-04-11 |
1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
1912499104 | Zachary Michael Vigliotti | Student in an Organized Health Care Education/Training Program | 413 W Forest Ave Apt 5, Ypsilanti, MI 48197-8141 | 2018-06-04 |
1134625585 | Carter Burson Anderson | Student in an Organized Health Care Education/Training Program | Academic Ob/gyn Clinic, 5333 Mcauley Drive, Suite 2110, Ypsilanti, MI 48197-8633 | 2018-04-04 |
1841795556 | Ann Elizabeth Hutchison | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr Rm 2115, Ypsilanti, MI 48197-1097 | 2018-03-26 |
1720582794 | Angela Miciura | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr Rm 2215, Ypsilanti, MI 48197-1097 | 2018-03-22 |
Find all providers in YPSILANTI |
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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.