PATRICIA M. SULLIVAN, MD, LLC (NPI# 1053585661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053585661 |
Entity Type | Organization |
Organization Name | PATRICIA M. SULLIVAN, MD, LLC |
Practice Address |
10796 Hickory Ridge Rd Columbia MD 21044-3646 |
Practice Telephone | 2405358968 |
Mailing Telephone | 2405358968 |
Enumeration Date | 2008-04-15 |
Last Update Date | 2008-04-15 |
Authorized Official Name | PATRICIA M SULLIVAN (PRESIDENT) |
Authorized Official Telephone | 2405358968 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
D0055226 | MD | Ambulatory Health Care Facilities |
Street Address |
10796 HICKORY RIDGE RD |
City | COLUMBIA |
State | MD |
Zip Code | 21044-3646 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902922339 | Kathryn Louise Neel | Psychologist | 10796 Hickory Ridge Rd, Columbia, MD 21044-3646 | 2007-03-21 |
1023295235 | Jacqueline Shoshannah Iseman | Psychologist | 10796 Hickory Ridge Rd, Columbia, MD 21044-3646 | 2008-01-30 |
1932229036 | Joshua Elias Wilk | Psychologist | 10796 Hickory Ridge Rd, Columbia, MD 21044-3646 | 2007-03-30 |
1811014582 | Susan Lee | Psychologist | 10796 Hickory Ridge Rd, Columbia, MD 21044-3646 | 2007-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
Find all providers in zip 21044 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811224967 | Maryland Ivf Health & Wellness Center | Clinic/Center | 9250 Bendix Road North, Columbia, MD 21045-1832 | 2009-11-11 |
1033319140 | Missouri Ear Nose and Throat Center | Clinic/Center | 3401 Berrywood Dr, Suite 201, Columbia, MO 65201-6515 | 2007-07-18 |
1265486807 | The Robert M. Lombard Hyperbaric Oxygenation Medical Center | Clinic/Center | 255 N 6th St, Columbia, PA 17512-2107 | 2006-05-19 |
1558320275 | Palmetto Pediatric Gastroenterology | Clinic/Center | 2113 Adams Grv, Suite 200, Columbia, SC 29203-7102 | 2006-03-21 |
1639524432 | Hammett Clinic, Pa | Clinic/Center | 3710 Landmark Dr, Suite 114, Columbia, SC 29204-4062 | 2016-04-29 |
1417317264 | Thomas J Carzoli Md Pa | Clinic/Center | 1301 Taylor St, Suite 5k, Columbia, SC 29201-2942 | 2016-03-07 |
1932575313 | Marion County Internal Medicine Clinic | Clinic/Center | 104 Partnership Way, Columbia, MS 39429-4502 | 2015-08-19 |
1417356437 | Christina P Lynn, Md | Clinic/Center | 3612 Landmark Dr, Columbia, SC 29204-4039 | 2014-08-14 |
1154607430 | Allergy and Asthma Educational Specialists, LLC | Clinic/Center | 1601 E Broadway, Ste 250, Columbia, MO 65201-8020 | 2011-10-31 |
1215186465 | Gebreye W. Rufael, M.d, Pa | Clinic/Center | 10840 Little Patuxent Pkwy, 302, Columbia, MD 21044-3115 | 2008-09-11 |
Find all providers in COLUMBIA |
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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.