PATRICIA M. SULLIVAN, MD, LLC


Address: 10796 Hickory Ridge Rd, Columbia, MD 21044-3646
Phone: 2405358968

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
D0055226 MD Ambulatory Health Care Facilities

Office Location

Street Address 10796 HICKORY RIDGE RD
City COLUMBIA
State MD
Zip Code 21044-3646

Providers in the same location

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

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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
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City COLUMBIA
Zip Code 21044

Improve Information

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Dataset Information

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.

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