MR. WILLIAM CHRISTOPHER SULLIVAN (NPI# 1053662924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053662924 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM CHRISTOPHER SULLIVAN |
| Credential | PA-C |
| Practice Address |
72780 Country Club Dr Bldg B 203 Rancho Mirage CA 92270-4126 |
| Practice Telephone | 7606743847 |
| Practice Fax Number | 7606743845 |
| Mailing Telephone | 7606743847 |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2016-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA22590 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047359 | William M Sullivan Jr. | Counselor | 880 Central St Ste 10, Franklin, NH 03235-2040 | 2017-11-28 |
| 1669809331 | William Sullivan | Counselor | 18 Ascot Ct, Blythewood, SC 29016-9086 | 2013-09-26 |
| 1265729354 | William Eugene Sullivan | Optometrist | 6511 Sully Lane Pr, West Richland, WA 99353-8002 | 2011-07-09 |
| 1194995720 | William Nicholas Sullivan | Dentist | 6100 Trail Blvd North, Suite 1, Naples, FL 34108 | 2008-03-11 |
| 1295863603 | William F Sullivan | Counselor | Adcare, 14 Beacon Street, 801, Boston, MA 02108 | 2007-02-28 |
| 1093805897 | William J Sullivan | Internal Medicine | 608 Willard, Frontenac, KS 66763-2120 | 2006-10-13 |
| 1902911027 | William P. Sullivan | Emergency Medicine | 21200 S La Grange Rd # 365, Frankfort, IL 60423-2003 | 2006-08-20 |
| 1710911177 | William Larry Sullivan | Emergency Medicine | 4308 Topaz Cir Se, Decatur, AL 35603-5236 | 2006-07-10 |
| 1588614630 | William Walter Sullivan | Dentist | 6810 Post Rd, North Kingstown, RI 02852 | 2006-05-11 |
| 1285625541 | William Michael Sullivan | Specialist/Technologist | 3114 Hillary Ct, Joliet, IL 60435-9040 | 2005-11-04 |
| Street Address |
72780 COUNTRY CLUB DR BLDG B 203 |
| City | RANCHO MIRAGE |
| State | CA |
| Zip Code | 92270-4126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194721308 | Shahin Etebar | Neurological Surgery | 72780 Country Club Dr, Suite A104, Rancho Mirage, CA 92270-4126 | 2005-06-22 |
| 1811343304 | Shailaja Karanti | Pharmacist | 72780 Country Club Dr, Ste # 403, Rancho Mirage, CA 92270-4126 | 2016-05-13 |
| 1275995193 | Leyra Teresa Pelicano-goers | Nurse Practitioner | 72780 Country Club Dr, Suite 100, Rancho Mirage, CA 92270-4126 | 2016-03-22 |
| 1023482577 | Lora Murphy | Physical Therapy Assistant | 72780 Country Club Dr, #c-300, Rancho Mirage, CA 92270-4126 | 2015-11-20 |
| 1780081935 | Deborah R. Wondoloski | Nurse Practitioner | 72780 Country Club Dr, Suite A-104, Rancho Mirage, CA 92270-4126 | 2014-12-03 |
| 1356751689 | Mirage Pain and Rehabilitation Associates A Medical Group Inc | Durable Medical Equipment & Medical Supplies | 72780 Country Club Dr, Suite C300, Rancho Mirage, CA 92270-4126 | 2014-05-08 |
| 1932457173 | Gregory Reid Lancaster | Physician Assistant | 72780 Country Club Dr, Suite B203, Rancho Mirage, CA 92270-4126 | 2012-08-20 |
| 1336407964 | Ricardo G Cacdac Md A Professional Corp | Colon & Rectal Surgery | 72780 Country Club Dr, Suite C306, Rancho Mirage, CA 92270-4126 | 2012-05-02 |
| 1598038937 | Desert Spine and Neurosurgical Institute, Inc | Neurological Surgery | 72780 Country Club Dr, Suite A104, Rancho Mirage, CA 92270-4126 | 2012-02-15 |
| 1487924437 | Ronald S. Levey, Md Inc | Orthopaedic Surgery | 72780 Country Club Dr, Rancho Mirage, CA 92270-4126 | 2012-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757824 | Monsetrrat Martinez | Behavioral Analyst | 69930 Ca-111, Ste 118, Rancho Mirage, CA 92270 | 2020-07-09 |
| 1306475785 | Christine Palmares | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-07 |
| 1821627449 | Dino Mellone | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office Ste. 201, Rancho Mirage, CA 92270 | 2020-04-06 |
| 1356970164 | Chris Kim | Student in an Organized Health Care Education/Training Program | Eisenhower Health Emergency Medicine Residency, 39000 Bob Hope Dr., Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-03 |
| 1609434075 | Junko Ohara | Student in an Organized Health Care Education/Training Program | Eisenhower Health Internal Medicine Residency, 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-05-31 |
| 1245791896 | Iman Rasheed | Student in an Organized Health Care Education/Training Program | 3900 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-03-27 |
| 1073086583 | Robert B Greene | Internal Medicine | 8 Moon Lake Drive, Rancho Mirage, CA 92270 | 2019-01-08 |
| 1356818884 | Kade Bartschi | Dentist | 1591 Griffin Rd, 29 Palms, CA 92270 | 2018-11-02 |
| 1841775392 | Rose Pharmacy Rm LLC | Pharmacy | 35400 Bob Hope Drive, Suite #207, Rancho Mirage, CA 92270 | 2018-10-01 |
| 1235615956 | Trang Huyen Nguyen | Dentist | 71-817 Hwy 111 Suite A, Rancho Mirage, CA 92270 | 2018-07-16 |
| Find all providers in zip 92270 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730654609 | Hannah P. Glenn | Physician Assistant | 39000 Bob Hope Drive, Harry and Diane Rinker Blg, Rancho Mirage, CA 92270-3221 | 2018-10-08 |
| 1891278917 | Ashley J Walker | Physician Assistant | 35400 Bob Hope Dr Ste 204, Rancho Mirage, CA 92270-1774 | 2018-09-13 |
| 1851877930 | Brian Jay Jacobson | Physician Assistant | 71777 San Jacinto Dr Ste 201, Rancho Mirage, CA 92270-4457 | 2018-07-12 |
| 1568951606 | Andrea Rose Wanless | Physician Assistant | 72785 Frank Sinatra Dr Ste 101, Rancho Mirage, CA 92270-3207 | 2018-05-03 |
| 1790042026 | David Wolman | Physician Assistant | 12 Porto Cielo Ct, Rancho Mirage, CA 92270 | 2012-04-11 |
| 1992948764 | Aaron Michael Omlor | Physician Assistant | 36101 Bob Hope Dr Ste A, Rancho Mirage, CA 92270-2001 | 2009-04-09 |
| 1073728507 | Beth Ann Mulligan | Physician Assistant | 72301 Country Club Dr Ste 102, Rancho Mirage, CA 92270-8007 | 2007-05-10 |
| 1225002710 | Laura S Androy | Physician Assistant | 71777 San Jacinto Dr Ste 101, Rancho Mirage, CA 92270-4457 | 2006-02-14 |
| 1487111217 | Ashleigh Taylor Watson | Physician Assistant | 71777 San Jacinto Dr Ste 202, Rancho Mirage, CA 92270-4457 | 2019-02-28 |
| 1598232845 | Matthew Daniel Gibson Bartie | Physician Assistant | 39000 Bob Hope Dr, Harry and Diane Rinker Blg, Rancho Mirage, CA 92270 | 2018-10-25 |
| Find all providers in RANCHO MIRAGE | ||||
| City | RANCHO MIRAGE |
| Zip Code | 92270 |
Please comment or provide details below to improve the information on MR. WILLIAM CHRISTOPHER SULLIVAN.
| 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.