MEG SULLIVAN, M.D., PA (NPI# 1083924005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083924005 |
| Entity Type | Organization |
| Organization Name | MEG SULLIVAN, M.D., PA |
| Practice Address |
802 W Lampasas St Ennis TX 75119-4536 |
| Practice Telephone | 9728754700 |
| Practice Fax Number | 9728784527 |
| Mailing Telephone | 9728754700 |
| Mailing Fax Number | 9728784527 |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |
| Authorized Official Name | DR. MEG SULLIVAN (PRESIDENT) |
| Authorized Official Telephone | 9728754700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | N5421 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
802 W LAMPASAS ST |
| City | ENNIS |
| State | TX |
| Zip Code | 75119-4536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336132117 | John M Sullivan | Surgery | 802 W Lampasas St, Ennis, TX 75119-4500 | 2005-08-26 |
| 1669922100 | Susanna Ferguson | Nurse Practitioner | 802 W Lampasas St, Ennis, TX 75119-4536 | 2016-10-07 |
| 1982915633 | Swati Pullamaraju | Family Medicine | 802 W Lampasas St, Ennis, TX 75119-4536 | 2010-06-28 |
| 1508052853 | Ennis Orthopedics Pa | Orthopaedic Surgery | 802 W Lampasas St, Ennis, TX 75119-4500 | 2007-09-20 |
| 1134330178 | Margaret Mary Sullivan | Internal Medicine | 802 W Lampasas St, Ennis, TX 75119-4536 | 2007-05-24 |
| 1447389804 | Merle Ann Filecia | Nurse Practitioner | 802 W Lampasas St, Ennis, TX 75119-4500 | 2007-03-03 |
| 1942304696 | Ellis County Medical Associates | Family Medicine | 802 W Lampasas St, Ennis, TX 75119-4536 | 2006-09-12 |
| 1841394491 | Robert A Silverman | Internal Medicine | 802 W Lampasas St, Ennis, TX 75119 | 2006-09-12 |
| 1750485306 | Larry A Jinks | Internal Medicine | 802 W Lampasas St, Ennis, TX 75119 | 2006-09-12 |
| 1548376668 | Kevin Alexander Williams | Orthopaedic Surgery | 802 W Lampasas St, Ennis, TX 75119 | 2006-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121859 | Alexandria Etuk | Pharmacist | 101 Sh-437 Spur, Ennis, TX 75119 | 2020-10-14 |
| 1285279158 | Oluchi Ozumba Md Pa | Pain Medicine | 601 S Cly St, Suite 104, Ennis, TX 75119 | 2019-11-14 |
| 1952806085 | Ikids Pediatric Dentistry Ennis, Pllc | Dentist | 711 S Clay St Ste A, Ennis, TX 75119 | 2018-03-29 |
| 1609382068 | Living Single LLC | Residential Treatment Facility, Physical Disabilities | 809 E. Denton Street, Ennis, TX 75119 | 2017-12-21 |
| 1912363300 | Erin Denise Jackson | Counselor | 219 W. Brown St, Suite A, Ennis, TX 75119 | 2016-01-14 |
| 1164769139 | Matthew Garrett Cooper | Nurse Anesthetist, Certified Registered | 2201 W. Lampasas Street, Ennis, TX 75119 | 2013-01-11 |
| 1922343805 | Braces R Us PC | Dentist | 1012 E. Ennis Ave. Ste. C, Ennis, TX 75119 | 2012-12-04 |
| 1154684355 | Stefanie Nicole Rust | Emergency Medicine | 2201 West Lampasas Street, Ennis, TX 75119 | 2012-06-21 |
| 1265710909 | Traditions Health Care of Ennis, LLC | Home Health | 109 Southwest Main Street, Suite A, Ennis, TX 75119 | 2011-07-29 |
| 1578792370 | Peak Physical Therapy and Rehabilitation LLC | Physical Therapist | 2200 Physicians Blvd, Ste D, Ennis, TX 75119 | 2009-07-14 |
| Find all providers in zip 75119 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952359622 | Keith Douglas Rigsby | Internal Medicine | 601 S Clay St, Suite 104, Ennis, TX 75119-5771 | 2006-05-05 |
| 1346643566 | Vip Healthcare, Pllc | Internal Medicine | 601 S Clay St, Ennis, TX 75119-5771 | 2014-10-01 |
| 1245664960 | Samuel R Mitz Md Pa | Internal Medicine | 803 W Lampasas St, Ennis, TX 75119-4535 | 2013-08-29 |
| 1376809848 | Hometown Physical Medicine, Pllc | Internal Medicine | 2200 W Ennis Ave, Ennis, TX 75119-8054 | 2012-04-09 |
| 1497089478 | Samuel R Mitz Md Pa | Internal Medicine | 2201 W Lampasas St, Ennis, TX 75119-5644 | 2009-09-24 |
| 1164573150 | Lakewood Hills Internal Medicine, LLC | Internal Medicine | 2203 W Lampasas St, Ste 111, Ennis, TX 75119-5644 | 2007-01-16 |
| 1073660627 | Felicia Lenora Lewis | Internal Medicine | 2203 W Lampasas St, Ste 111, Ennis, TX 75119-5644 | 2007-01-05 |
| 1588739007 | Ruby L. Anthony-white, Md, P.a. | Internal Medicine | 601 S Clay St, Suite 104, Ennis, TX 75119-5771 | 2006-11-21 |
| 1841394491 | Robert A Silverman | Internal Medicine | 802 W Lampasas St, Ennis, TX 75119 | 2006-09-12 |
| 1750485306 | Larry A Jinks | Internal Medicine | 802 W Lampasas St, Ennis, TX 75119 | 2006-09-12 |
| Find all providers in ENNIS | ||||
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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.