DR. KERRY SULLIVAN (NPI# 1093717548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093717548 |
| Entity Type | Individual |
| Full Name | DR. KERRY SULLIVAN |
| Credential | D.O. |
| Practice Address |
4110 Warrensville Center Rd Warrensville Heights OH 44122-7024 |
| Practice Telephone | 2164917014 |
| Mailing Telephone | 2164917014 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2009-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
34003443 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0918592 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386724961 | Kerry Renee Sullivan | Counselor | 978 Home Plz, Suite 300, Waterloo, IA 50701-4809 | 2006-10-17 |
| 1326154477 | Kerry P Sullivan | Optometrist | 106 N King St, Windsor, NC 27983-6863 | 2006-08-22 |
| 1629523568 | Kerry Sullivan | Rehabilitation Hospital | 1401 S California Ave, Chicago, IL 60608-1858 | 2016-08-21 |
| 1801246442 | Kerry Sullivan | Registered Nurse | 100 Route 59 Ste 117, Airmont, NY 10901-4927 | 2016-06-14 |
| 1205094661 | Kerry Sullivan | Social Worker | 645 N Michigan Ave Ste 803, Chicago, IL 60611-5123 | 2008-06-01 |
| 1861566176 | Kerry M. Sullivan | Surgery | 710 Lawrence Expy, Santa Clara, CA 95051-5173 | 2006-11-20 |
| Street Address |
4110 WARRENSVILLE CENTER RD |
| City | WARRENSVILLE HEIGHTS |
| State | OH |
| Zip Code | 44122-7024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780051383 | Lacy Kowalski | Nurse Practitioner | 4110 Warrensville Center Rd, Warrensville Heights, OH 44122-7024 | 2015-08-31 |
| 1013391432 | Rajesh Agarwal, LLC | Clinic/Center | 4110 Warrensville Center Rd, Suite 300, Warrensville Heights, OH 44122-7024 | 2015-07-15 |
| 1679984660 | Michelle Rae Bogomolny | Physical Therapist | 4110 Warrensville Center Rd, Building A/driveway 1, Warrensville Heights, OH 44122-7024 | 2014-05-13 |
| 1689709628 | Geraldine Sparks | Nurse Anesthetist, Certified Registered | 4110 Warrensville Center Rd, Warrensville Heights, OH 44122-7024 | 2007-02-22 |
| 1235183542 | Cleveland Clinic Health System - East Region | General Acute Care Hospital | 4110 Warrensville Center Rd, Warrensville Heights, OH 44122-7024 | 2006-05-20 |
| 1639171184 | Jeffrey Kleinman | Radiology | 4110 Warrensville Center Rd, Warrensville Heights, OH 44122-7024 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952368318 | Matthew P Evitts | Radiology | 20000 Harvard Ave, Warrensville Heights, OH 44122-6805 | 2006-04-28 |
| 1639171184 | Jeffrey Kleinman | Radiology | 4110 Warrensville Center Rd, Warrensville Heights, OH 44122-7024 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326645813 | Lumina Imaging | Radiology | 8401 Mentor Ave Ste B, Mentor, OH 44060-5843 | 2020-10-07 |
| 1700490943 | Katrina Overbey | Radiology | 4604 Northridge Dr, Batavia, OH 45103-1329 | 2020-09-04 |
| 1235752981 | Infinity Teleradiology LLC | Radiology | 17365 Lookout Dr, Chagrin Falls, OH 44023-2135 | 2020-05-28 |
| 1811481120 | Northern Ohio Medical Specialists LLC | Radiology | 2800 Hayes Ave Bldg C130, Sandusky, OH 44870-7248 | 2018-06-20 |
| 1922528595 | Advantage Imaging, LLC | Radiology | 1120 Polaris Pkwy Ste 105, Columbus, OH 43240-4042 | 2017-06-23 |
| 1568845279 | Rod Momenian | Radiology | 9500 Euclid Ave # Oh44195, Cleveland, OH 44195-1716 | 2015-06-30 |
| 1356756159 | Jerald Eckman | Radiology | 8645 Mallard Cir, Plain City, OH 43064-6004 | 2014-07-01 |
| 1770995854 | Proscan Womens Imaging At Redbank LLC | Radiology | 11594 Springfield Pike, Suite 26, Cincinnati, OH 45246-3527 | 2014-05-23 |
| 1104248467 | Mobile X Ray Express, LLC | Radiology | 1020 Township Road 145, Ironton, OH 45638-8593 | 2014-01-06 |
| 1356762074 | Edwin Robert Payne | Radiology | 465 Overlook Dr Ne, Lancaster, OH 43130-1918 | 2013-12-23 |
| Find all providers with the same taxonomy | ||||
| City | WARRENSVILLE HEIGHTS |
| Zip Code | 44122 |
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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.