THOMAS DENNIS SULLIVAN (NPI# 1104872001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104872001 |
| Entity Type | Individual |
| Full Name | THOMAS DENNIS SULLIVAN |
| Credential | M.D. |
| Practice Address |
3795 Mansell Rd Alpharetta GA 30022-8247 |
| Mailing Address |
5318 Trowbridge Dr Atlanta GA 30338-3623 |
| Practice Telephone | 4047858540 |
| Practice Fax Number | 4047858574 |
| Mailing Telephone | 7706718349 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2013-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 15512 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000971132 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487203386 | Thomas Carson Bruyer Sullivan | Physical Therapist | Bst Granite Falls, 345 10th Avenue, Granite Falls, MN 56241 | 2019-09-04 |
| 1992156426 | Thomas Patrick Sullivan | Counselor | 5 Prentiss Pl, Medfield, MA 02052-1652 | 2016-06-27 |
| 1437565488 | Thomas Barrett Sullivan | Orthopaedic Surgery | 1611 W Harrison St Ste 201, Chicago, IL 60612-4861 | 2014-07-09 |
| 1508104373 | Thomas Sullivan | Psychiatry & Neurology | 16321 Mack Ave, Detroit, MI 48224-2756 | 2013-01-29 |
| 1003033283 | Thomas Edward Sullivan | Dentist | 1200 High Ridge Parkway, Westchester, IL 60154 | 2007-04-19 |
| 1215064050 | Thomas Edward Sullivan | Pharmacist | 1010 S. Ponce Deleon Blvd, Winn-dixie Pharmacy, St Augustine, FL 32084 | 2007-02-28 |
| 1447391222 | Thomas Paul Sullivan | Counselor | 6 Cedarview Rd, Ipswich, MA 01938-1604 | 2007-02-12 |
| 1871630111 | Thomas E Sullivan | Internal Medicine | 6 Brackenbury Ln, Beverly, MA 01915-3822 | 2007-01-30 |
| 1548379233 | Thomas S Sullivan | Chiropractor | 481 Ferry St, Malden, MA 02148-7851 | 2006-08-29 |
| 1780691253 | Thomas Ryan Sullivan | Chiropractor | 7106 Pippin Rd, Cincinnati, OH 45239 | 2006-08-01 |
| Street Address |
3795 MANSELL RD |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30022-8247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053309138 | Brook Belay | Pediatrics | 3795 Mansell Rd, Alpharetta, GA 30022-8247 | 2005-10-12 |
| 1013429059 | Karen Elizabeth Dunmire | Nurse Practitioner | 3795 Mansell Rd, Alpharetta, GA 30022-8247 | 2017-10-31 |
| 1073885133 | Anna-lisa Marie Tarabicos | Nurse Practitioner | 3795 Mansell Rd, Alpharetta, GA 30022-8247 | 2012-02-06 |
| 1073640470 | Tanya Crane Sommers | Nurse Practitioner | 3795 Mansell Rd, Alpharetta, GA 30022-8247 | 2007-02-27 |
| 1740337153 | Children's Healthcare of Atlanta | General Acute Care Hospital | 3795 Mansell Rd, Alpharetta, GA 30022-8247 | 2007-01-05 |
| 1053475970 | Michael Lee Patterson | Pediatrics | 3795 Mansell Rd, Alpharetta, GA 30022-8247 | 2006-12-22 |
| 1568526002 | Michelle Marie Grinkewich | Specialist/Technologist | 3795 Mansell Rd, Alpharetta, GA 30022-8247 | 2006-12-20 |
| 1336200211 | Robin Marie Kleimon | Specialist/Technologist | 3795 Mansell Rd, Alpharetta, GA 30022-8247 | 2006-12-13 |
| 1902965957 | Deirdre S Stewart | Pediatrics | 3795 Mansell Rd, Alpharetta, GA 30022-8247 | 2006-12-06 |
| 1043384241 | Egleston Affiliated Services | Clinic/Center | 3795 Mansell Rd, Alpharetta, GA 30022-8247 | 2006-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244463 | Youthful Md LLC | Family Medicine | 10595 Old Alabama Rd Con, # 9a, Alpharetta, GA 30022 | 2020-01-13 |
| 1194367185 | Maureen Onyewuenyi | Counselor | 1030 Jones Bridge Road, Suite 301, Johns Creek, GA 30022 | 2019-10-11 |
| 1427543032 | Neal Baker | Counselor | 5755 N Point Pkwy Ste 90, Alpharetta, GA 30022 | 2018-06-26 |
| 1215428685 | Advanced Cosmetic and Family Dentistry, PC | Durable Medical Equipment & Medical Supplies | 4205 North Point Parkway Bldg D, Alpharetta, GA 30022 | 2018-05-22 |
| 1114431541 | Grace Yang | Speech-Language Pathologist | 3207 Beaver Creek Road, Alpharetta, GA 30022 | 2017-11-21 |
| 1881112217 | Brittany Ketchup Hall | Counselor | 2750 Old Alabama Rd Unit 200, Alpharetta, GA 30022 | 2017-09-06 |
| 1154849867 | Fatima Wasim | Psychologist | 5755 N Point Pkwy Ste 79, Alpharetta, GA 30022 | 2017-09-01 |
| 1730602418 | Brian Keith Soles | Pharmacist | 4305 Old Milton Parkway, Alpharetta, GA 30022 | 2017-07-25 |
| 1548718976 | Serenity Life Counseling Center LLC | Community/Behavioral Health | 10068 Parc Sky Cir, Alpharetta, GA 30022 | 2016-09-14 |
| 1487016317 | National Vision, Inc. | Technician/Technologist | 7661 N Point Pwky, Ste 600, Alpharetta, GA 30022 | 2016-03-21 |
| Find all providers in zip 30022 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952888927 | Total Access Pediatrics LLC | Pediatrics | 401 S Main St Ste A1, Alpharetta, GA 30009 | 2018-07-23 |
| 1467849935 | Rosalie Vayman | Pediatrics | 3005 Royal Blvd S Ste 110, Alpharetta, GA 30022-1407 | 2015-04-22 |
| 1043506264 | Gargi Anil Shikhare | Pediatrics | 12324 Deer Trail, Alpharetta, GA 30004 | 2011-06-27 |
| 1972667442 | Amanda H Hwang | Pediatrics | 6340 Deerwoods Trl, Alpharetta, GA 30005 | 2006-12-20 |
| 1093888588 | Maia Alees Walton | Pediatrics | 3070 Windward Plz, Suite 333f, Alpharetta, GA 30005-8771 | 2006-11-15 |
| 1972693299 | Madhuri Viswanadham | Pediatrics | 11125 Jones Bridge Rd Ste 100, Alpharetta, GA 30022-0001 | 2006-10-15 |
| 1568560514 | Jeffrey Abrams | Pediatrics | 510 Clarinbridge Way, Alpharetta, GA 30022-6418 | 2006-09-20 |
| 1184631368 | Stephanie Beth Muller-dale | Pediatrics | 11975 Morris Road, Ssite 210, Alpharetta, GA 30005 | 2006-08-01 |
| 1861412496 | Howard W. Silverman | Pediatrics | 11525 Haynes Bridge Rd Ste 200, Alpharetta, GA 30009-4822 | 2006-07-19 |
| 1376570192 | Douglas S Josephson | Pediatrics | 12385 Crabapple Rd, Alpharetta, GA 30004-6357 | 2006-06-27 |
| Find all providers in ALPHARETTA | ||||
| City | ALPHARETTA |
| Zip Code | 30022 |
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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.