DR. JOHN JAMES SULLIVAN (NPI# 1124107081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124107081 |
Entity Type | Individual |
Full Name | DR. JOHN JAMES SULLIVAN |
Credential | MD |
Practice Address |
525 2nd St #300 Eureka CA 95501-5107 |
Mailing Address |
688 Villa Way Arcata CA 95521-5400 |
Practice Telephone | 7074450893 |
Practice Fax Number | 7074442563 |
Mailing Telephone | 7078229691 |
Enumeration Date | 2006-11-03 |
Last Update Date | 2013-12-31 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | G37184 | CA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639789027 | John Sullivan | Counselor | 1104 Cavalier Dr, Waukesha, WI 53186-6883 | 2020-07-31 |
1659820454 | John Christopher Sullivan | Counselor | 413 N Bridge St, Dewitt, MI 48820-8907 | 2016-09-22 |
1538576764 | John Michael Sullivan | Psychologist | One Old Oyster Point Road, Newport News, VA 23602 | 2014-07-21 |
1962827808 | John Sullivan | Emergency Medicine | 92 Wood Cove Dr, Coventry, RI 02816-6614 | 2014-03-02 |
1225368145 | John Patrick Sullivan Jr. | Psychologist | 8 Bradford Ave, Newport, RI 02840-2202 | 2009-12-29 |
1679703425 | John Michael Sullivan | Dentist | 9770 Old Baymeadows Rd Ste 113, Jacksonville, FL 32256-7986 | 2009-07-14 |
1649484726 | John F Sullivan | Pharmacist | 44 Timber Ln, Methuen, MA 01844-4644 | 2007-05-09 |
1881812410 | John Michael Sullivan | Social Worker | 735 Requa St, Peekskill, NY 10566-4615 | 2007-04-20 |
1114049228 | John M Sullivan | Chiropractor | 3945 Us Highway 77, Corpus Christi, TX 78410-4531 | 2007-04-06 |
1457412306 | John J Sullivan | Dentist | 325 W White Mountain Blvd, Lakeside, AZ 85929-6875 | 2006-12-13 |
Street Address |
525 2ND ST #300 |
City | EUREKA |
State | CA |
Zip Code | 95501-5107 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487650321 | Anne S Carlisle | Nurse Practitioner | 525 2nd St, Suite 219, Eureka, CA 95501-5107 | 2005-06-24 |
1114285772 | Tim Gomersall | Psychologist | 525 2nd St, Eureka, CA 95501-5107 | 2012-05-01 |
1619188315 | Ange J Lobue | Psychiatry & Neurology | 525 2nd St, Suite 300, Eureka, CA 95501-0437 | 2007-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538795919 | Eric Meyer Goldsmith | Physical Therapist | 2306 Dean Street, Eureka, CA 95501 | 2020-03-18 |
1609406404 | Humboldt County Behavioral Health | Community/Behavioral Health | 638 W Clark St., Bldg. E, Eureka, CA 95501 | 2020-01-21 |
1740831767 | Jacqueline Renee Coghill | Nurse Practitioner | Waterfront Recovery Services, 2413 2nd St, Eureka, CA 95501 | 2019-09-20 |
1982177275 | Jenny Bugnacki | Case Manager/Care Coordinator | 721 Wood St, Eureka, CA 95501 | 2019-01-09 |
1073023107 | Humboldt Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 1303 11th St, Eureka, CA 95501 | 2017-10-03 |
1730698283 | Gabriel Holtski | Naturopath | 1632 Broadway, Suite #252, Eureka, CA 95501 | 2017-09-27 |
1164951851 | Redwood Community Services, Inc. | Foster Care Agency | 2426 6th St, Eureka, CA 95501 | 2017-06-07 |
1033651922 | Narum Clinical Services | Social Worker | 930 3rd St, Suite 201, Eureka, CA 95501 | 2016-11-09 |
1750839510 | Sierra Marie Evers-hellmich | Physical Medicine & Rehabilitation | 2103 Myrtle Avenue, Eureka, CA 95501 | 2016-09-21 |
1558720623 | Jennifer Vu | Behavioral Analyst | 730 7th St Ste A, Eureka, CA 95501 | 2016-02-18 |
Find all providers in zip 95501 |
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 |
---|---|---|---|---|
1740395102 | Doug S Nozaki | Pediatrics | 515 N Virginia Ave, Eureka, MO 63025-1115 | 2006-08-19 |
1487636940 | Lois Anne Freisleben-cook | Pediatrics | 6155 Marge Ct, Eureka, CA 95503-6696 | 2005-11-18 |
1235133737 | Emily Lambert Dalton | Pediatrics | 2800 Harris St, Eureka, CA 95503-4809 | 2005-06-13 |
1689053738 | Michael Francis Mangahas | Pediatrics | 2200 Tydd St, Eureka, CA 95501 | 2015-05-21 |
1629402466 | Anna Robertson | Pediatrics | 2200 Tydd Street, Suite 203, Eureka, CA 95501 | 2013-08-28 |
1780028340 | Lauren Elisabeth Zenner Steele | Pediatrics | 2200 Tydd St, Eureka, CA 95501-1284 | 2013-04-24 |
1225324569 | Amanda Groebl Judilla | Pediatrics | 515 N Virginia Ave, Eureka, MO 63025-1115 | 2011-06-24 |
1942521232 | Devin Scott Kenji Wong | Pediatrics | 2200 Tydd St, Eureka, CA 95501-1284 | 2010-06-21 |
1578758470 | Eureka Pediatrics | Pediatrics | 515 N Virginia Ave, Eureka, MO 63025-1115 | 2007-09-13 |
1174612550 | Laurie S Wirthlin | Pediatrics | 2800 Harris St, Eureka, CA 95503-4809 | 2006-10-12 |
Find all providers in EUREKA |
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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.