DONALD J SULLIVAN MD (NPI# 1124268297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124268297 |
| Entity Type | Organization |
| Organization Name | DONALD J SULLIVAN MD |
| Practice Address |
4100 Austin Peay Hwy Memphis TN 38128-2502 |
| Mailing Address |
Po Box 1000 Dept 0194 Memphis TN 38148-0194 |
| Practice Telephone | 9012135460 |
| Mailing Telephone | 9012135460 |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2019-03-21 |
| NPI Deactivation Date | 05/04/2009 |
| NPI Reactivation Date | 2011-03-03 |
| Authorized Official Name | DONALD J SULLIVAN (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9012135460 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1522858 | 05 |
| Street Address |
4100 AUSTIN PEAY HWY |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38128-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659378040 | Matthew Joseph Allman | Physician Assistant | 4100 Austin Peay Hwy, Memphis, TN 38128-2502 | 2005-06-30 |
| 1013400852 | Jerry M Holley Md Pllc | Internal Medicine | 4100 Austin Peay Hwy, Memphis, TN 38128-2502 | 2018-06-06 |
| 1831584622 | Barbara Dennis | Nurse Practitioner | 4100 Austin Peay Hwy, Memphis, TN 38128-2502 | 2015-03-30 |
| 1669884425 | Nanette Mcclure | Nurse Practitioner | 4100 Austin Peay Hwy, Memphis, TN 38128-2502 | 2014-05-28 |
| 1598075558 | Dorinda Jones | Nurse Practitioner | 4100 Austin Peay Hwy, Memphis, TN 38128-2502 | 2010-10-08 |
| 1568583532 | Danielle H Hassel | Physical Medicine & Rehabilitation | 4100 Austin Peay Hwy, Memphis, TN 38128-2502 | 2007-04-03 |
| 1508814484 | Donald J Sullivan | Physical Medicine & Rehabilitation | 4100 Austin Peay Hwy, Memphis, TN 38128-2502 | 2006-05-04 |
| 1487628145 | Encompass Health Methodist Rehabilitation Hospital, Lp | Rehabilitation Hospital | 4100 Austin Peay Hwy, Memphis, TN 38128-2502 | 2006-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518505775 | Available Home Care Service | Home Health | 3133 Kirkcaldy Rd, Memphis, TN 38128 | 2019-12-18 |
| 1912545690 | Sherry L. Russell | Technician | 4687 Priscilla Ave, Mmphis, TN 38128 | 2019-12-13 |
| 1518442318 | Genevieve Tempy Thomas | Counselor | 3900 Covington Pike, Suite 107, Memphis, TN 38128 | 2018-09-27 |
| 1487172037 | Right Care Home Health Agency | Home Health | 5116 Raleigh Lagrange Suite 5, Memphis, TN 38128 | 2017-09-05 |
| 1659744555 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 5020 English Towne Drive, Memphis, TN 38128 | 2015-11-02 |
| 1184009649 | Linda Fay Williams | Nurse Practitioner | 3655 Haughton Lane #2, Memphis, TN 38128 | 2015-07-27 |
| 1194153528 | Jessica Rene Bush | Social Worker | 2922 Covington Pike, Memphis, TN 38128 | 2013-10-22 |
| 1013345685 | Frank Earl Madden Sr. | Non-emergency Medical Transport (VAN) | 4416 E. Hunters Glen St, Memphis, TN 38128 | 2013-10-17 |
| 1902230915 | Jonathan Jeu | Pharmacist | 3500 Ramill Road, Memphis, TN 38128 | 2013-08-27 |
| 1245662238 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 3131 James Road, Memphis, TN 38128 | 2013-08-01 |
| Find all providers in zip 38128 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891724738 | Seth I Kaufman | Pain Medicine | 5683 S Rex Rd, Memphis, TN 38119-3821 | 2006-07-02 |
| 1912242405 | Charlotte Deflumere, Md,pc | Pain Medicine | 1068 Cresthaven Rd, Suite 110, Memphis, TN 38119-0800 | 2012-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194220236 | William Stacy Swafford | Pain Medicine | 181 Matherly St, Crossville, TN 38555 | 2018-03-29 |
| 1679979959 | Eclipse Pain Network, LLC | Pain Medicine | 226 Uffelman Dr, Clarksville, TN 37043-4974 | 2014-11-13 |
| 1407261647 | Knoxville Pain Specialists, Pllc | Pain Medicine | 3714 River Trace Ln, Knoxville, TN 37920-7118 | 2014-06-26 |
| 1871903690 | Interventional Healthcare Services | Pain Medicine | 4524 Hixson Pike, Hixson, TN 37343-5041 | 2014-05-01 |
| 1427479328 | Tennessee Pain Management Associates | Pain Medicine | 530 Us Hwy 64, Suite 5, Waynesboro, TN 38485 | 2013-12-18 |
| 1568723088 | Donald Boatright, Md., PC | Pain Medicine | 607 W Due West Ave Ste 113, Madison, TN 37115-4428 | 2012-05-31 |
| 1427340603 | Northern Tennessee Pain Management Center | Pain Medicine | 1805 8th Ave S, Nashville, TN 37203-5011 | 2011-05-06 |
| 1265723563 | Total Healthcare Consultants PC | Pain Medicine | 200 New York Ave Ste 320, Oak Ridge, TN 37830-5227 | 2011-04-21 |
| 1619266814 | Ken Homolya Md LLC | Pain Medicine | 103 Hazel Path, Suite 7, Hendersonville, TN 37075-1602 | 2011-03-29 |
| 1699075796 | Blount Pain Consultants LLC | Pain Medicine | 186 Airport Plaza Blvd, Suite E, Alcoa, TN 37701-3182 | 2010-10-25 |
| Find all providers with the same taxonomy | ||||
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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.