MARK SULLIVAN


Address: 2500 N State St, Jackson, MS 39216-4500
Phone: 6019841000

MARK SULLIVAN (NPI# 1134752371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134752371
Entity Type Individual
Full Name MARK SULLIVAN
Practice Address 2500 N State St
Jackson
MS 39216-4500
Mailing Address 147 Belle Pointe
Madison
MS 39110-8287
Practice Telephone 6019841000
Enumeration Date 2020-02-17
Last Update Date 2020-02-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 901618 MS Physician Assistants & Advanced Practice Nursing Providers

Other Providers MARK SULLIVAN

NPI Name Taxonomy Address Enumeration
1689730863 Mark Allan Sullivan Chiropractor 4196 Avery Rd, Hilliard, OH 43026-1004 2006-12-29
1356456297 Mark Tighe Sullivan Social Worker 1011 Bond St, Asbury Park, NJ 07712-5939 2006-08-20
1306874227 Mark Allen Sullivan Physical Therapist 133 Mountain Rd, Suite 2b., Suffield, CT 06078-2084 2006-06-29
1497722615 Mark F Sullivan Sr. Thoracic Surgery (Cardiothoracic Vascular Surgery) 11236 Robinwood Dr, # 7, Hagerstown, MD 21742-6708 2006-03-07
1710983432 Mark P. Sullivan Dentist 1440 South Pottstown Pike, West Chester, PA 19380-1271 2005-06-27
1295260347 Mark Sullivan Case Manager/Care Coordinator 1015 Lanton Rd, West Plains, MO 65775-3854 2017-04-26
1841724754 Mark Sullivan Social Worker 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 2017-04-18
1386098762 Mark Sullivan Psychiatry & Neurology 525 E 68th St, New York, NY 10065-4870 2016-04-21
1346614641 Mark Sullivan Social Worker 5225 Connecticut Ave Nw, #616, Washington, DC 20015-1813 2015-11-24
1942681689 Mark Sullivan Counselor 5965 S 900 E, Murray, UT 84121-1720 2015-06-17

Office Location

Street Address 2500 N STATE ST
City JACKSON
State MS
Zip Code 39216-4500

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477556231 University Ophthalmology Associates Ophthalmology 2500 N State St, Ste B329, Jackson, MS 39216-4500 2005-05-24
1396346607 Ashleigh Renfroe Hannah Nurse Practitioner 2500 N State St, Jackson, MS 39216-4500 2020-11-03
1770182438 Tara P. Carter Nurse Practitioner 2500 N State St, Jackson, MS 39216-4500 2020-10-22
1679189849 Raegan Wilson Registered Nurse 2500 N State St, Jackson, MS 39216-4500 2020-09-22
1851905095 Violet Maloba Awori Student in an Organized Health Care Education/Training Program 2500 N State St, Jackson, MS 39216-4500 2020-09-04
1295348639 Kassidy Voinche Pharmacist 2500 N State St, Jackson, MS 39216-4500 2020-08-25
1215549423 Brittney Leeann Williams Pharmacist 2500 N State St, Jackson, MS 39216-4500 2020-08-19
1912519364 Rashmi Verma Internal Medicine 2500 N State St, Jackson, MS 39216-4500 2020-08-18
1982215414 Anita Dhanrajani Pediatrics 2500 N State St, Jackson, MS 39216-4500 2020-08-10
1528676954 Nicholas Mcafee Psychologist 2500 N State St, Jackson, MS 39216-4500 2020-07-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861011553 Ashley Melancon Prewitt Registered Nurse St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 2020-04-13
1194353391 Brianna Arrington Student in an Organized Health Care Education/Training Program Med/ Peds, 2500 N. State St., Jackson, MS 39216 2020-04-01
1720616485 Roshina Khalid Khan Student in an Organized Health Care Education/Training Program Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 2020-03-30
1275183550 Amanda Lynn Morellato Dentist Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 2019-09-18
1396305553 Abhishek Chhabra Student in an Organized Health Care Education/Training Program Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 2019-06-19
1427615996 Hometown Diagnostics Clinical Medical Laboratory Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 2019-05-21
1346807773 Shukundala C Smith Behavior Technician New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 2019-05-21
1063901098 G Eli Howell Md Pllc Plastic Surgery 971 Lakeland Dr Ste 225, Jackson, MS 39216 2018-05-04
1588168132 Caleb Zumbro Student in an Organized Health Care Education/Training Program Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 2018-03-20
1639677230 Walgreen Co Pharmacy 971 Lakeland Dr Ste 101, Jackson, MS 39216 2018-01-29
Find all providers in zip 39216

Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295232304 Trumania Inc Nurse Anesthetist, Certified Registered 223 Clinton Rd Ste 204, Jackson, CA 95642-2680 2018-04-06
1902287501 Timothy Parrish Nurse Anesthetist, Certified Registered 27 Red Deer Cv, Jackson, TN 38305-6485 2015-06-09
1821345398 Denicia Maria Rankin Nurse Anesthetist, Certified Registered 88 Boyd Dr, Jackson, TN 38305-2152 2012-08-14
1437425717 Sheela Federici Nurse Anesthetist, Certified Registered 545 Rutledge St, Jackson, MI 49203-1113 2012-03-30
1164611240 Yvette George Nurse Anesthetist, Certified Registered 105 F Stonebrook Pl, Jackson, TN 38305 2007-10-15
1194843110 Patricia Lynn Koprivica Nurse Anesthetist, Certified Registered 5919 Amber, Jackson, MI 49201-8389 2007-03-27
1215055454 Eunai Danek Nurse Anesthetist, Certified Registered 2571 Cascade Creek Dr, Jackson, MI 49203-3771 2007-03-26
1508950064 Mark Combs Nurse Anesthetist, Certified Registered 205 North East Ave, Anesthesia Department, Jackson, MI 49201 2006-10-02
1972696516 Lisa Thompson Jackson Nurse Anesthetist, Certified Registered 1500 E. Woodrow Wilson, Jackson, MS 39216 2006-10-02
1932292596 James Gerard Brown Nurse Anesthetist, Certified Registered Foote Hosp., 205 North East Avenue, Jackson, MI 49201-1753 2006-10-02
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39216

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Dataset Information

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.

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