DR. THEODORE ROBERT SULLIVAN (NPI# 1144216938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144216938 |
| Entity Type | Individual |
| Full Name | DR. THEODORE ROBERT SULLIVAN |
| Credential | M.D. |
| Practice Address |
1245 Highland Ave Suite 600 Abington PA 19001-3714 |
| Practice Telephone | 2158873990 |
| Practice Fax Number | 2158871140 |
| Mailing Telephone | 2158873990 |
| Mailing Fax Number | 2158871140 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2010-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD041868L | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437153772 | Theodore K. Sullivan | Optometrist | 3071 Phoenix Center Dr, Washington, MO 63090-5690 | 2005-06-01 |
| Street Address |
1245 HIGHLAND AVE SUITE 600 |
| City | ABINGTON |
| State | PA |
| Zip Code | 19001-3714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679579916 | Richard Eisenstaedt | Internal Medicine | 1245 Highland Ave, Ste 302, Abington, PA 19001-3724 | 2005-06-22 |
| 1013469238 | Nancy Deangelis | Nurse Practitioner | 1245 Highland Ave, Suite #308, Abington, PA 19001-3714 | 2016-11-04 |
| 1851843809 | Molly Rae Prince | Physician Assistant | 1245 Highland Ave, Suite 404, Abington, PA 19001-3714 | 2016-10-25 |
| 1205209731 | Stephanie Elizabeth-eaton Kagan | Nurse Practitioner | 1245 Highland Ave, Ste 404, Abington, PA 19001-3714 | 2015-11-05 |
| 1952782245 | Jillian Sansoni | Pharmacist | 1245 Highland Ave, Abington, PA 19001-3714 | 2015-06-12 |
| 1326443615 | Barbara Sklar | Social Worker | 1245 Highland Ave, Suite #305, Abington, PA 19001-3714 | 2014-10-29 |
| 1528403904 | Abington Memorial Hospital | Surgery | 1245 Highland Ave, Suite 401, Abington, PA 19001-3714 | 2013-04-30 |
| 1578813747 | Julia Rainsford | Audiologist | 1245 Highland Ave, Suite 502, Abington, PA 19001-3714 | 2012-09-14 |
| 1891062576 | Tanneil L Davis | Nurse Practitioner | 1245 Highland Ave, Suite 604-price Medical Office Building, Abington, PA 19001-3714 | 2011-11-22 |
| 1184946063 | Stephen George Whittaker | Occupational Therapist | 1245 Highland Ave, Abington, PA 19001-3714 | 2010-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831671254 | Mohammed D Assali | Surgery | 1200 Old York Road Department of Surgery/suite 604, Abington, PA 19001 | 2018-09-01 |
| 1851886303 | Child and Family Focus, Inc. | Community/Behavioral Health | 2001 Old Welsh Road, Abington, PA 19001 | 2018-06-27 |
| 1376064394 | Rachel Cockerham | Registered Nurse | 1355 Old York Road, Suite 101, Abington, PA 19001 | 2017-06-29 |
| 1598141715 | Thomas Roarty | Nurse Practitioner | 1369 Old York Road, Abington, PA 19001 | 2015-08-11 |
| 1205249448 | Wendy Lorisme | Social Worker | 2223 Florey Ln Apt E3, Abington, PA 19001 | 2014-06-05 |
| 1417376682 | Nabil Zeineddine | Internal Medicine | 1235 Old York Rd Ste 220, Abington, PA 19001 | 2014-04-15 |
| 1578868782 | Phyllis O. Paul | Family Medicine | 1710 Woodland Rd., Abington, PA 19001 | 2011-01-19 |
| 1659674497 | Gerson S Paul | Obstetrics & Gynecology | 1710 Woodland Road, Abington, PA 19001 | 2010-12-17 |
| 1205145596 | Syreeta Tisha Mctavous | Dentist | 1200 Old York Rd., Arches Building, Abington, PA 19001 | 2010-10-04 |
| 1538481635 | Equipsource | Durable Medical Equipment & Medical Supplies | 1302 Easton Road, Suite 1005, Abington, PA 19001 | 2010-02-17 |
| Find all providers in zip 19001 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346386398 | Surgical Care Specialists Inc | Surgery | 1245 Highland Ave, Suite 600, Abington, PA 19001 | 2007-01-29 |
| 1174611172 | Vascular Lab Associates | Surgery | 1200 Old York Rd, Suite 1200, Abington, PA 19001-3720 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720630650 | Broad Street Professional Medical Services LLC | Surgery | 2033 S Broad St Ste A, Philadelphia, PA 19148-5505 | 2019-07-11 |
| 1124670922 | Broad Street Medical LLC | Surgery | 2033 S Broad St Ste B, Philadelphia, PA 19148-5505 | 2019-07-11 |
| 1932610755 | Vascular Surgical Specialists Pllc | Surgery | 1450 E Boot Rd Ste 600b, West Chester, PA 19380-5968 | 2017-10-19 |
| 1336515956 | Aria Health Physician Services | Surgery | 9501 Roosevelt Blvd Ste 312, Philadelphia, PA 19114-1028 | 2015-08-18 |
| 1437525490 | Advanced Vein and Laser Center Lancaster, LLC | Surgery | 896a Plaza Blvd, Lancaster, PA 17601-2745 | 2015-08-13 |
| 1447658877 | Center for Vein Restoration Pa Pllc | Surgery | 1338 Bristol Pike Ste 205, Bensalem, PA 19020-5679 | 2014-12-17 |
| 1023423167 | Catherine Go | Surgery | 420 S Aiken Ave, Apt A6, Pittsburgh, PA 15232-1226 | 2014-06-27 |
| 1659703635 | Walter J. Fagan | Surgery | 211 Center Ave, Jim Thorpe, PA 18229-1205 | 2013-08-01 |
| 1346521267 | Usa Vein Clinics of Philadelphia LLC | Surgery | 51 Cameron Rd, Huntingdon Valley, PA 19006-1401 | 2011-09-06 |
| 1124314893 | Nathan Loren Liang | Surgery | 200 Lothrop St # A-1017, Pittsburgh, PA 15213-2536 | 2011-06-21 |
| 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.