DR. MICHAEL J. SULLIVAN III (NPI# 1144282096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144282096 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL J. SULLIVAN III |
| Credential | M.D. |
| Practice Address |
600 N Cotner Blvd Suite 208 Lincoln NE 68505-2343 |
| Practice Telephone | 4024645969 |
| Practice Fax Number | 4024643657 |
| Mailing Telephone | 4024645969 |
| Mailing Fax Number | 4024643657 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2012-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 17866 | NE | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47060801513 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366918617 | Michael David Sullivan | Social Worker | 403 1/2 Hector St, Ithaca, NY 14850-2025 | 2018-10-15 |
| 1376923292 | Michael Sullivan | Student in an Organized Health Care Education/Training Program | Walter Reed 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2015-06-05 |
| 1881074896 | Michael Gregory Sullivan | Intermediate Care Facility, Mentally Retarded | 30 Hobomack Rd, Quincy, MA 02169-2508 | 2015-06-04 |
| 1104215136 | Michael Sullivan | Perfusionist | 137 Founders Way Ct, Cape Girardeau, MO 63701-9442 | 2015-01-14 |
| 1689927915 | Michael Robert Sullivan | Pharmacist | 41 Buena Vista St, Stamford, CT 06907-2402 | 2012-10-24 |
| 1154672038 | Michael James Sullivan | Dentist | 1882 Hard Rd, Columbus, OH 43235-1996 | 2012-10-02 |
| 1063791747 | Michael Gruer Sullivan | Counselor | 2024 N. Crystal Lake Dr., Suite 200 Room 205, Lakeland, FL 33801-6015 | 2011-08-11 |
| 1457647083 | Michael Patrick Sullivan | Dentist | 1008 G Sreet, Geneva, NE 68361 | 2011-06-22 |
| 1841528585 | Michael Andrew Sullivan | Counselor | 974 73rd St Ste 9, Windsor Heights, IA 50324-1026 | 2009-11-18 |
| 1508191388 | Michael Joseph Sullivan | Audiologist | 6644 Penn Ave S, Richfield, MN 55423-2026 | 2009-10-12 |
| Street Address |
600 N COTNER BLVD SUITE 208 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68505-2343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013990035 | Tiffany A Beiermann | Physical Therapist | 600 N Cotner Blvd, Lincoln, NE 68505-2343 | 2005-11-23 |
| 1679953392 | Lincoln Foot Clinic | Podiatrist | 600 N Cotner Blvd, Suite 116, Lincoln, NE 68505 | 2015-06-08 |
| 1497145981 | Lindsay Rae Groff | Physician Assistant | 600 N Cotner Blvd, Suite 208, Lincoln, NE 68505-2343 | 2015-02-04 |
| 1750641882 | Angela Lynn Moser | Physician Assistant | 600 N Cotner Blvd, Suite #208, Lincoln, NE 68505-2343 | 2012-05-23 |
| 1982923207 | Timothy R Parmley | Physical Therapist | 600 N Cotner Blvd, Suite 110, Lincoln, NE 68505-2343 | 2010-05-26 |
| 1558694414 | Debra Kay Knight | Counselor | 600 N Cotner Blvd, Suite 106b, Lincoln, NE 68505-2343 | 2009-09-10 |
| 1316182785 | Gateway Dermatology PC | Dermatology | 600 N Cotner Blvd, Suite 311, Lincoln, NE 68505-2343 | 2008-12-12 |
| 1497900658 | Multicultural Youth and Family Counseling,llc | Counselor | 600 N Cotner Blvd, Lincoln, NE 68505-2343 | 2008-12-01 |
| 1689854176 | Christian Counseling and Guidance, Inc. | Counselor | 600 N Cotner Blvd, Suite 302, Lincoln, NE 68505-2343 | 2007-11-13 |
| 1508064718 | Allison M Schindler | Nurse Practitioner | 600 N Cotner Blvd, Ste 101, Lincoln, NE 68505-2343 | 2007-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588158968 | Sean Thomas Stille | Optometrist | 6100 O Street, Lincoln, NE 68505 | 2018-06-19 |
| 1841544087 | Lance Tyler Otto | Chiropractor | 8222 Holdrege St., Lincoln, NE 68505 | 2012-11-08 |
| 1750685186 | George Randy Jeffrey | Physical Therapist | 770 N Cotner, # 125, Lincoln, NE 68505 | 2010-12-28 |
| 1194970327 | Rebecca G Guittar | Dietitian, Registered | 1601 N. 84th St., Hy-vee, Inc, Lincoln, NE 68505 | 2008-12-02 |
| 1649470659 | Linc Care, A Joint Venture | Durable Medical Equipment & Medical Supplies | 1601 North 86th Street, Suite 200, Lincoln, NE 68505 | 2007-07-19 |
| 1235354820 | Professional Eyecare Gateway Inc. | Optometrist | 6100 O St #59, Lincoln, NE 68505 | 2007-04-17 |
| 1548391774 | Stanley Leonard Schulte | Chiropractor | 1777 N. 86th St, Ste 102, Lincoln, NE 68505 | 2007-03-08 |
| 1396871224 | Allison Joanne Vyhnalek | Licensed Practical Nurse | 630 N Cotner, Suite 204, Lincoln, NE 68505 | 2007-02-26 |
| 1053454124 | William Jeffrey Geisert | Optometrist | 6100 O St, Bldg #59, Lincoln, NE 68505 | 2007-02-15 |
| 1093877920 | Moms Inc | Prosthetic/Orthotic Supplier | 415 North 66th St, Suite 8, Lincoln, NE 68505 | 2006-12-15 |
| Find all providers in zip 68505 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033653662 | Shelley M Knudsen | Specialist | 2300 S 48th St Ste 3, Lincoln, NE 68506-5809 | 2016-12-16 |
| 1548667256 | Teledigm Physician Services, LLC | Specialist | 2222 S 16th St Ste 401a, Lincoln, NE 68502-3785 | 2014-11-24 |
| 1215340682 | Sharon Barr | Specialist | 14 Sir Charles Rd, Lincoln, RI 02865-1418 | 2014-06-03 |
| 1609205129 | Lynn Renee Rathbun | Specialist | 7800 S 34th St, Lincoln, NE 68516-4817 | 2013-11-05 |
| 1053651877 | Multiple Sclerosis Center of Nebraska PC | Specialist | 575 Fallbrook Blvd, Suite 204, Lincoln, NE 68521-9015 | 2013-02-15 |
| 1629233630 | James Dodds | Specialist | 1405 N Cotner Blvd, Suite 303, Lincoln, NE 68505-1691 | 2008-07-20 |
| 1598944795 | Professional Medical Imaging LLC | Specialist | 301 N Cotner Blvd, Lincoln, NE 68505-2315 | 2007-10-24 |
| 1518159581 | Teresa R Zahren | Specialist | 315 S 9th St Ste 120, Lincoln, NE 68508-2283 | 2007-08-14 |
| 1285838334 | Vascular Surgical Assoc of Lincoln PC | Specialist | 1500 S 48th St Ste 614, Lincoln, NE 68506-1200 | 2007-06-13 |
| 1215038765 | Arthur M Auerbach | Specialist | 835 Azalea Ct, Lincoln, CA 95648-8314 | 2006-09-26 |
| Find all providers in LINCOLN | ||||
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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.