DR. MAUREEN C SULLIVAN (NPI# 1154765782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154765782 |
| Entity Type | Individual |
| Full Name | DR. MAUREEN C SULLIVAN |
| Credential | D.O. |
| Practice Address |
12 Medstar Blvd Bel Air MD 21015-1798 |
| Practice Telephone | 4108078088 |
| Practice Fax Number | 4108078170 |
| Mailing Telephone | 4108078088 |
| Mailing Fax Number | 4108078170 |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2018-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | H0086048 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447765854 | Maureen Rose Sullivan | Counselor | 32 Linden St, Braintree, MA 02184-2033 | 2017-12-07 |
| 1386067437 | Maureen Sullivan | Counselor | 37 Burke Creek Cir, Stateline, NV 89449 | 2014-01-27 |
| 1033411632 | Maureen Sullivan | Registered Nurse | 28-11 Queens Plaza, Lic, NY 11101 | 2010-12-02 |
| 1447572748 | Maureen Sullivan | Nurse Practitioner | 4886 Clifton Pkwy, Hamburg, NY 14075-3302 | 2010-02-27 |
| 1760629075 | Maureen Ann Sullivan | Speech-Language Pathologist | 1714 Watson Ct, Carlsbad, NM 88220-4172 | 2009-01-09 |
| 1871768226 | Maureen Michele Sullivan | Chiropractor | 200 Seabrook Rd, Tequesta, FL 33469-3032 | 2008-04-28 |
| 1679753610 | Maureen Anne Sullivan | Licensed Practical Nurse | 105 Krystal Dr, Somers, NY 10589-3038 | 2007-11-07 |
| 1912128836 | Maureen A. Sullivan | Psychologist | 118 N Murray Hall, Stillwater, OK 74078-3064 | 2007-05-01 |
| 1487783866 | Maureen N Sullivan | Physical Therapist | 62 Knollwood Ave, Huntington, NY 11743-3430 | 2007-03-03 |
| 1104892835 | Maureen L Sullivan | Radiology | 8300 W Sunrise Blvd, Plantation, FL 33322-5406 | 2006-02-23 |
| Street Address |
12 MEDSTAR BLVD |
| City | BEL AIR |
| State | MD |
| Zip Code | 21015-1798 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396981593 | Virginia Lambros | Physical Therapy Assistant | 12 Medstar Blvd, Bel Air, MD 21015-1798 | 2008-12-18 |
| 1538799622 | Jordan Hulse | Student in an Organized Health Care Education/Training Program | 12 Medstar Blvd, Bel Air, MD 21015-1798 | 2020-01-17 |
| 1790339372 | Skye Jones | Registered Nurse | 12 Medstar Blvd, Bel Air, MD 21015-1798 | 2019-07-31 |
| 1700246022 | Physician Imaging of Washington Hospital Center, LLC | Radiology | 12 Medstar Blvd, Bel Air, MD 21015-1798 | 2016-02-29 |
| 1609236272 | Medstar Urgent Care, LLC | Clinic/Center | 12 Medstar Blvd, Bel Air, MD 21015-1798 | 2016-02-25 |
| 1316323983 | Natalie R Cadden | Nurse Practitioner | 12 Medstar Blvd, Bel Air, MD 21015-1798 | 2015-08-06 |
| 1932429602 | Melanie Patrice Slack | Family Medicine | 12 Medstar Blvd, Ste 220, Bel Air, MD 21015-1798 | 2010-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525235 | Graceful Speech-language Therapy | Speech-Language Pathologist | 610 Mauser Dr, Bel Air, MD 21015 | 2020-10-12 |
| 1770124844 | Asana Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 815 Sapling Ct, Bel Air, MD 21015 | 2019-09-30 |
| 1427601103 | Newpoints | Substance Abuse Rehabilitation Facility | 242 Ogden Court, Bel Air, MD 21015 | 2019-07-22 |
| 1184186199 | Notable Life Counseling Services LLC | Counselor | 2107-2109 Laurel Bush Road, Ste 103b, Bel Air, MD 21015 | 2019-04-01 |
| 1295293553 | Gary Reznik D.d.s., P.a. | Dentist | 1816 Emmorton Rd, Bel Air, MD 21015 | 2019-03-06 |
| 1942770524 | Erin Tromblay | Speech-Language Pathologist | 85 Patterson Mill Road, Bel Air, MD 21015 | 2018-11-27 |
| 1740638857 | Holly A Smith | Nurse Practitioner | 5 Bel Air Parkway, Suite 1535, Bel Air, MD 21015 | 2016-05-31 |
| 1891155420 | National Rehabilitation Hospital, Inc | Clinic/Center | 12 Medstar Boulevard, Suite 325, Bel Air, MD 21015 | 2016-02-24 |
| 1780002956 | Louis Rosson Robinett IIi | Internal Medicine | 2227 Old Emmorton Rd Ste 120, Bel Air, MD 21015 | 2014-04-03 |
| 1609207083 | Vicki Lynn Goldberg | Physical Therapist | 2304 Churchville Road, Bel Air, MD 21015 | 2013-12-10 |
| Find all providers in zip 21015 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063923886 | Bel Air Family Care LLC | Family Medicine | 2014 S Tollgate Rd Ste 211-212, Bel Air, MD 21015-5903 | 2017-10-19 |
| 1821349457 | Edwin Warfi9eld Whiteford Jr. | Family Medicine | 811 Deepwood Ct, Bel Air, MD 21015-6372 | 2012-09-22 |
| 1871730739 | Suzette Martina Johnson Futrell | Family Medicine | 402 Beetlebrook Dr, Bel Air, MD 21014-2583 | 2009-01-14 |
| 1194983080 | Drs Tannenbaum and Tyler LLC | Family Medicine | 2012 S Tollgate Road, Suite 102, Bel Air, MD 21015-5900 | 2008-05-28 |
| 1568642049 | Neelakanth R Harapanahalli LLC | Family Medicine | 602 S Atwood Rd Ste 207, Bel Air, MD 21014-4396 | 2007-11-13 |
| 1013106301 | Plumtree Family Health Center, LLC | Family Medicine | 104 Plumtree Rd Ste 102, Bel Air, MD 21015-6095 | 2007-10-23 |
| 1669689881 | Carol Ann Stauffer-munekata | Family Medicine | 1206-b Expresscare of Bel Air, Bel Air, MD 21014 | 2007-05-17 |
| 1902801541 | Julie Tinney | Family Medicine | 754 N Hickory Ave, Ste C, Bel Air, MD 21014-3042 | 2005-06-20 |
| 1831191097 | Teaette L Louderback-smith | Family Medicine | 615 W Macphail Rd, Ste 206, Bel Air, MD 21014-4305 | 2005-06-01 |
| 1942203211 | Kalpana Nmn De | Family Medicine | 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | 2005-05-31 |
| Find all providers in BEL AIR | ||||
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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.