DEBRA DOVER SULLIVAN (NPI# 1205005311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205005311 |
| Entity Type | Individual |
| Full Name | DEBRA DOVER SULLIVAN |
| Credential | PA |
| Practice Address |
14044 W Camelback Rd Suite 118 Litchfield Park AZ 85340-9428 |
| Mailing Address |
Po Box 12143 Glendale AZ 85318-2143 |
| Practice Telephone | 6235472600 |
| Practice Fax Number | 6235471899 |
| Mailing Telephone | 6233321872 |
| Mailing Fax Number | 6235471899 |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2013-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1622 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396836714 | Debra Sullivan | Physician Assistant | 130 Divsiion Street, Derby, CT 06418 | 2006-09-28 |
| 1922452713 | Debra Joy Sullivan | Licensed Practical Nurse | 2500 Nw 29th Mnr, Pompano Beach, FL 33069-1031 | 2016-04-18 |
| 1326408121 | Debra Sullivan | Counselor | 17 Hamilton Ave, Monticello, NY 12701-1411 | 2016-03-07 |
| 1851533145 | Debra K Sullivan | Physical Therapist | 175 Commons Loop, Ste 100, Kalispell, MT 59901-1904 | 2009-04-01 |
| 1932362274 | Debra Ann Sullivan | Massage Therapist | 3065 Freeport Blvd, Sacramento, CA 95818-4347 | 2008-07-08 |
| 1730360231 | Debra Lee Sullivan | Registered Nurse | 2000 Hospital Dr, Sedro Woolley, WA 98284-4327 | 2007-11-27 |
| Street Address |
14044 W CAMELBACK RD SUITE 118 |
| City | LITCHFIELD PARK |
| State | AZ |
| Zip Code | 85340-9428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659378479 | Loren L Faaborg | Obstetrics & Gynecology | 14044 W Camelback Rd, Suite 118, Litchfield Park, AZ 85340-9428 | 2005-07-07 |
| 1205360559 | Acute Services Providerllc | Exclusive Provider Organization | 14044 W Camelback Rd, 118, Litchfield Park, AZ 85340-9428 | 2017-04-13 |
| 1144683061 | Litchfield Dental Care | Dentist | 14044 W Camelback Rd, Suite 106, Litchfield Park, AZ 85340-9428 | 2016-03-29 |
| 1538564778 | Patricia Jean Jalomo | Nurse Practitioner | 14044 W Camelback Rd, Ste 118, Litchfield Park, AZ 85340-9481 | 2014-10-30 |
| 1932528510 | Danielle Broadfoot | Nurse Practitioner | 14044 W Camelback Rd, Suite 118, Litchfield Park, AZ 85340-9428 | 2014-04-10 |
| 1851722342 | Jamie Tumbleson | Nurse Practitioner | 14044 W Camelback Rd, Suite 118 and 216, Litchfield Park, AZ 85340-9428 | 2013-12-09 |
| 1811237548 | Beth Ann Graupe | Clinical Nurse Specialist | 14044 W Camelback Rd, Suite 118, Litchfield Park, AZ 85340-9428 | 2013-02-16 |
| 1750642245 | Kay Stastny | Physical Therapy Assistant | 14044 W Camelback Rd, Litchfield Park, AZ 85340-9428 | 2012-05-31 |
| 1447545389 | Arizona Center for Hematology and Oncology, Plc | Urology | 14044 W Camelback Rd, Suite 118, Litchfield Park, AZ 85340-9428 | 2011-06-17 |
| 1417265117 | Boston Interventional Pain Center, Pllc | Specialist | 14044 W Camelback Rd, Litchfield Park, AZ 85340-9428 | 2010-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104393826 | Nelson J. Mar Dds PC | Dentist | 5220 N. Dysart Rd #144, Litchfield Park, AZ 85340 | 2018-10-31 |
| 1841771920 | Harmony Health and Wellness Foundation | Clinic/Center | 5220 N Dysart Rd Building C, Litchfield Park, AZ 85340 | 2018-08-27 |
| 1346726676 | Vista Counseling and Consulting | Community/Behavioral Health | 501 East Plaza Circle, Suite 3, Litchfield Park, AZ 85340 | 2018-07-19 |
| 1982194148 | Melinda Michelle Melvin | Registered Nurse | 255 E Wigwam Blvd., Litchfield Park, AZ 85340 | 2018-05-14 |
| 1952803652 | Comfort Care Providers, LLC. | Physiological Laboratory | 555 E Plaza Cir Dr Ste C, Litchfield Park, AZ 85340 | 2018-03-08 |
| 1992204614 | Angelo J Maisano | Occupational Therapy Assistant | 4870 N Litchfield Road Suite #101, Litchfield Park, AZ 85340 | 2018-02-08 |
| 1114438645 | Lori Ann Compiani | Licensed Practical Nurse | 272 E. Sagebrush St., Litchfield Park, AZ 85340 | 2017-10-24 |
| 1265972947 | Christina Martinez | Specialist/Technologist | 4870 North Litchfield Rd #101, Litchfield Park, AZ 85340 | 2017-03-01 |
| 1457802019 | Urgent Care Centers of Arizona, LLC | Clinic/Center | 13840 W. Camelback Rd, Suite 10, Litchfield Park, AZ 85340 | 2016-10-19 |
| 1336698034 | Judy Tooley | Licensed Practical Nurse | 255 E Wigwam Blvd, Litchfield Park, AZ 85340 | 2016-09-23 |
| Find all providers in zip 85340 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043825367 | Lauren Elizabeth Fraijo | Physician Assistant | 13575 W Indian School Rd Ste 700, Litchfield Park, AZ 85340-4905 | 2020-09-14 |
| 1194730762 | Kerry M Knight | Physician Assistant | 4741 N. Aldea Rd. West, Litchfield Park, AZ 85340 | 2006-07-30 |
| 1740241033 | Carla Brianne Thompson | Physician Assistant | 14044 W Camelback Rd Ste 126, Litchfield Park, AZ 85340-9492 | 2006-03-28 |
| 1710506688 | Jessica Ann Bordonaro | Physician Assistant | 14044 W Camelback Rd Ste 118, Litchfield Park, AZ 85340-9481 | 2020-04-10 |
| 1497223200 | Kristin Powers | Physician Assistant | 14044 W Camelback Rd Ste 118, Litchfield Park, AZ 85340-9481 | 2018-11-09 |
| 1992271621 | Rebekah Nordtvedt | Physician Assistant | 14044 W Camelback Rd Ste 118, Litchfield Park, AZ 85340 | 2018-10-20 |
| 1902381379 | Lin Allen Ozan | Physician Assistant | 14044 W Camelback Rd Ste 118, Litchfield Park, AZ 85340-9481 | 2018-10-01 |
| 1013421148 | Castillanna Nicole Loya | Physician Assistant | 14044 W Camelback Rd Ste 118, Litchfield Park, AZ 85340-9481 | 2017-11-28 |
| 1467962076 | Karla Melissa Munoz Balderas | Physician Assistant | 14044 W Camelback Rd Ste 118, Litchfield Park, AZ 85340 | 2017-10-09 |
| 1922359892 | Kimberly Ann Basile | Physician Assistant | 13840 W Camelback Rd Ste 10, Litchfield Park, AZ 85340-3084 | 2012-10-02 |
| Find all providers in LITCHFIELD PARK | ||||
| City | LITCHFIELD PARK |
| Zip Code | 85340 |
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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.