DR. GRANT JOSEPH SULLIVAN (NPI# 1215115969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215115969 |
Entity Type | Individual |
Full Name | DR. GRANT JOSEPH SULLIVAN |
Credential | D.O. |
Practice Address |
2720 Sunset Blvd West Columbia SC 29169 |
Mailing Address |
Po Box 896239 Charlotte NC 28289-6239 |
Practice Telephone | 8037912480 |
Practice Fax Number | 8039354102 |
Mailing Telephone | 8037912480 |
Enumeration Date | 2008-02-05 |
Last Update Date | 2020-10-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 36082 | SC | Allopathic & Osteopathic Physicians |
Y | 208M00000X | Hospitalist | 36082 | SC | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023135944 | Grant E Sullivan | Pharmacist | 744 S Meadow St, Ithaca, NY 14850-5321 | 2007-03-24 |
1851758106 | Grant Sullivan | Physical Therapist | 7080 Deepage Dr, Columbia, MD 21045-5219 | 2016-01-18 |
Street Address |
2720 SUNSET BLVD |
City | WEST COLUMBIA |
State | SC |
Zip Code | 29169 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992708614 | William M Luce | Nurse Anesthetist, Certified Registered | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2005-05-27 |
1376144972 | Lexington Health Inc | Internal Medicine | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-11-02 |
1003416066 | Lexington Health Inc | Physical Therapist | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-29 |
1962002915 | Lexington Health Inc | Emergency Medicine | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-29 |
1275133373 | Sean Tran | Pharmacist | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-28 |
1538767645 | Lexington Health Inc | Radiology | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-12 |
1083212294 | Lexington Health Inc | Radiology | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-12 |
1942808159 | Lexington Health Inc | Nurse Anesthetist, Certified Registered | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-12 |
1386241834 | Lexington Health Inc | General Acute Care Hospital | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-07 |
1609483247 | Daria Patres Spratley | Dietitian, Registered | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-09-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
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Taxonomy Code | 208M00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Hospitalist |
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588197636 | Minni Shreya Arumugam | Hospitalist | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2017-04-05 |
1669905717 | Alvin A Krishna | Hospitalist | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2017-04-05 |
1689948911 | Scottie M Shelley | Hospitalist | 2858 Sunset Blvd, West Columbia, SC 29169-3420 | 2012-03-05 |
1639283088 | James Benedict Jr. | Hospitalist | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2006-08-19 |
1649266594 | Dina Lynn Sharps | Hospitalist | 2720 Sunset Blvd, West Columbia, SC 29169 | 2005-09-26 |
1881690147 | Eric Jon Freiberger | Hospitalist | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2005-06-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750708046 | Kirsten Karoline Graff | Hospitalist | 591 Tribeca Ct, Charleston, SC 29414-9024 | 2014-03-25 |
1396028205 | Anmed Health | Hospitalist | 2000 E Greenville Street, Anderson, SC 29621-5702 | 2011-09-27 |
1518039189 | Sandra Jo Hoffmann | Hospitalist | 6 Braddock Bluff Dr Unit 1672, Hilton Head Island, SC 29928-8015 | 2006-11-15 |
1376141317 | Ovsanna Gallo | Hospitalist | 4000 Highway 9 E, Little River, SC 29566-7833 | 2020-10-13 |
1144877655 | 24 On Physicians of Sc LLC | Hospitalist | 316 Calhoun St, Charleston, SC 29401-1113 | 2019-08-20 |
1184285496 | Jatha John Mathew | Hospitalist | 701 Grove Rd Fl 5, Greenville, SC 29605-4295 | 2019-06-26 |
1114406600 | Valerie D Dendy | Hospitalist | 1530 N Limestone St, Gaffney, SC 29340-4742 | 2018-08-07 |
1871080283 | Prisma Health Medical Group-midlands | Hospitalist | 115 N Sumter St Ste 400, Sumter, SC 29150-4971 | 2018-04-20 |
1154848786 | App of South Carolina Hm Pllc | Hospitalist | 1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 | 2017-08-24 |
1093244824 | South Carolina Post Acute Medical Services 1 PC | Hospitalist | 1114 E Georgia Rd, Woodruff, SC 29388-9350 | 2017-06-06 |
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City | WEST COLUMBIA |
Zip Code | 29169 |
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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.