DR. THOMAS JAMES SULLIVAN JR. (NPI# 1225031966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225031966 |
| Entity Type | Individual |
| Full Name | DR. THOMAS JAMES SULLIVAN JR. |
| Credential | MD |
| Practice Address |
100 Perpetual Sq Anderson SC 29621-1713 |
| Practice Telephone | 8642617474 |
| Practice Fax Number | 8642618580 |
| Mailing Telephone | 8642617474 |
| Mailing Fax Number | 8642618580 |
| Enumeration Date | 2005-05-26 |
| Last Update Date | 2007-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
14879 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00612257D | 05 | |
| SC | 148799 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487203386 | Thomas Carson Bruyer Sullivan | Physical Therapist | Bst Granite Falls, 345 10th Avenue, Granite Falls, MN 56241 | 2019-09-04 |
| 1992156426 | Thomas Patrick Sullivan | Counselor | 5 Prentiss Pl, Medfield, MA 02052-1652 | 2016-06-27 |
| 1437565488 | Thomas Barrett Sullivan | Orthopaedic Surgery | 1611 W Harrison St Ste 201, Chicago, IL 60612-4861 | 2014-07-09 |
| 1508104373 | Thomas Sullivan | Psychiatry & Neurology | 16321 Mack Ave, Detroit, MI 48224-2756 | 2013-01-29 |
| 1003033283 | Thomas Edward Sullivan | Dentist | 1200 High Ridge Parkway, Westchester, IL 60154 | 2007-04-19 |
| 1215064050 | Thomas Edward Sullivan | Pharmacist | 1010 S. Ponce Deleon Blvd, Winn-dixie Pharmacy, St Augustine, FL 32084 | 2007-02-28 |
| 1447391222 | Thomas Paul Sullivan | Counselor | 6 Cedarview Rd, Ipswich, MA 01938-1604 | 2007-02-12 |
| 1871630111 | Thomas E Sullivan | Internal Medicine | 6 Brackenbury Ln, Beverly, MA 01915-3822 | 2007-01-30 |
| 1548379233 | Thomas S Sullivan | Chiropractor | 481 Ferry St, Malden, MA 02148-7851 | 2006-08-29 |
| 1780691253 | Thomas Ryan Sullivan | Chiropractor | 7106 Pippin Rd, Cincinnati, OH 45239 | 2006-08-01 |
| Street Address |
100 PERPETUAL SQ |
| City | ANDERSON |
| State | SC |
| Zip Code | 29621-1713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417919101 | Carl Trinidad Lomboy | Internal Medicine | 100 Perpetual Sq, Anderson, SC 29621-1713 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114574241 | Kathryn L Harwick | Social Worker | 3030 Sc-81, Anderson, SC 29621 | 2019-08-22 |
| 1326517194 | Ashlea Bronwen Bates | Nurse Practitioner | 3424 Clemson Blvd., Anderson, SC 29621 | 2018-11-21 |
| 1770051708 | Bailee Vernon Mccarley | Nurse Practitioner | 800 Fant St, Anderson, SC 29621 | 2018-11-07 |
| 1790278893 | Morgan Cutts | Speech-Language Pathologist | 126 Broadbent Way, Suite A, Anderson, SC 29621 | 2018-06-13 |
| 1427546233 | Amanda Coker Burnette | Family Medicine | 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 | 2018-04-26 |
| 1205342169 | Robert Allen Dameron Jr. | Orthopaedic Surgery | 130 Longview Drive, Anderson, SC 29621 | 2017-12-14 |
| 1578085411 | Michael Jason Bell | Contractor | 520 Hwy 29 Bypass N, Anderson, SC 29621 | 2017-07-12 |
| 1639629983 | Todd E. Hamilton | Dentist | 1112 Cornelia Road, Anderson, SC 29621 | 2016-10-11 |
| 1760939110 | Crystal Vaughn | Nurse Practitioner | Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 | 2016-09-01 |
| 1992151328 | Veronica Williams | Non-emergency Medical Transport (VAN) | 2314 Old Williamston Road, Anderson, SC 29621 | 2016-05-04 |
| Find all providers in zip 29621 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205013653 | Jetty Heart Clinic | Internal Medicine | 1210 B Medical Arts Boulevard, Suite 217, Anderson, IN 46011-3439 | 2008-01-29 |
| 1134333289 | Chad Michael Feldman | Internal Medicine | 141 W 22nd St Ste 109, Anderson, IN 46016-4315 | 2007-05-09 |
| 1962469510 | Preetham Jetty | Internal Medicine | 1210 A Medical Arts Blvd, Suite 105, Anderson, IN 46011-3437 | 2006-04-27 |
| 1548224199 | John Dwight Ware IIi | Internal Medicine | 105 Buford Avenue, Anderson, SC 29621-3313 | 2006-04-12 |
| 1740266725 | Brent T Mclaurin | Internal Medicine | 100 Gavotte Ln, Anderson, SC 29621-8205 | 2005-12-21 |
| 1578100095 | Anmed Health | Internal Medicine | 100 Healthy Way Ste 1210, Anderson, SC 29621-7916 | 2019-12-03 |
| 1285154914 | Anmed Health | Internal Medicine | 100 Healthy Way, Anderson, SC 29621-7915 | 2017-06-23 |
| 1831434703 | Dr Rhonda Duncan Mauldin Cardiology LLC | Internal Medicine | 803 N Fant St Ste 3a, Anderson, SC 29621-5718 | 2012-12-04 |
| 1952668964 | Brian Edward Miller | Internal Medicine | 100 Healthy Way Ste 1120, Anderson, SC 29621-7915 | 2012-04-15 |
| 1588965206 | Anmed Health | Internal Medicine | 105 Buford Ave, Anderson, SC 29621-3313 | 2010-11-11 |
| Find all providers in ANDERSON | ||||
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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.