DR. DENNIS MICHAEL SULLIVAN (NPI# 1225354004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225354004 |
Entity Type | Individual |
Full Name | DR. DENNIS MICHAEL SULLIVAN |
Credential | M.D. |
Practice Address |
308 Melanie Ct Beavercreek OH 45434-6220 |
Practice Telephone | 9374260597 |
Mailing Telephone | 9374260597 |
Enumeration Date | 2010-04-19 |
Last Update Date | 2010-04-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 35-045646 | OH | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124365812 | Dennis Patrick Sullivan | Licensed Practical Nurse | 4975 Reservoir Rd, Morrisville, NY 13408-1415 | 2013-01-15 |
1447332952 | Dennis James Sullivan Jr. | Surgery | 72718 Maple Street, Odanah, WI 54861-0250 | 2006-10-20 |
1932204542 | Dennis J. Sullivan | Dentist | 416 E River St, Grand Ledge, MI 48837-1754 | 2006-09-14 |
1861421265 | Dennis Michael Sullivan | Emergency Medicine | 703 Comanche Trl, West Monroe, LA 71291-8117 | 2006-06-30 |
1992795686 | Dennis M Sullivan | Family Medicine | Ctmc, Us Army Meddac, Fort Drum, NY 13602 | 2005-10-25 |
1528247038 | Dennis Robert Sullivan | Chiropractor | 3318 Se 156th Ave, Portland, OR 97236-2119 | 2007-10-31 |
1982612842 | Dennis Henry Sullivan | Internal Medicine | 4300 W 7th St, Grecc (3j/nlr), Little Rock, AR 72205-5446 | 2006-08-04 |
1497770853 | Dennis J Sullivan | Orthopaedic Surgery | 7 Portland Farms Rd, Suite 2, Scarborough, ME 04074 | 2006-07-13 |
1992749964 | Dennis J Sullivan | Specialist | 1201 Alhambra Blvd, #410, Sacramento, CA 95816-5238 | 2006-06-16 |
1073552873 | Dennis Michael Sullivan | Chiropractor | 2305 Se Washington St, Suite 109, Milwaukie, OR 97222-7647 | 2006-06-06 |
Street Address |
308 MELANIE CT |
City | BEAVERCREEK |
State | OH |
Zip Code | 45434-6220 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407374218 | Jacen Patrick Millette | Student in an Organized Health Care Education/Training Program | 1441 Red Barn Way, Beavercreek, OH 45434 | 2017-08-31 |
1447618079 | Patricia Wathen | Speech-Language Pathologist | 2498 Dayton Xenia Rd., Beavercreek, OH 45434 | 2016-02-10 |
1295126027 | Taylor Shears | Behavioral Analyst | 608 Phillips Drive, Beavercreek, OH 45434 | 2015-02-16 |
1376943308 | Barbara Cantwell | Speech-Language Pathologist | 2660 Dayton-xenia Rd, Beavercreek High School, Beavercreek, OH 45434 | 2014-08-27 |
1396028783 | Shawna M White | Physical Therapist | 3224 Dayton Xenia Road, Suite 120, Beavercreek, OH 45434 | 2011-09-22 |
1790063444 | Amy Michelle Williamson | Licensed Practical Nurse | 2111 Beaver Valley Rd., Beavercreek, OH 45434 | 2011-07-29 |
1730311333 | Victoria T Strickland | Physical Therapist | 810 Orchard Ln Ste 201, Beavercreek Township, OH 45434 | 2009-08-14 |
1487892964 | Emily Elizabeth Hendrickson | Nurse Practitioner | 3140 Dayton Xenia Road, Suite C, Beavercreek, OH 45434 | 2009-01-22 |
1326237066 | Linda M. Rauch | Counselor | 3095 Dayton-xenia Rd., Suite 600, Beavercreek, OH 45434 | 2007-10-18 |
1942413919 | John Edward Seeley | Specialist/Technologist | 2621 Patrick Henry Drive, Beavercreek, OH 45434 | 2007-05-07 |
Find all providers in zip 45434 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598281057 | Advanced Medical & Wellness Center, Inc. | General Practice | 3060 Dayton Xenia Rd Ste A, Beavercreek, OH 45434-6393 | 2017-08-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760089585 | Tanya Millicent Kyler | General Practice | 512 Shorb Ave Nw Apt 3, Canton, OH 44703-2580 | 2020-10-05 |
1053928499 | Ontario Medical Spine and Joint | General Practice | 2262 Stumbo Rd, Ontario, OH 44906-3804 | 2020-09-29 |
1437788874 | Syed, LLC | General Practice | 366 Birchbrook Ct, Centerville, OH 45458-9718 | 2020-04-07 |
1982237681 | Hydreight Usa LLC | General Practice | 16738 Pearl Rd, Strongsville, OH 44136-6049 | 2020-02-20 |
1699306126 | Integrated Medicine of Ohio LLC | General Practice | 6200 Rockside Woods Blvd N Ste 100, Independence, OH 44131-2392 | 2020-02-03 |
1437796042 | Integrated Medicine of Ohio LLC | General Practice | 2780 S Arlington Rd Ste 202, Coventry Township, OH 44312-4707 | 2019-12-02 |
1265078497 | Jaime L Go Md Inc | General Practice | 1200 Resource Dr, Brooklyn Hts, OH 44131-1849 | 2019-11-22 |
1558902809 | Wecare Health Clinic Group, LLC | General Practice | 8918 Reading Rd, Cincinnati, OH 45215-3228 | 2019-10-07 |
1063062354 | Independent Physical Medicine LLC | General Practice | 3469 W Elm St, Lima, OH 45807-2226 | 2019-09-18 |
1861041535 | Allied Medical Integration, LLC | General Practice | 7067 Tiffany Blvd Ste 280, Poland, OH 44514-1803 | 2019-09-05 |
Find all providers with the same taxonomy |
City | BEAVERCREEK |
Zip Code | 45434 |
Please comment or provide details below to improve the information on DR. DENNIS MICHAEL SULLIVAN.
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.