DR. EUGENE DAVID SULLIVAN (NPI# 1255370326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255370326 |
| Entity Type | Individual |
| Full Name | DR. EUGENE DAVID SULLIVAN |
| Credential | MD |
| Practice Address |
1000 Asylum Ave Suite 2120 Hartford CT 06105 |
| Practice Telephone | 8602464000 |
| Practice Fax Number | 8605276985 |
| Mailing Telephone | 8602464000 |
| Mailing Fax Number | 8605276985 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2010-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 021621 | CT | Other Service Providers |
| Y | 208600000X | Surgery | 021621 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001216217 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083633408 | Eugene Michael Sullivan | Internal Medicine | 1103 Stewart Ave, Garden City, NY 11530-4886 | 2006-07-18 |
| 1245208883 | Eugene Denis Sullivan | Physician Assistant | 5701 Bow Pointe Dr, Suite 100, Clarkston, MI 48346-3198 | 2006-03-09 |
| Street Address |
1000 ASYLUM AVE SUITE 2120 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740283779 | Emmanuel Javier | Internal Medicine | 1000 Asylum Ave, Suite 4310, Hartford, CT 06105-1770 | 2005-05-23 |
| 1992329544 | Akosua Adzenyah | Student in an Organized Health Care Education/Training Program | 1000 Asylum Ave, Hartford, CT 06105-1770 | 2020-05-29 |
| 1851911689 | Stephanie Vu | Student in an Organized Health Care Education/Training Program | 1000 Asylum Ave, Hartford, CT 06105-1770 | 2020-04-22 |
| 1760021539 | Diane Graham | Nurse Practitioner | 1000 Asylum Ave, Hartford, CT 06105-1770 | 2019-12-27 |
| 1831735414 | Christie Ann Tuttle | Physician Assistant | 1000 Asylum Ave, Hartford, CT 06105-1770 | 2019-11-19 |
| 1548819899 | Elizabeth Joann Delbuono | Genetic Counselor, MS | 1000 Asylum Ave, Hartford, CT 06105-1770 | 2019-09-10 |
| 1235784554 | Giovanna Craveiro-setaro | Registered Nurse | 1000 Asylum Ave, Hartford, CT 06105-1770 | 2019-08-04 |
| 1881250629 | Karyn Eleanor Elaine Threet | Student in an Organized Health Care Education/Training Program | 1000 Asylum Ave, Hartford, CT 06105-1770 | 2019-05-16 |
| 1750844288 | Belinda Nwagbara | Student in an Organized Health Care Education/Training Program | 1000 Asylum Ave, Hartford, CT 06105-1770 | 2019-04-11 |
| 1114480555 | David Cheng-yao Wu | Student in an Organized Health Care Education/Training Program | 1000 Asylum Ave, Suite 1004, Hartford, CT 06105 | 2019-04-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155939 | Pruthwy R Addanki | Student in an Organized Health Care Education/Training Program | Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2020-05-15 |
| 1700447802 | Samuel Flynn | Student in an Organized Health Care Education/Training Program | 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 | 2019-06-28 |
| 1730743568 | Turab J Mohammed | Student in an Organized Health Care Education/Training Program | Saint Francis Hospital Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2019-04-26 |
| 1164900387 | Breanne Ferrara | Social Worker | 43 Wooland St, Hartford, CT 06105 | 2018-07-31 |
| 1154814069 | Signature Smiles of Hartford LLC | Dentist | 550 Farmington Avenue, Suite B, Hartford, CT 06105 | 2018-06-14 |
| 1356839062 | Jaimy Villavicencio | Student in an Organized Health Care Education/Training Program | 100 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2018-04-27 |
| 1750885679 | Brittany Bird | Student in an Organized Health Care Education/Training Program | 839-841 Asylum Avenue, Hartford, CT 06105 | 2018-03-23 |
| 1972032241 | Ashley Nicole Mills | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, 3rd Floor, Hartford, CT 06105 | 2017-06-08 |
| 1528506847 | Samuel Agyei | Social Worker | 291 Collins St, Hartford, CT 06105 | 2017-02-07 |
| 1841735818 | Katie Strahowski | Nurse Practitioner | 85 Gillett Street, Clean Slate, Hartford, CT 06105 | 2016-12-30 |
| Find all providers in zip 06105 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467544239 | Connecticut Surgeons, LLC | Surgery | 95 Woodland St, Second Floor, Hartford, CT 06105 | 2006-09-29 |
| 1376657080 | Ibrahim M Daoud | Surgery | 95 Woodland St Fl 2, Hartford, CT 06105 | 2006-08-18 |
| 1568475051 | John M Dasilva | Surgery | 290 Collins St, Hartford, CT 06105-1549 | 2006-08-14 |
| 1417903766 | Kenneth Thomas Johnson | Surgery | 151 Farmington Ave, Hartford, CT 06156-0001 | 2006-05-26 |
| 1265482384 | Youssef Moussa Horanieh | Surgery | 95 Woodland Street, Breast Center, Hartford, CT 06105-0000 | 2006-05-11 |
| 1336199736 | Narasimhan Chandra Narayanan | Surgery | 500 Blue Hills Ave, Wound Care Center, Hartford, CT 06112-1500 | 2006-05-10 |
| 1154309292 | Janna Reddy Pathi | Surgery | 1215 Old Main St, Oc Surgery Clinic, Hartford, KY 42347-1619 | 2006-01-09 |
| 1316471014 | Lindsay Lynch | Surgery | 80 Seymour Street, Bliss Wing, Suite 703, Hartford, CT 06102 | 2017-04-19 |
| 1013396522 | Olivier Van Houtte | Surgery | 114 Woodland St, Hartford, CT 06105-1208 | 2015-05-29 |
| 1922407238 | Saint Francis Medical Group, Inc. | Surgery | 1000 Asylum Ave, Suite 4320, Hartford, CT 06105-1770 | 2014-08-22 |
| Find all providers in HARTFORD | ||||
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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.