THOMAS S SULLIVAN (NPI# 1295742419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295742419 |
| Entity Type | Individual |
| Full Name | THOMAS S SULLIVAN |
| Credential | M.D. |
| Practice Address |
12018 Sunrise Valley Dr Suite 400 Reston VA 20191-3432 |
| Mailing Address |
5440 Chandley Farm Cir Centreville VA 20120-1239 |
| Practice Telephone | 5712625200 |
| Practice Fax Number | 5715217249 |
| Mailing Telephone | 7038151124 |
| Mailing Fax Number | 7038157411 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2011-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101043001 | VA | Allopathic & Osteopathic Physicians |
| N | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
0101043001 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010051185 | 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 |
12018 SUNRISE VALLEY DR SUITE 400 |
| City | RESTON |
| State | VA |
| Zip Code | 20191-3432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719994 | Amber Jade Allen | Nurse Practitioner | 12018 Sunrise Valley Dr, Reston, VA 20191-3432 | 2020-08-05 |
| 1861955031 | Lois Tatum Penn | Nurse Practitioner | 12018 Sunrise Valley Dr, Reston, VA 20191-3432 | 2019-04-12 |
| 1174015614 | Lindsay Anne Keene | Nurse Practitioner | 12018 Sunrise Valley Dr, Reston, VA 20191 | 2018-05-31 |
| 1548767874 | Linda Sue Duty | Nurse Practitioner | 12018 Sunrise Valley Dr, Reston, VA 20191-3432 | 2018-04-12 |
| 1043754708 | Compassus Op of Virginia LLC | Hospice Care, Community Based | 12018 Sunrise Valley Dr, Ste 400, Reston, VA 20191-3432 | 2016-12-14 |
| 1548713233 | Pamela Noelle Montenegro | Registered Nurse | 12018 Sunrise Valley Dr, Suite 400, Reston, VA 20191-3432 | 2016-07-28 |
| 1366807539 | Emily Nicole Ollis | Nurse Practitioner | 12018 Sunrise Valley Dr, Ste 400, Reston, VA 20191-3432 | 2015-12-15 |
| 1073984142 | Optum Palliative and Hospice Care | Chronic Disease Hospital | 12018 Sunrise Valley Dr, Suite 400, Reston, VA 20191-3432 | 2015-10-14 |
| 1871964544 | Yvonne Elizabeth Mcmillan | Nurse Practitioner | 12018 Sunrise Valley Dr, Suite 400, Reston, VA 20191-3432 | 2015-10-07 |
| 1780967232 | Sandra Bruce Nichols | Family Medicine | 12018 Sunrise Valley Dr, Suite 400, Reston, VA 20191-3432 | 2011-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150518 | Grace Andales Soistman | Nurse Practitioner | 11160 South Lakes Dr. Reston, Va 20191, Reston, VA 20191 | 2020-07-02 |
| 1790317709 | Twenty Four/7 LLC | Private Vehicle | 11922 Winterthur Ln, 103, Reston, VA 20191 | 2020-02-07 |
| 1437626058 | Aramesh Darvishian Dds Pllc | Dentist | 12040 South Lakes Dr. Suite 200, Reston, VA 20191 | 2018-11-01 |
| 1992282693 | Ashkan Ghods | Home Health | 11760 Sunrise Valley Dr, #405, Reston, VA 20191 | 2018-07-25 |
| 1104319698 | Capital Critical Care & Informatics PC | Internal Medicine | 11890 Sunrise Valley Dr # 442, Reston, VA 20191 | 2018-06-11 |
| 1063930683 | Mackenzie Marie Evans | Specialist/Technologist | 2380 Branleigh Park Ct, Reston, VA 20191 | 2017-09-04 |
| 1073910345 | Jane L Mahan-wiegand | Dietitian, Registered | 1900 Campus Commons Drive, Suite 100, Reston, VA 20191 | 2014-12-02 |
| 1700214293 | Sonny Sunghun Kim | Dentist | 11876 Sunrise Valley Drive, 101, Reston, VA 20191 | 2013-10-22 |
| 1982036786 | Stephanie Lourdes Miller | Physician Assistant | 12040 South Lakes Drive, Suite 207, Generations Family Practice, Reston, VA 20191 | 2013-08-02 |
| 1316250988 | Thao Ngoc Vuong | Pharmacist | 1898 Winterport Cluster, Reston, VA 20191 | 2010-07-23 |
| Find all providers in zip 20191 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366729675 | Eric S. Havens P L L C | Family Medicine | 1850 Town Center Pkwy Ste 207, Reston, VA 20190-3219 | 2011-11-15 |
| 1396961025 | Eric S Havens | Family Medicine | 1850 Town Center Pkwy # 207, Reston, VA 20190-3219 | 2007-04-18 |
| 1619036597 | Michael G Bowers | Family Medicine | 12110 Sunset Hills Road, Ll20, Reston, VA 20190 | 2006-12-07 |
| 1699769745 | Andrew J Harding | Family Medicine | 11800 Sunrise Valley Dr, Suite 700, Reston, VA 20191-5300 | 2005-09-06 |
| 1689674202 | Kevin J Kelleher | Family Medicine | 12040 S Lakes Dr, Ste 207, Reston, VA 20191-1246 | 2005-07-26 |
| 1548268857 | Allen Kinne Howe Jr. | Family Medicine | 12330 Pinecrest Rd, Suite 250, Reston, VA 20191-1642 | 2005-07-11 |
| 1023618261 | Kelly Hernandez | Family Medicine | 12330 Pinecrest Rd Ste 250, Reston, VA 20191-1657 | 2020-10-27 |
| 1649893793 | Nova Primary Care LLC | Family Medicine | 1860 Town Center Dr Ste 340, Reston, VA 20190-5912 | 2020-05-24 |
| 1871975235 | Christopher John Thomas | Family Medicine | 1890 Metro Center Dr, Reston, VA 20190-5286 | 2015-06-22 |
| 1780967232 | Sandra Bruce Nichols | Family Medicine | 12018 Sunrise Valley Dr, Suite 400, Reston, VA 20191-3432 | 2011-09-21 |
| Find all providers in RESTON | ||||
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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.