THOMAS J. SULLIVAN, JR. MD, PA


Address: 803 N Fant St, Suite 2-c, Anderson, SC 29621-5700
Phone: 8642259566

THOMAS J. SULLIVAN, JR. MD, PA (NPI# 1386728483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386728483
Entity Type Organization
Organization Name THOMAS J. SULLIVAN, JR. MD, PA
Practice Address 803 N Fant St
Suite 2-c
Anderson
SC 29621-5700
Practice Telephone 8642259566
Practice Fax Number 8642259568
Mailing Telephone 8642259566
Mailing Fax Number 8642259568
Enumeration Date 2006-10-25
Last Update Date 2007-10-11
Authorized Official Name THOMAS J SULLIVAN JR. (PHYSICIAN/OWNER)
Authorized Official Telephone 8642259566
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC GP4610 05

Office Location

Street Address 803 N FANT ST
SUITE 2-C
City ANDERSON
State SC
Zip Code 29621-5700

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164489191 O Boyd Gardo Jr. Orthotic Fitter 803 N Fant St, Anderson, SC 29621-5707 2006-04-26
1609163302 Anmed Health Internal Medicine 803 N Fant St, Suite 3b, Anderson, SC 29621-5700 2011-07-01
1912008806 James Winbush Internal Medicine 803 N Fant St, Suite 3a, Anderson, SC 29621-5700 2006-09-26
1629095062 Amy R Cianciolo Family Medicine 803 N Fant St, Suite 2a, Anderson, SC 29621-5700 2006-07-15
1922038413 Zachary Gregg Seymour Internal Medicine 803 N Fant St, Suite 2 B, Anderson, SC 29621-5700 2006-07-03
1275574618 Carolina Imaging Center LLC Radiologic Technologist 803 N Fant St, Anderson, SC 29621-5707 2006-06-09
1881646933 Daniel A Keenan Jr Md LLC Internal Medicine 803 N Fant St, Suite 3-b, Anderson, SC 29621-5700 2006-05-17
1598714305 Daniel A. Keenan Jr. Internal Medicine 803 N Fant St, Suite 3-b, Anderson, SC 29621-5700 2006-05-09

Providers in the same zip code

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 Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
1225031966 Thomas James Sullivan Jr. Internal Medicine 100 Perpetual Sq, Anderson, SC 29621-1713 2005-05-26
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
Find all providers in ANDERSON

Competitor

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City ANDERSON
Zip Code 29621

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Dataset Information

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.

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