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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | GP4610 | 05 |
Street Address |
803 N FANT ST SUITE 2-C |
City | ANDERSON |
State | SC |
Zip Code | 29621-5700 |
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 |
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 |
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 |
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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.