DAVID M SULLIVAN (NPI# 1386751329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386751329 |
| Entity Type | Individual |
| Full Name | DAVID M SULLIVAN |
| Credential | M.D. |
| Practice Address |
106 Highland Way Ste 200 Madison MS 39110-6933 |
| Mailing Address |
Po Box 23666 Jackson MS 39225-3666 |
| Practice Telephone | 6012004141 |
| Practice Fax Number | 6012004150 |
| Mailing Telephone | 6012004749 |
| Mailing Fax Number | 6012005929 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2019-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 10794 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00018138 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 971 Lakeland Dr Ste 250, Jackson, MS 392164620 | 6012004860 | 6012004887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669966966 | David Lee Sullivan Jr. | Case Manager/Care Coordinator | 513 Cannons Ln, Louisville, KY 40207-3645 | 2018-06-20 |
| 1154856987 | David Sullivan | Massage Therapist | 100 N Grape St Apt 303, Medford, OR 97501-3151 | 2017-04-30 |
| 1053733253 | David Sullivan | Contractor | 2823 Glover Carlton Rd, Perry, FL 32348-7640 | 2014-01-08 |
| 1023359312 | David Sullivan | Dentist | 5833 Phyliss Ln, Mint Hill, NC 28227-9031 | 2013-03-11 |
| 1952550402 | David Sullivan | Counselor | 2955 Valmont Rd Ste 110, Boulder, CO 80301-1360 | 2008-09-09 |
| 1558573956 | David E Sullivan | Social Worker | 704 Marketview Ct, Fayetteville, NC 28301-4868 | 2007-05-06 |
| 1467670026 | David Dell Sullivan | Physical Therapist | 499 Casey Way, Grand Junction, CO 81504-6281 | 2007-04-20 |
| 1578692760 | David Matthew Sullivan | Chiropractor | 104 Biddle Ave, Suite G, Harrison, OH 45030-2528 | 2007-03-05 |
| 1073648671 | David Joseph Sullivan | Optometrist | 276 S Hollywood Blvd, Steubenville, OH 43952-2422 | 2007-02-22 |
| 1033276837 | David Michael Sullivan | Dentist | 5177 N Bend Rd, Cincinnati, OH 45211-1900 | 2007-01-02 |
| Street Address |
106 HIGHLAND WAY STE 200 |
| City | MADISON |
| State | MS |
| Zip Code | 39110-6933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003841073 | Jerry Scott Harrison | Internal Medicine | 106 Highland Way Ste 200, Madison, MS 39110-6933 | 2006-07-11 |
| 1710374038 | Marshall Adams Briscoe Jr. | Internal Medicine | 106 Highland Way Ste 200, Madison, MS 39110-6933 | 2015-04-24 |
| 1871791434 | Eric Christopher Evans | Internal Medicine | 106 Highland Way Ste 200, Madison, MS 39110 | 2007-07-05 |
| 1063584175 | Richard L Russell | Internal Medicine | 106 Highland Way Ste 200, Madison, MS 39110-6933 | 2006-11-14 |
| 1386716553 | Michael M Morgan | Internal Medicine | 106 Highland Way Ste 200, Madison, MS 39110-6933 | 2006-11-14 |
| 1588771455 | Albert W Steele | Internal Medicine | 106 Highland Way Ste 200, Madison, MS 39110-6933 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134784689 | Therapy South - Gluckstadt LLC | Physical Therapist | 1716 Us 51, Ste N, Madison, MS 39110 | 2019-05-09 |
| 1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
| 1912488198 | Madison Medical Compounding Pharmacy | Pharmacy | 111 Fountains Blvd. Building B Ste. A, Madison, MS 39110 | 2018-08-24 |
| 1679061469 | Nuvena Vein Clinic | Anesthesiology | 120 Fountains Blvd, Madison, MS 39110 | 2018-04-26 |
| 1467960484 | Brick City Drugs, LLC | Durable Medical Equipment & Medical Supplies | 159 Fountains Blvd, Madison, MS 39110 | 2018-01-11 |
| 1093227589 | Hannah Monk Hawthorne | Counselor | 930 Ebenezer Blvd., Suite D, Madisin, MS 39110 | 2017-10-25 |
| 1548786650 | Kimberly Allen | Pharmacist | 1100 Us- 51, Madison, MS 39110 | 2017-08-21 |
| 1891218186 | Delta Elizabeth Stark | Chiropractor | 1085 Gluckstadt Rd., Bld 300 Ste E, Madison, MS 39110 | 2017-07-19 |
| 1861914848 | Laura Hartlein | Dietitian, Registered | 200 Park Circle Dr. #2, Flowood, MS 39110 | 2017-07-12 |
| 1831620608 | Ona Irby | Occupational Therapist | 105 Munich Dr, Madison, MS 39110 | 2017-03-23 |
| Find all providers in zip 39110 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1730718560 | Kevin Mcdonald | Internal Medicine | Uw Hospitals and Clinic 600 Highland Ave, Madison, WI 53792-0001 | 2020-04-03 |
| 1063927465 | Healthcare Plus Limited Liability Company | Internal Medicine | 315 Summer Oak Trl, Madison, MS 39110-9147 | 2017-12-07 |
| 1326575168 | Jacob Ira Morgan | Internal Medicine | 104 Perry Williams Rd, Madison, MS 39110-8307 | 2017-05-11 |
| 1972920114 | Elizabeth Laberee | Internal Medicine | 80 Devonshire Lane, Madison, CT 06443 | 2014-03-26 |
| 1104266600 | Samih Khauli | Internal Medicine | 822 E Washington Ave Apt 900, Madison, WI 53703-6511 | 2013-06-28 |
| 1336586502 | Susan Mary O'malley | Internal Medicine | 869 Boston Post Rd, Madison, CT 06443-3144 | 2013-05-29 |
| 1962753855 | Karl Winfield Hatten Sr. | Internal Medicine | 117 Greens View Dr, Madison, MS 39110-8050 | 2012-10-02 |
| 1497019863 | Kristen Crawford | Internal Medicine | 401 Baptist Dr Ste 104, Madison, MS 39110-2010 | 2012-06-29 |
| 1114281680 | Meghan Poole | Internal Medicine | 106 Highland Way Ste 103, Madison, MS 39110 | 2012-06-29 |
| 1215202056 | Arthur Decillis | Internal Medicine | 80 Devonshire Ln, Madison, CT 06443-1681 | 2012-03-13 |
| Find all providers in MADISON | ||||
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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.