MARC D SULLIVAN (NPI# 1437350030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437350030 |
| Entity Type | Individual |
| Full Name | MARC D SULLIVAN |
| Credential | M.D. |
| Practice Address |
16838 E Palisades Blvd Suite C153 Fountain Hills AZ 85268-3845 |
| Mailing Address |
16838 E Palisades Suite C153 Fountain Hills AZ 85268 |
| Practice Telephone | 4808163131 |
| Practice Fax Number | 4808163136 |
| Mailing Telephone | 4808163131 |
| Mailing Fax Number | 4808163136 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2009-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 40747 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
16838 E PALISADES BLVD SUITE C153 |
| City | FOUNTAIN HILLS |
| State | AZ |
| Zip Code | 85268-3845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780644526 | Matthew Joseph Hummel | Family Medicine | 16838 E Palisades Blvd, C153, Fountain Hills, AZ 85268-3786 | 2006-03-24 |
| 1851905004 | Honorhealth Ambulatory | Orthopaedic Surgery | 16838 E Palisades Blvd, Bldg C Ste 152a, Fountain Hills, AZ 85268-3786 | 2020-09-04 |
| 1598291312 | Hummel Family Medicine, Pllc | Specialist | 16838 E Palisades Blvd, Building C Suite 153, Fountain Hills, AZ 85268-3791 | 2017-05-11 |
| 1952856098 | Integrated Medical of Fountain Hills Pllc | General Practice | 16838 E Palisades Blvd, Fountain Hills, AZ 85268-3786 | 2016-08-18 |
| 1669839239 | Jason Henslin | Counselor | 16838 E Palisades Blvd, C-153, Fountain Hills, AZ 85268-3786 | 2016-01-27 |
| 1295107860 | Erica Leigh Casselman | Physician Assistant | 16838 E Palisades Blvd, Building C Suite 153, Fountain Hills, AZ 85268-3786 | 2015-10-22 |
| 1942679741 | Fallon Rayne Damico | Physician Assistant | 16838 E Palisades Blvd, Bldg C Ste 153, Fountain Hills, AZ 85268-3786 | 2015-09-22 |
| 1336524610 | John Kline | Physical Therapist | 16838 E Palisades Blvd, Bldg B-121, Fountain Hills, AZ 85268-3786 | 2015-07-28 |
| 1881079184 | Mental Edge Neuropsychology | Clinical Neuropsychologist | 16838 E Palisades Blvd, Suite C153, Fountain Hills, AZ 85268-3786 | 2015-07-28 |
| 1568858835 | Austin Kocchi | Physical Therapist | 16838 E Palisades Blvd, Bldg B-121, Fountain Hills, AZ 85268-3786 | 2015-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861948432 | Michael James Sivak IIi | Licensed Practical Nurse | 16100 E Palisades Blvd, Fountain Hills, AZ 85268 | 2016-09-01 |
| 1346793494 | Allyn Louise Krieger-fiedler | Naturopath | 16425 East Inca Ave, Fountain Hills, AZ 85268 | 2016-07-25 |
| 1013316140 | Paul Knott | Pharmacist | 16545 East Palisades Boulvard, Fountain Hills, AZ 85268 | 2014-08-14 |
| 1497176838 | Corinna Bradley | Psychologist | 16428 East Kingstree Blvd, Fountain Hills, AZ 85268 | 2014-01-03 |
| 1821345810 | Sherry Anne Garst | Student in an Organized Health Care Education/Training Program | 17100 E. Shea Blvd, Suite. #225, Fountain Hills, AZ 85268 | 2012-08-08 |
| 1710240585 | Kathleen A Carroll | Speech-Language Pathologist | 17100 E Shea Blvd Ste 600, Fountain Hills, AZ 85268 | 2012-06-18 |
| 1972881266 | Ivy Joan Medow | Occupational Therapy Assistant | 17100 E. Shea Blvd., Stars, Fountain Hills, AZ 85268 | 2011-08-03 |
| 1710270871 | Stephanie Virginia Cochran | Speech-Language Pathologist | 17100 E Shea Blvd #225, Fountain Hills, AZ 85268 | 2011-05-24 |
| 1750697884 | Lanzon Medical Consulting | Nursing Care | 13771 N. Fountain Hills Blvd, #114, Fountain Hills, AZ 85268 | 2010-08-26 |
| 1790928414 | Kathryn Mary Montgomery | Specialist/Technologist | 14825 N Fayette Dr, Fountain Hills, AZ 85268 | 2009-04-10 |
| Find all providers in zip 85268 | ||||
| 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 |
|---|---|---|---|---|
| 1861959702 | K. Valderhaug Md Pllc | Family Medicine | 14825 E Shea Blvd Ste 105, Fountain Hills, AZ 85268-5938 | 2019-02-27 |
| 1104952449 | Kristen Valderhaug | Family Medicine | 14825 E Shea Blvd Ste 105a, Fountain Hills, AZ 85268-5938 | 2007-02-23 |
| 1740324409 | Desert Community Medical Associates | Family Medicine | 13215 N. Verde River Dr, Suite 6, Fountain Hills, AZ 85268 | 2007-02-16 |
| 1245395995 | William John O'brien | Family Medicine | 17219 E Alta Loma, Fountain Hills, AZ 85268-4082 | 2006-12-22 |
| 1235147380 | Rajesh N Soni | Family Medicine | 11033 N Pinto Dr, Fountain Hills, AZ 85268-5328 | 2006-08-04 |
| 1922032598 | Rosa Maria Mercado | Family Medicine | 13225 N Fountain Hills Blvd, #254, Fountain Hills, AZ 85268-3811 | 2006-07-10 |
| 1447284088 | Stacey J Sullivan | Family Medicine | 16838 E Palisades Blvd Ste 153, Fountain Hills, AZ 85268-3791 | 2006-07-10 |
| 1780644526 | Matthew Joseph Hummel | Family Medicine | 16838 E Palisades Blvd, C153, Fountain Hills, AZ 85268-3786 | 2006-03-24 |
| 1386604114 | Fountain Hills Family Practice, PC | Family Medicine | 16838 E Palisades Blvd Bldg C, Suite 153, Fountain Hills, AZ 85268-3845 | 2006-03-24 |
| 1790196806 | Primary Care Walk-in Medical Clinic | Family Medicine | 16605 E Palisades Blvd, Ste 150, Fountain Hills, AZ 85268-3716 | 2014-05-12 |
| Find all providers in FOUNTAIN HILLS | ||||
| City | FOUNTAIN HILLS |
| Zip Code | 85268 |
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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.