TERRENCE R SULLIVAN (NPI# 1447244785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447244785 |
| Entity Type | Individual |
| Full Name | TERRENCE R SULLIVAN |
| Other Name | TERRY SULLIVAN |
| Credential | MD |
| Practice Address |
2110 Forest Ave #c San Jose CA 95128-1469 |
| Practice Telephone | 4082983656 |
| Practice Fax Number | 4082983661 |
| Mailing Telephone | 4082983656 |
| Mailing Fax Number | 4082983661 |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | G25099 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | P00061715 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689604407 | Terrence Jerald Sullivan | Chiropractor | 1007 Calimesa Blvd, Suite F, Calimesa, CA 92320-1131 | 2006-07-04 |
| 1275506925 | Terrence Sullivan | Family Medicine | 2000 S Fm 51, Decatur, TX 76234-3702 | 2006-02-10 |
| Street Address |
2110 FOREST AVE #C |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-1469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932455938 | Veronica Rivera Md Inc | Obstetrics & Gynecology | 2110 Forest Ave, Suite A, San Jose, CA 95128-1469 | 2012-07-27 |
| 1417244831 | Erin Brett Lally | Ophthalmology | 2110 Forest Ave, Suite B, San Jose, CA 95128-1469 | 2011-07-06 |
| 1922307628 | Kimberly Cheng | Optometrist | 2110 Forest Ave, Suite B, San Jose, CA 95128-1469 | 2011-03-21 |
| 1225331770 | Urological Surgeons of Northern California | Urology | 2110 Forest Ave, Suite C, San Jose, CA 95128-1469 | 2010-12-06 |
| 1851603450 | Sameen Z. Zaidi | Ophthalmology | 2110 Forest Ave, Suite B, San Jose, CA 95128-1469 | 2010-07-12 |
| 1881913960 | Assist Surgery John | Physician Assistant | 2110 Forest Ave, San Jose, CA 95128-1469 | 2010-05-27 |
| 1528145455 | Dipali V Apte | Ophthalmology | 2110 Forest Ave, San Jose, CA 95128-1469 | 2006-10-31 |
| 1386738722 | Carey Vision Medical Group, Inc. | Ophthalmology | 2110 Forest Ave, Suite B, San Jose, CA 95128-1469 | 2006-10-02 |
| 1932218740 | Bart Alan Carey | Ophthalmology | 2110 Forest Ave, Suite B, San Jose, CA 95128-1469 | 2006-08-29 |
| 1285742601 | Thomas Pan | Optometrist | 2110 Forest Ave, Suite B, San Jose, CA 95128-1469 | 2006-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457611048 | Naveen Yadav | Urology | 250 Hospital Pkwy Bldg B, San Jose, CA 95119-1103 | 2012-05-17 |
| 1912070889 | David Mark Nudell | Urology | 2581 Samaritan Drive, San Jose, CA 95124 | 2006-11-16 |
| 1972558666 | Edward Wang | Urology | 175 N Jackson Ave Ste 206, San Jose, CA 95116-1909 | 2006-05-23 |
| 1851341655 | Han P Lo | Urology | 75 N Bascom Ave Ste 210, San Jose, CA 95128-1802 | 2006-05-11 |
| 1063857597 | Peter Albert Elliott | Urology | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2013-05-10 |
| 1225331770 | Urological Surgeons of Northern California | Urology | 2110 Forest Ave, Suite C, San Jose, CA 95128-1469 | 2010-12-06 |
| 1043513591 | Urological Surgeons of Northern California | Urology | 2581 Samaritan Dr, Suite 200, San Jose, CA 95124-4113 | 2010-12-06 |
| 1770886210 | Urological Surgeons of Northern California | Urology | 2505 Samaritan Dr, Suite 201, San Jose, CA 95124-4006 | 2010-12-06 |
| 1003118290 | Urological Surgeons of Northern California | Urology | 123 Di Salvo Ave, Suite D, San Jose, CA 95128-1717 | 2010-11-22 |
| 1982906178 | Urological Surgeons of Northern California | Urology | 25 N 14th St, San Jose, CA 95112-6204 | 2010-11-22 |
| Find all providers in SAN JOSE | ||||
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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.