RYAN SEAN SULLIVAN (NPI# 1447743232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447743232 |
Entity Type | Individual |
Full Name | RYAN SEAN SULLIVAN |
Credential | DO |
Practice Address |
205 N East Ave Jackson MI 49201-1753 |
Practice Telephone | 5172053964 |
Practice Fax Number | 5172057050 |
Mailing Telephone | 5172053964 |
Mailing Fax Number | 5172057050 |
Enumeration Date | 2018-06-07 |
Last Update Date | 2018-06-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | 510102407 | MI | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871022418 | Ryan Daniel Sullivan | Counselor | 480 Vision Way, Bayfield, CO 81122 | 2017-06-07 |
1396149944 | Ryan Esley Sullivan | Mechanotherapist | 325 John Knox Rd Bldg T Ste 1, Tallahassee, FL 32303-4166 | 2014-10-10 |
1063701241 | Ryan Ridgway Sullivan | Orthopaedic Surgery | 120 Spalding Dr Ste 307, Naperville, IL 60540 | 2011-03-28 |
1174605653 | Ryan A Sullivan | Internal Medicine | 2198 Us Highway 31 S, Manistee, MI 49660-9618 | 2006-10-20 |
1366078495 | Ryan John Sullivan | Student in an Organized Health Care Education/Training Program | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-03-20 |
1104387869 | Ryan Michael Sullivan | Student in an Organized Health Care Education/Training Program | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2019-03-26 |
1548738982 | Ryan Christopher Sullivan | Social Worker | 7309 Lazy Creek Dr, Austin, TX 78724-3211 | 2018-11-04 |
1760972285 | Ryan Sullivan | Student in an Organized Health Care Education/Training Program | 2698 Patterson Rd, Grand Junction, CO 81506-8818 | 2018-05-10 |
1679099170 | Ryan Edward Sullivan | Social Worker | 285 Main Street, Cshhc-west Haven Health Center Counseling Services, West Haven, CT 06516-7307 | 2017-08-16 |
1124554571 | Ryan Sullivan | Student in an Organized Health Care Education/Training Program | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2017-05-04 |
Street Address |
205 N EAST AVE |
City | JACKSON |
State | MI |
Zip Code | 49201-1753 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295736015 | Jackson Radiology Consultants, P.C. | Radiology | 205 N East Ave, Imaging Department, Jackson, MI 49201-1753 | 2005-08-02 |
1053910356 | Stephanie Galczyk | Physician Assistant | 205 N East Ave, Jackson, MI 49201-1753 | 2020-10-19 |
1467050948 | Nicole Elizabeth Knoth | Pharmacist | 205 N East Ave, Jackson, MI 49201-1753 | 2020-10-15 |
1952918849 | Jaclyn Nicole Donovan | Nurse Practitioner | 205 N East Ave, Jackson, MI 49201-1753 | 2020-09-25 |
1518573732 | Taylor Petersen | Physician Assistant | 205 N East Ave, Jackson, MI 49201-1753 | 2020-09-22 |
1790391092 | Ashley Voss | Clinical Nurse Specialist | 205 N East Ave, Jackson, MI 49201-1753 | 2020-09-22 |
1902411788 | Owen Jeffrey Wood | Physician Assistant | 205 N East Ave, Jackson, MI 49201-1753 | 2020-09-09 |
1669083721 | Holly Jenski Viaches | Occupational Therapist | 205 N East Ave, Jackson, MI 49201-1753 | 2020-08-12 |
1205446739 | Sondos Al Khatib | Student in an Organized Health Care Education/Training Program | 205 N East Ave, Jackson, MI 49201-1753 | 2020-08-10 |
1003433459 | Kory Ashton Strong | Student in an Organized Health Care Education/Training Program | 205 N East Ave, Jackson, MI 49201-1753 | 2020-07-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
Find all providers in zip 49201 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447851407 | Rebecca Lynn Collimore | Student in an Organized Health Care Education/Training Program | 5 Twin Oaks Ct, Jackson, NJ 08527-5359 | 2020-11-05 |
1578176053 | Breanna Christina Wade | Student in an Organized Health Care Education/Training Program | 1647 Robinson St Apt B, Jackson, MS 39209-6424 | 2020-08-25 |
1730798240 | Taylor Michael Smith | Student in an Organized Health Care Education/Training Program | 21 Windfield Cv, Jackson, TN 38305-9778 | 2020-07-30 |
1639797442 | Walk By Faith Not By Sight Homecare | Student in an Organized Health Care Education/Training Program | 2310 Us-80 West, Suite F 1154, Jackson, MS 39204 | 2020-07-08 |
1922620855 | Madison K Heine | Student in an Organized Health Care Education/Training Program | Univ. of Mississippi Medical Center, School of Dentistry, Jackson, MS 39216-3921 | 2020-05-14 |
1083236210 | Juvell Nicole Burris | Student in an Organized Health Care Education/Training Program | 802 Lakeland Dr Apt 104, Jackson, MS 39216-4613 | 2020-05-11 |
1316569742 | Monieca Michelle Mcnair | Student in an Organized Health Care Education/Training Program | 635 Nakoma Dr, Jackson, MS 39206-3335 | 2020-05-07 |
1760011480 | Kandice Bailey | Student in an Organized Health Care Education/Training Program | 915 Bellevue Pl, Jackson, MS 39202-2702 | 2020-04-04 |
1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
Find all providers in JACKSON |
Please comment or provide details below to improve the information on RYAN SEAN SULLIVAN.
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.