MR. RYAN J SULLIVAN (NPI# 1477873412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477873412 |
| Entity Type | Individual |
| Full Name | MR. RYAN J SULLIVAN |
| Credential | M.D. |
| Practice Address |
55 Fogg Road Weymouth MA 02190 |
| Practice Telephone | 7816248000 |
| Practice Fax Number | 7818786750 |
| Mailing Telephone | (781) 624-8000 |
| Mailing Fax Number | 7818786750 |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2017-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 254184 | MA | Allopathic & Osteopathic Physicians |
| 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 |
| 1447743232 | Ryan Sean Sullivan | Student in an Organized Health Care Education/Training Program | 205 N East Ave, Jackson, MI 49201-1753 | 2018-06-07 |
| 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 |
| Street Address |
55 FOGG ROAD |
| City | WEYMOUTH |
| State | MA |
| Zip Code | 02190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083908867 | Ari Lev Moskowitz | Anesthesiology | 55 Fogg Road, Weymouth, MA 02190 | 2011-06-08 |
| 1093030256 | Matthew D Giangola | Internal Medicine | 55 Fogg Road, Weymouth, MA 02190 | 2010-03-31 |
| 1033371299 | Todd Alan Kerensky | Internal Medicine | 55 Fogg Road, Weymouth, MA 02190-3003 | 2008-06-30 |
| 1437317096 | Raghu R. Seethala | Emergency Medicine | 55 Fogg Road, Weymouth, MA 02061 | 2008-05-29 |
| 1750433405 | Karen Murphy-fitch | Advanced Practice Midwife | 55 Fogg Road, Weymouth, MA 02190 | 2007-01-16 |
| 1760420046 | Philip T O'sullivan | Radiology | 55 Fogg Road, South Shore Radiological, Weymouth, MA 02190-2432 | 2006-06-02 |
| 1548228042 | Maurice F. Loeffel IIi | Emergency Medicine | 55 Fogg Road, Weymouth, MA 02190 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702261 | Maureen L. Colella | Dentist | 33 Union St., So. Weymouth, MA 02190 | 2019-10-25 |
| 1740767060 | Convenientmd LLC | Clinic/Center | 2 Pond Street, Weymouth, MA 02190 | 2018-07-20 |
| 1437654399 | Swati Malik | Dentist | 174 Stonehaven Dr, South Weymouth, MA 02190 | 2018-03-24 |
| 1720496995 | Iona Dental, P.C. | Dentist | 1650 Main St., South Weymouth, MA 02190 | 2014-07-31 |
| 1497094411 | Cecilia R Briggs | Registered Nurse | 541 Main St Ste 414, South Weymouth, MA 02190 | 2013-02-12 |
| 1548523657 | Khaldoun Haj Mahmoud | Internal Medicine | Coastal Medical Associates, 55 Fogg Road, Weymouth, MA 02190 | 2012-06-22 |
| 1881992170 | Megan Elizabeth Lee | Physician Assistant | 851 Main Street, Suite 6, South Shore Neurospine, South Weymouth, MA 02190 | 2011-03-10 |
| 1790082253 | Bonnie Marie Kimball | Counselor | 549 Columbian Street, Weymouth, MA 02190 | 2011-02-18 |
| 1689805731 | Jane Marie Boomer | Early Intervention Provider Agency | 574 Main Street, Weymouth, MA 02190 | 2009-08-06 |
| 1619101136 | Jordan D Paulson | Psychiatry & Neurology | 55 Fogg Rd # 105, Weymouth, MA 02190 | 2009-05-12 |
| Find all providers in zip 02190 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205894102 | Wayne A D E Chin | Emergency Medicine | 55 Fogg Rd., So. Shore Hosp., Weymouth, MA 02190 | 2006-05-02 |
| 1023081916 | James J Mensching | Emergency Medicine | 330 Washington Street, Weymouth, MA 02188 | 2006-02-10 |
| 1922454560 | Elizabeth Obrien | Emergency Medicine | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2016-05-12 |
| 1477915619 | Kayvon Izadpanah | Emergency Medicine | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2016-03-27 |
| 1134568041 | Brian Marcks | Emergency Medicine | 55 Fogg Rd, Weymouth, MA 02190 | 2013-06-25 |
| 1861734758 | Erica L Nelson | Emergency Medicine | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2013-03-19 |
| 1265723282 | Emily Irene Gorman | Emergency Medicine | 55 Fogg Rd, South Shore Hospital Emergency Care Physicians, Weymouth, MA 02190 | 2011-04-25 |
| 1730322132 | Mark Anthony Toyer | Emergency Medicine | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2009-04-14 |
| 1194988717 | James Hinchey | Emergency Medicine | 330 Washington St, Weymouth, MA 02188-2932 | 2008-07-03 |
| 1437317096 | Raghu R. Seethala | Emergency Medicine | 55 Fogg Road, Weymouth, MA 02061 | 2008-05-29 |
| Find all providers in WEYMOUTH | ||||
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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.