MARK F SULLIVAN SR. (NPI# 1497722615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497722615 |
| Entity Type | Individual |
| Full Name | MARK F SULLIVAN SR. |
| Credential | MD |
| Practice Address |
11236 Robinwood Dr # 7 Hagerstown MD 21742-6708 |
| Mailing Address |
322 E Antietam St Ste 106 Hagerstown MD 21740-5736 |
| Practice Telephone | 3016654760 |
| Practice Fax Number | 3016654761 |
| Mailing Telephone | 3017396147 |
| Mailing Fax Number | 3017396163 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2020-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | MD038772E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0017873640003 | 05 | |
| PA | AETNA | 11528138 | 01 |
| PA | HIGHMARK | 348403 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689730863 | Mark Allan Sullivan | Chiropractor | 4196 Avery Rd, Hilliard, OH 43026-1004 | 2006-12-29 |
| 1356456297 | Mark Tighe Sullivan | Social Worker | 1011 Bond St, Asbury Park, NJ 07712-5939 | 2006-08-20 |
| 1306874227 | Mark Allen Sullivan | Physical Therapist | 133 Mountain Rd, Suite 2b., Suffield, CT 06078-2084 | 2006-06-29 |
| 1710983432 | Mark P. Sullivan | Dentist | 1440 South Pottstown Pike, West Chester, PA 19380-1271 | 2005-06-27 |
| 1134752371 | Mark Sullivan | Nurse Anesthetist, Certified Registered | 2500 N State St, Jackson, MS 39216-4500 | 2020-02-17 |
| 1295260347 | Mark Sullivan | Case Manager/Care Coordinator | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2017-04-26 |
| 1841724754 | Mark Sullivan | Social Worker | 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 | 2017-04-18 |
| 1386098762 | Mark Sullivan | Psychiatry & Neurology | 525 E 68th St, New York, NY 10065-4870 | 2016-04-21 |
| 1346614641 | Mark Sullivan | Social Worker | 5225 Connecticut Ave Nw, #616, Washington, DC 20015-1813 | 2015-11-24 |
| 1942681689 | Mark Sullivan | Counselor | 5965 S 900 E, Murray, UT 84121-1720 | 2015-06-17 |
| Street Address |
11236 ROBINWOOD DR # 7 |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21742-6708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679922298 | Adetimbo Adediran | Nurse Practitioner | 11236 Robinwood Dr, Suite 101, Hagerstown, MD 21742-6708 | 2016-06-04 |
| 1306291224 | U.n.i. Medical Care, Inc | Clinic/Center | 11236 Robinwood Dr, Suite 101, Hagerstown, MD 21742-6708 | 2016-04-28 |
| 1275900482 | Christine P. Lewis, PC | Clinic/Center | 11236 Robinwood Dr, Suite 102, Hagerstown, MD 21742-6708 | 2015-08-24 |
| 1649568585 | Trung C Vu | Pharmacist | 11236 Robinwood Dr, Suite 104, Hagerstown, MD 21742-6704 | 2011-07-13 |
| 1831489335 | Hagerstown Surgery Center,llc | Clinic/Center | 11236 Robinwood Dr, Hagerstown, MD 21742-6704 | 2011-04-18 |
| 1518914936 | Naresh C Gupta | Specialist | 11236 Robinwood Dr, Ste 106, Hagerstown, MD 21742-6800 | 2006-05-30 |
| 1033162565 | Hagerstown Imaging LLC | Clinic/Center | 11236 Robinwood Dr, Suite 106, Hagerstown, MD 21742-6708 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
| 1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
| 1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
| 1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
| 1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
| 1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
| 1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
| 1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
| Find all providers in zip 21742 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730588153 | Thoracic & Surgical Specialists of Cumberland Valley | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11110 Medical Campus Rd, Suite 127, Hagerstown, MD 21742-6700 | 2014-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745336 | David Myers | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 713 Childs Point Rd, Annapolis, MD 21401-4498 | 2020-03-18 |
| 1457652505 | Richard Nathaniel Scott | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 13321 Ridgewood Dr, Ellicott City, MD 21042-1265 | 2010-11-05 |
| 1144458449 | Lindsey Michelle Prescher | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8901 Wisconsin Ave Cardiothoracic Surgery Department, Bethesda, MD 20889-0140 | 2009-06-24 |
| 1134363500 | Ferdinand S. Leacock | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3442 Rockway Ave, Annapolis, MD 21403-4852 | 2009-04-28 |
| 1235377862 | Paul Damien Hatton | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3107 Black Chestnut Ln, Chevy Chase, MD 20815-4754 | 2009-02-04 |
| 1821252370 | Parijat Mukund Didolkar | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5051 Greenspring Ave Ste 304, Baltimore, MD 21209 | 2008-07-14 |
| 1801054630 | The Medical Clinic | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7500 Hanover Pkwy Ste 205, Greenbelt, MD 20770-2009 | 2008-05-29 |
| 1871777995 | Barry J. Levin, M.d. LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10215 Fernwood Rd Ste 405, Bethesda, MD 20817-1191 | 2007-12-26 |
| 1518140946 | Nicholas John Karis | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2435 W Belvedere Ave Ste 42, Baltimore, MD 21215-5224 | 2007-12-07 |
| 1336349554 | Cardiac Surgery Associates, P.a. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3328 Butler Rd, Reisterstown, MD 21136-3855 | 2007-07-25 |
| Find all providers with the same taxonomy | ||||
| City | HAGERSTOWN |
| Zip Code | 21742 |
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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.