MICHAEL SULLIVAN (NPI# 1548269038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548269038 |
| Entity Type | Individual |
| Full Name | MICHAEL SULLIVAN |
| Credential | MD |
| Practice Address |
1451 Yauger Rd Ste 2d Mount Vernon OH 43050-8097 |
| Mailing Address |
1330 Coshocton Ave Mount Vernon OH 43050-1440 |
| Practice Telephone | 7403939175 |
| Practice Fax Number | 7403939410 |
| Mailing Telephone | 7403939175 |
| Mailing Fax Number | 7403939410 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2011-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 35-071450 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | FIRST HEALTH | 1342112 | 01 |
| OH | 0368516 | 05 | |
| OH | ANTHEM | 00000019555 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366918617 | Michael David Sullivan | Social Worker | 403 1/2 Hector St, Ithaca, NY 14850-2025 | 2018-10-15 |
| 1376923292 | Michael Sullivan | Student in an Organized Health Care Education/Training Program | Walter Reed 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2015-06-05 |
| 1881074896 | Michael Gregory Sullivan | Intermediate Care Facility, Mentally Retarded | 30 Hobomack Rd, Quincy, MA 02169-2508 | 2015-06-04 |
| 1104215136 | Michael Sullivan | Perfusionist | 137 Founders Way Ct, Cape Girardeau, MO 63701-9442 | 2015-01-14 |
| 1689927915 | Michael Robert Sullivan | Pharmacist | 41 Buena Vista St, Stamford, CT 06907-2402 | 2012-10-24 |
| 1154672038 | Michael James Sullivan | Dentist | 1882 Hard Rd, Columbus, OH 43235-1996 | 2012-10-02 |
| 1063791747 | Michael Gruer Sullivan | Counselor | 2024 N. Crystal Lake Dr., Suite 200 Room 205, Lakeland, FL 33801-6015 | 2011-08-11 |
| 1457647083 | Michael Patrick Sullivan | Dentist | 1008 G Sreet, Geneva, NE 68361 | 2011-06-22 |
| 1841528585 | Michael Andrew Sullivan | Counselor | 974 73rd St Ste 9, Windsor Heights, IA 50324-1026 | 2009-11-18 |
| 1508191388 | Michael Joseph Sullivan | Audiologist | 6644 Penn Ave S, Richfield, MN 55423-2026 | 2009-10-12 |
| Street Address |
1451 YAUGER RD STE 2D |
| City | MOUNT VERNON |
| State | OH |
| Zip Code | 43050-8097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321697 | Myriam Elizabeth Shaw Ojeda | Pharmacist | 1451 Yauger Rd, Mount Vernon, OH 43050-8097 | 2020-09-18 |
| 1689087744 | Rachail Mckinley | Nurse Practitioner | 1451 Yauger Rd, 1-f, Mount Vernon, OH 43050-8097 | 2014-06-06 |
| 1538475181 | Tammy Joseph | Nurse Practitioner | 1451 Yauger Rd, Ste 1e, Mount Vernon, OH 43050-8097 | 2010-08-20 |
| 1538369756 | Suzanne Christine Helming | Otolaryngology | 1451 Yauger Rd, Ste 1b, Mount Vernon, OH 43050-8097 | 2007-07-25 |
| 1093930646 | Knox Medical Specialists, Inc | Internal Medicine | 1451 Yauger Rd, Mount Vernon, OH 43050 | 2007-04-16 |
| 1639250830 | Thomas Dean Mckinley | Internal Medicine | 1451 Yauger Rd, Ste 1f, Mount Vernon, OH 43050-8097 | 2006-10-17 |
| 1982716379 | Gangaram Rasa | Internal Medicine | 1451 Yauger Rd, Suite 1a, Mount Vernon, OH 43050-8097 | 2006-08-31 |
| 1376579243 | Gregory J Cush | Orthopaedic Surgery | 1451 Yauger Rd, 2b, Mount Vernon, OH 43050-8097 | 2006-06-23 |
| 1023054046 | Hhc Enterprises Inc | Durable Medical Equipment & Medical Supplies | 1451 Yauger Rd, Ste 1h, Mount Vernon, OH 43050-8097 | 2006-06-20 |
| 1801836424 | Lauren E Mcdowell-jacobs | Surgery | 1451 Yauger Rd, Ste 2a, Mount Vernon, OH 43050-5416 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043739972 | Roxanne Renee Berry | Case Manager/Care Coordinator | Bhp 8402 Blackjack Rd, Mt Vernon, OH 43050 | 2017-09-12 |
| 1477079309 | Blaine Elizabeth Barr | Case Manager/Care Coordinator | 510 Mitchell Avenue, Mount Vernon, OH 43050 | 2017-08-22 |
| 1205351004 | Knox Community Hospital | Durable Medical Equipment & Medical Supplies | 1330 Coshocton Ave., Mount Vernon, OH 43050 | 2017-08-14 |
| 1568998722 | Jami Passwaters | Case Manager/Care Coordinator | 8402 Blackjack Road, Mount Vernon, OH 43050 | 2017-05-10 |
| 1962892661 | Mount Vernon Nh LLC | Assisted Living Facility | 1135 East Gambier Street, Mount Vernon, OH 43050 | 2015-02-02 |
| 1881009017 | Pamela Robinson | Licensed Practical Nurse | 10263 Tucker Road, Mount Vernon, OH 43050 | 2014-06-26 |
| 1356756837 | Charla Sue Johnson | Licensed Practical Nurse | 228 Delano Street, Mt Vernon, OH 43050 | 2014-06-24 |
| 1588076236 | Erica Ferrell | Licensed Practical Nurse | 701 West Burgess Street, Mount Vernon, OH 43050 | 2014-05-29 |
| 1386085637 | Genesis Rehab Services | Assisted Living Facility | 6918 Wigton Road, Mount Vernon, OH 43050 | 2013-07-16 |
| 1427310473 | Jonathan Titus Hardin | Family Medicine | 1330 Coschocton Road, Mount Vernon, OH 43050 | 2012-06-14 |
| Find all providers in zip 43050 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972882850 | Jba Women's Medical PC | Obstetrics & Gynecology | 129 Urban St, Mount Vernon, NY 10552-3211 | 2011-08-10 |
| 1487872388 | Mount Vernon Womens Clinc Inc Ps | Obstetrics & Gynecology | 111 N. 17th Street, Mount Vernon, WA 98273 | 2007-04-23 |
| 1730257924 | Emily Beth Boyd | Obstetrics & Gynecology | 3130 Veterans Memorial Dr, Mount Vernon, IL 62864-5951 | 2006-12-04 |
| 1114093986 | David C Walters | Obstetrics & Gynecology | 1407 Mcpherson Ave, Mount Vernon, IL 62864-2822 | 2006-11-25 |
| 1912073784 | Womens Health Associates of Southern Illinois, S. C. | Obstetrics & Gynecology | 1708 Jefferson Ave, Mount Vernon, IL 62864-4309 | 2006-11-25 |
| 1326129339 | Nonyelu Iruoma Anyichie | Obstetrics & Gynecology | 105 Stevens Ave Ste 209, Mount Vernon, NY 10550-2682 | 2006-10-17 |
| 1609816578 | Edward Amelmah | Obstetrics & Gynecology | 107 West 4th Street, Mount Vernon, NY 10550 | 2006-06-07 |
| 1174599682 | Marise St. Charles | Obstetrics & Gynecology | 100 Stevens Ave, 7th Floor, Mount Vernon, NY 10550-2600 | 2006-02-24 |
| 1639143555 | Sara C. Rowland | Obstetrics & Gynecology | 111 N 17th St, Mount Vernon, WA 98273-3440 | 2006-02-15 |
| 1871567792 | Daniel C. Bynum | Obstetrics & Gynecology | 215 S 13th St, Mount Vernon, WA 98274-4107 | 2006-02-15 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 43050 |
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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.