PETER DAMIAN SULLIVAN (NPI# 1558468322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558468322 |
| Entity Type | Individual |
| Full Name | PETER DAMIAN SULLIVAN |
| Credential | MD |
| Practice Address |
3181 Sw Sam Jackson Park Rd # Bte119 Portland OR 97239-3011 |
| Practice Telephone | 5034946101 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | MD19673 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 151214 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407071194 | Peter E Sullivan | Counselor | 44 Myrtle Ter, Winchester, MA 01890-3157 | 2007-04-16 |
| 1992320857 | Peter Sullivan | Student in an Organized Health Care Education/Training Program | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2020-06-16 |
| 1538664016 | Peter Sullivan | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2018-03-27 |
| 1306292024 | Peter Sullivan | Anesthesiology | Kumc 3901 Rainbow Blvd Ms 1034, Kansas City, KS 66160-0001 | 2016-05-12 |
| 1205201688 | Peter Joshua Sullivan | Social Worker | 5500 Armstrong Rd, Battle Creek, MI 49037-7314 | 2015-12-10 |
| 1225439300 | Peter Sullivan | Pharmacist | 1275 York Ave, New York, NY 10065-6007 | 2014-09-09 |
| 1871895870 | Peter Vaughn Sullivan | Counselor | 4020 Civic Center Dr, San Rafael, CA 94903-4173 | 2010-11-23 |
| 1235399221 | Peter David Sullivan | Occupational Therapist | 1115 Capitola Rd, Santa Cruz, CA 95062-2844 | 2008-06-12 |
| 1578603478 | Peter D Sullivan | Emergency Medicine | 7007 Powers Blvd, Parma, OH 44129-5437 | 2007-02-08 |
| 1437250412 | Peter J Sullivan | Physician Assistant | 927 Franklin St Se, The Orthopaedic Center, Huntsville, AL 35801-4306 | 2006-09-25 |
| Street Address |
3181 SW SAM JACKSON PARK RD # BTE119 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841749405 | Danielle Lynn Kraemer | Physician Assistant | 3181 Sw Sam Jackson Park Rd # Bte119, Portland, OR 97239-3011 | 2016-09-23 |
| 1437527520 | Anne Miriam Taylor | Physician Assistant | 3181 Sw Sam Jackson Park Rd # Bte119, Portland, OR 97239-3011 | 2015-09-08 |
| 1679965693 | Anthony Lumbad | Physician Assistant | 3181 Sw Sam Jackson Park Rd # Bte119, Division of Hospital Medicine, Portland, OR 97239-3011 | 2015-02-27 |
| 1629489554 | Namrita Boparai | Internal Medicine | 3181 Sw Sam Jackson Park Rd # Bte119, Portland, OR 97239-3011 | 2014-05-14 |
| 1891105045 | Alexander John Nydahl | Physician Assistant | 3181 Sw Sam Jackson Park Rd # Bte119, Ohsu Division of Hospital Medicine, Portland, OR 97239-3011 | 2014-04-28 |
| 1528485919 | Anna V Solotskaya | Internal Medicine | 3181 Sw Sam Jackson Park Rd # Bte119, Portland, OR 97239-3011 | 2014-03-24 |
| 1497198840 | Scott Curtis Stroup | Internal Medicine | 3181 Sw Sam Jackson Park Rd # Bte119, Portland, OR 97239-3011 | 2013-04-15 |
| 1497000715 | Rand Ladkany | Internal Medicine | 3181 Sw Sam Jackson Park Rd # Bte119, Portland, OR 97239 | 2012-07-24 |
| 1790049302 | Lucy Y Cho | Internal Medicine | 3181 Sw Sam Jackson Park Rd # Bte119, Portland, OR 97239-3011 | 2012-06-28 |
| 1609133784 | Marc Franklin Kurtzman | Hospitalist | 3181 Sw Sam Jackson Park Rd # Bte119, Portland, OR 97239-3011 | 2012-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700235512 | Samuel Woodworth | Hospitalist | 22 Bramhall St Rm 2227, Portland, ME 04102-3134 | 2016-06-13 |
| 1659547677 | Bassel Beitinjaneh | Hospitalist | 4984 Sw Oleson Rd, 27, Portland, OR 97225-1462 | 2008-04-30 |
| 1972697522 | Mark Helfand | Hospitalist | Portland Vamc P3med, 3710 Sw Us Veterans Hospital Road, Portland, OR 97239 | 2006-10-03 |
| 1457461279 | Thomas William Barrett | Hospitalist | 3710 Sw Us Va Hospital Rd, Portland Vamc (p3med), Portland, OR 97207-1034 | 2006-08-30 |
| 1033777362 | John Mladucky | Hospitalist | 144 State St, Portland, ME 04101-3776 | 2019-06-01 |
| 1215406491 | Cathern Zweifel | Hospitalist | 22 Bramhall St, Portland, ME 04102-3134 | 2018-11-18 |
| 1891227658 | Matthew Andrew O'donnell | Hospitalist | 3181 Sw Sam Jackson Park Rd # L-579, Portland, OR 97239-3011 | 2017-03-31 |
| 1396277117 | Rebecca Bystrom | Hospitalist | 22 Bramhall St, Portland, ME 04102-3134 | 2017-03-30 |
| 1821520883 | Kelsi Manley | Hospitalist | 3181 Sw Sam Jackson Park Rd, L-579, Portland, OR 97239-3011 | 2017-03-29 |
| 1972966018 | Sophia Mengting Li | Hospitalist | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2016-04-05 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on PETER DAMIAN 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.