DR. JASON PATRICK SULLIVAN (NPI# 1669638219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669638219 |
| Entity Type | Individual |
| Full Name | DR. JASON PATRICK SULLIVAN |
| Credential | M.D. |
| Practice Address |
6001 Westown Pkwy West Des Moines IA 50266-7702 |
| Practice Telephone | 5152241414 |
| Practice Fax Number | 5152245140 |
| Mailing Telephone | 5152241414 |
| Mailing Fax Number | 5152245140 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2019-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD-40971 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1669638219 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437720 | Jason Sullivan | Technician/Technologist | 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454 | 2020-11-02 |
| 1235784646 | Jason Robert Sullivan | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2019-08-04 |
| 1528047586 | Jason Murray Sullivan | Ophthalmology | 668 Skyline Dr, Jackson, TN 38301-3951 | 2006-01-10 |
| Street Address |
6001 WESTOWN PKWY |
| City | WEST DES MOINES |
| State | IA |
| Zip Code | 50266-7702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396706719 | Brian Donald Haupts | Physician Assistant | 6001 Westown Pkwy, West Des Moines, IA 50266-7702 | 2006-03-28 |
| 1255948659 | Grant Hunter Warren | Nurse Practitioner | 6001 Westown Pkwy, West Des Moines, IA 50266-7702 | 2020-09-29 |
| 1790331577 | Daitin Crandall | Physical Therapist | 6001 Westown Pkwy, West Des Moines, IA 50266-7702 | 2019-08-16 |
| 1225699200 | Alexander John Arnold Reif | Physical Therapist | 6001 Westown Pkwy, West Des Moines, IA 50266-7702 | 2019-06-21 |
| 1477110757 | Stephanie Lyons | Physician Assistant | 6001 Westown Pkwy, West Des Moines, IA 50266-7702 | 2019-05-22 |
| 1851858286 | Anne Mccormick Sullivan | Physical Therapist | 6001 Westown Pkwy, West Des Moines, IA 50266-7702 | 2019-02-21 |
| 1902362932 | Sarah Elizabeth Cashman | Occupational Therapist | 6001 Westown Pkwy, West Des Moines, IA 50266-7702 | 2019-02-14 |
| 1699259309 | Emily Alice Palmer | Physician Assistant | 6001 Westown Pkwy, West Des Moines, IA 50266-7702 | 2018-09-18 |
| 1699251157 | Alyssa Brooke Heathman | Physician Assistant | 6001 Westown Pkwy, West Des Moines, IA 50266-7702 | 2018-07-17 |
| 1891293171 | Alexandra Shea Brunner | Physician Assistant | 6001 Westown Pkwy, West Des Moines, IA 50266-7702 | 2018-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013544667 | Annie Penquite | Physician Assistant | 6001 Westown Pwky, West Des Moines, IA 50266 | 2020-03-24 |
| 1730733205 | Erin Allyn Fiala | Counselor | 1200 Valley West Dr Suite 508, West Des Moines, IA 50266 | 2019-08-01 |
| 1598325151 | Cornerstone Pediatrics and Family Allergy, Plc | Pediatrics | 6800 Lake Drive, #260, West Des Monies, IA 50266 | 2019-06-17 |
| 1093286395 | Ccrc of West Des Moines, LLC | Skilled Nursing Facility | 8950 Coachlight Drive, West Des Moines, IA 50266 | 2018-12-12 |
| 1326517400 | Merit Hearing LLC | Audiologist-Hearing Aid Fitter | 2910 Westown Pkwy Ste 110, West Des Moines, IA 50266 | 2018-11-18 |
| 1699253807 | Diamond Home Health Care Services | Home Health | 4949 Weston Pkwy Ste 165 #836, West Des Moines, IA 50266 | 2018-07-31 |
| 1285129932 | Hy Vee Inc | Pharmacy | 375 South Jordan Creek Parkway, West Des Moines, IA 50266 | 2018-06-26 |
| 1669965208 | Rx Precision, Inc. | Case Management | 6205 Mills Civic Pkwy Ste 201, West Des Moines, IA 50266 | 2018-06-08 |
| 1912406588 | Cora Schuhmacher, Psy.d., Pllc | Psychologist | 1045 76th St Unit 3030, West Des Moines, IA 50266 | 2018-02-08 |
| 1508374778 | Brian L Bentley | Counselor | 5500 Wild Rose Lane, Suite 400, West Des Moines, IA 50266 | 2018-01-22 |
| Find all providers in zip 50266 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851386049 | Leonard Lomax | Orthopaedic Surgery | 230 S 86th St, Suite 1209, West Des Moines, IA 50266 | 2005-09-14 |
| 1841558285 | Zachary Ries | Orthopaedic Surgery | 6001 Westown Pkwy, West Des Moines, IA 50266-7702 | 2012-04-23 |
| 1184832594 | Matthew J Dewall | Orthopaedic Surgery | 6001 Westown Pkwy, West Des Moines, IA 50266-7702 | 2007-05-18 |
| 1699704791 | The Lomax Group PC | Orthopaedic Surgery | 230 S 68th St, Suite 1209, West Des Moines, IA 50266-8176 | 2006-07-01 |
| 1669426854 | Lynn M Lindaman Md Plc | Orthopaedic Surgery | 6000 University Ave, Suite 315, West Des Moines, IA 50266-8203 | 2006-05-20 |
| 1124077987 | Nicholas J. Honkamp | Orthopaedic Surgery | 6001 Westown Pkwy, West Des Moines, IA 50266-7702 | 2006-05-09 |
| 1124082524 | Arnis Benny Grundberg | Orthopaedic Surgery | 6001 Westown Parkway, West Des Moines, IA 50266-7702 | 2006-04-13 |
| 1033173430 | Devon Daniel Goetz | Orthopaedic Surgery | 6001 Westown Parkway, West Des Moines, IA 50266-7702 | 2006-04-13 |
| 1942264346 | Thomas David Dulaney | Orthopaedic Surgery | 6001 Westown Pkwy, West Des Moines, IA 50266-7702 | 2006-04-13 |
| 1619931029 | Lynn Marvin Nelson | Orthopaedic Surgery | 6001 Westown Parkway, West Des Moines, IA 50266-7702 | 2006-04-13 |
| Find all providers in WEST DES MOINES | ||||
| City | WEST DES MOINES |
| Zip Code | 50266 |
Please comment or provide details below to improve the information on DR. JASON PATRICK 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.