DR. WILLIAM LARRY SULLIVAN (NPI# 1710911177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710911177 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM LARRY SULLIVAN |
| Credential | MD |
| Practice Address |
4308 Topaz Cir Se Decatur AL 35603-5236 |
| Practice Telephone | 2566861222 |
| Mailing Telephone | 2566861222 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2017-03-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 7344 | AL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD.7344 | AL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047359 | William M Sullivan Jr. | Counselor | 880 Central St Ste 10, Franklin, NH 03235-2040 | 2017-11-28 |
| 1669809331 | William Sullivan | Counselor | 18 Ascot Ct, Blythewood, SC 29016-9086 | 2013-09-26 |
| 1265729354 | William Eugene Sullivan | Optometrist | 6511 Sully Lane Pr, West Richland, WA 99353-8002 | 2011-07-09 |
| 1194995720 | William Nicholas Sullivan | Dentist | 6100 Trail Blvd North, Suite 1, Naples, FL 34108 | 2008-03-11 |
| 1295863603 | William F Sullivan | Counselor | Adcare, 14 Beacon Street, 801, Boston, MA 02108 | 2007-02-28 |
| 1093805897 | William J Sullivan | Internal Medicine | 608 Willard, Frontenac, KS 66763-2120 | 2006-10-13 |
| 1902911027 | William P. Sullivan | Emergency Medicine | 21200 S La Grange Rd # 365, Frankfort, IL 60423-2003 | 2006-08-20 |
| 1588614630 | William Walter Sullivan | Dentist | 6810 Post Rd, North Kingstown, RI 02852 | 2006-05-11 |
| 1285625541 | William Michael Sullivan | Specialist/Technologist | 3114 Hillary Ct, Joliet, IL 60435-9040 | 2005-11-04 |
| 1659375384 | William Kevin Sullivan | Dentist | 100 Mcgregor St, E-542, Manchester, NH 03102-3730 | 2005-06-10 |
| Street Address |
4308 TOPAZ CIR SE |
| City | DECATUR |
| State | AL |
| Zip Code | 35603-5236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858848 | Marcanna Michele Kimball | Technician | 1616 Saginaw Ln Sw, Decatur, AL 35603 | 2019-12-12 |
| 1316503808 | Julie Monteiro-pai | Nurse Practitioner | 2828 Us 31, Suite # 117, Decatur, AL 35603 | 2019-05-10 |
| 1700305372 | Jessica Skarda | Nurse Practitioner | 1577-1631 Kathy Ln Sw, Decatur, AL 35603 | 2017-09-14 |
| 1841532546 | Priceville Pharmacy LLC | Pharmacy | 2941 Point Mallard Pkwy, Suite A, Decatur, AL 35603 | 2013-03-20 |
| 1235392689 | David Gerardo Barraza | Nurse Practitioner | 2422 Donville Road, Suite E, Decatur, AL 35603 | 2008-07-07 |
| 1164629002 | Rachel E. Kennedy | Family Medicine | 2422 Danville Rd., Suite E, Decatur, AL 35603 | 2007-07-02 |
| 1558583708 | Active Physical Therapy, Inc. | Clinic/Center | 2424 Danville Rd. Sw, Ste M, Decatur, AL 35603 | 2007-05-03 |
| 1598829814 | Decatur Eye Institute | Optometrist | 2620 Centron Dirve Sw, Decatur, AL 35603 | 2006-12-21 |
| 1447326442 | Joseph R Dupper | Podiatrist | 2506 Danville Rd Sw Suite 204, Decatur, AL 35603 | 2006-11-28 |
| 1568531820 | Highlands Internal Medicine LLC | Internal Medicine | 2422 Danville Rd, Suite F, Decatur, AL 35603 | 2006-11-08 |
| Find all providers in zip 35603 | ||||
| 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 |
|---|---|---|---|---|
| 1275141467 | Viral Solutions LLC | Emergency Medicine | 1752 Moonstone Ct, Decatur, GA 30033-1411 | 2020-07-14 |
| 1881089993 | Tony Bullon | Emergency Medicine | 1834 Clairmont Rd Ste 100, Decatur, GA 30033 | 2015-04-06 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1427347681 | Constance Shamuyarira Richards | Emergency Medicine | 307 Adair St, Unit F3, Decatur, GA 30030-2958 | 2011-03-28 |
| 1669618310 | Northern Alabama Physicians, LLP | Emergency Medicine | 1201 7th Street Southeast, Decatur, AL 35601-3303 | 2008-12-31 |
| 1215190772 | Stephanie Nicole Scott | Emergency Medicine | 225 Shadowmoor Dr, Decatur, GA 30030-3850 | 2008-07-05 |
| 1639239825 | Michael Anthony Herron | Emergency Medicine | 1501 Richard Stokes Dr, Decatur, GA 30033 | 2006-12-11 |
| 1053412908 | Richard Edward Wild | Emergency Medicine | 1275 Oak Grove Dr, Decatur, GA 30033-2737 | 2006-09-25 |
| 1730283201 | Jerry Edward Robbins II | Emergency Medicine | 2941 Point Mallard Pkwy Se Ste N, Decatur, AL 35603-5760 | 2006-09-12 |
| 1649297656 | Dahlia Hassani | Emergency Medicine | 1010 Scott Blvd, A8, Decatur, GA 30030-1312 | 2006-07-16 |
| Find all providers in DECATUR | ||||
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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.