JAMES D SULLIVAN (NPI# 1730179607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730179607 |
| Entity Type | Individual |
| Full Name | JAMES D SULLIVAN |
| Credential | MD |
| Practice Address |
200 High Service Ave North Providence RI 02904-5113 |
| Mailing Address |
3 Century Dr Parsippany NJ 07054-4610 |
| Practice Telephone | 4014563402 |
| Mailing Telephone | 9732511018 |
| Mailing Fax Number | 9737409895 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2013-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 72262 | MA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MD09038 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3074447 | 05 | |
| MA | TUFTS | 404886 | 01 |
| MA | BCBS | J10322 | 01 |
| MA | HPHC | 45468 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518524404 | James Connor Sullivan | Audiologist | 1977 Butler Blvd Ste E5100, Houston, TX 77030-4101 | 2019-05-26 |
| 1255808705 | James Woodfin Sullivan | Dentist | 121 Kaneohe Ln, Bastrop, TX 78602-7252 | 2018-11-01 |
| 1003299777 | James Sullivan | Physical Therapy Assistant | 10821 Bouldercrest Drive, South Lyon, MI 48178 | 2015-06-30 |
| 1871863522 | James P Sullivan | Physical Therapy Assistant | 507 Benmosche Rd, Monticello, NY 12701 | 2012-01-11 |
| 1780974378 | James William Sullivan | Acupuncturist | 2745 High Ridge Blvd Ste 7, High Ridge, MO 63049-2200 | 2011-04-15 |
| 1730343666 | James Edward Sullivan | Counselor | 2076 Wallum Lake Rd, Pascoag, RI 02859 | 2008-07-10 |
| 1508076829 | James Michael Sullivan | Chiropractor | 702 S Rancho Santa Fe Rd, San Marcos, CA 92078-3935 | 2007-05-23 |
| 1275698524 | James J Sullivan | Dentist | 933 Broadwater Sq, Billings, MT 59101 | 2006-12-27 |
| 1932279155 | James F. Sullivan | Occupational Therapist | 184 E Chestnut St, Suite 2, Asheville, NC 28801-2377 | 2006-11-08 |
| 1689753378 | James Lowery Sullivan | Dentist | 210 South Montclair Street, Bakersfield, CA 93309 | 2006-11-03 |
| Street Address |
200 HIGH SERVICE AVE |
| City | NORTH PROVIDENCE |
| State | RI |
| Zip Code | 02904-5113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023628385 | Jona Volcy | Social Worker | 200 High Service Ave, North Providence, RI 02904-5113 | 2020-08-03 |
| 1437770625 | Shana Rose Libassi | Physician Assistant | 200 High Service Ave, North Providence, RI 02904-5113 | 2020-04-29 |
| 1447886171 | Kaylee Joy Taillon | Physician Assistant | 200 High Service Ave, North Providence, RI 02904-5113 | 2020-03-13 |
| 1528619772 | Christine Mary Merloni | Technician/Technologist | 200 High Service Ave, North Providence, RI 02904-5113 | 2019-09-27 |
| 1740748235 | Daniel Michael Leary | Physician Assistant | 200 High Service Ave, North Providence, RI 02904-5113 | 2019-03-04 |
| 1366913873 | Ainsley King Parker | Social Worker | 200 High Service Ave, North Providence, RI 02904-5113 | 2018-12-10 |
| 1093285751 | Jennifer Lynn Deblois | Dietitian, Registered | 200 High Service Ave, North Providence, RI 02904-5113 | 2018-11-26 |
| 1972081966 | Melissa Ann Mcgovern | Physician Assistant | 200 High Service Ave, North Providence, RI 02904-5113 | 2018-08-01 |
| 1285147702 | Jean Yeomans | Social Worker | 200 High Service Ave, North Providence, RI 02904-5113 | 2017-11-06 |
| 1306368881 | Kendra Cabral | Social Worker | 200 High Service Ave, North Providence, RI 02904-5113 | 2017-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
| 1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
| 1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
| 1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
| Find all providers in zip 02904 | ||||
| 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 |
|---|---|---|---|---|
| 1720383011 | Michael Robert Malanga | Emergency Medicine | 63 Hunters Run, North Providence, RI 02904-3052 | 2011-01-18 |
| 1043553027 | Vladana Aleman-brizuela | Emergency Medicine | 200 High Service Ave, North Providence, RI 02904-5113 | 2013-03-28 |
| 1831450865 | St Joseph Health Services of Ri | Emergency Medicine | 200 High Service Ave, North Providence, RI 02904-5113 | 2012-06-06 |
| 1639449226 | Emergency Medical Associates of Rhode Island PC | Emergency Medicine | 200 High Service Avenue, Our Lady of Fatima Hospital, North Providence, RI 02904-5113 | 2012-01-12 |
| 1609156645 | David Julian Goldstein | Emergency Medicine | 200 High Service Ave, North Providence, RI 02904-5113 | 2011-08-22 |
| 1558466540 | Susan D Casper | Emergency Medicine | 200 High Service Ave, North Providence, RI 02904-5113 | 2006-09-14 |
| 1225081813 | Paul Dionisopoulos | Emergency Medicine | 1637 Mineral Spring Ave, North Providence, RI 02904-4042 | 2006-05-18 |
| 1558336669 | Diane M. Reali Marini | Emergency Medicine | 200 High Service Ave, North Providence, RI 02904-5113 | 2006-02-22 |
| 1790750123 | Rita S. Kurl | Emergency Medicine | 200 High Service Ave, North Providence, RI 02904-5113 | 2006-02-21 |
| 1447225917 | Carolyn K. Mcgrath | Emergency Medicine | 200 High Service Ave, North Providence, RI 02904-5113 | 2006-02-20 |
| Find all providers in NORTH PROVIDENCE | ||||
| City | NORTH PROVIDENCE |
| Zip Code | 02904 |
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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.