DR. MATTHEW PATRICK SULLIVAN (NPI# 1750609004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750609004 |
Entity Type | Individual |
Full Name | DR. MATTHEW PATRICK SULLIVAN |
Credential | MD |
Practice Address |
6620 Fly Rd Ste 200 East Syracuse NY 13057-9791 |
Practice Telephone | 3154644472 |
Mailing Telephone | 3154644472 |
Enumeration Date | 2010-05-12 |
Last Update Date | 2016-11-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | MD60545599 | WA | Allopathic & Osteopathic Physicians |
Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
MD60545599 | WA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 04488400 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548653256 | Matthew Austin Sullivan | Student in an Organized Health Care Education/Training Program | 1830 E Monument St Ste 7000, Baltimore, MD 21287 | 2015-03-05 |
1902228422 | Matthew D Sullivan | Naturopath | 3804 Ne 94th St, Seattle, WA 98115-3755 | 2014-01-17 |
1437279320 | Matthew Burton Sullivan | Speech-Language Pathologist | 5601 35th Ave N, St Petersburg, FL 33710-1911 | 2007-04-02 |
1053311472 | Matthew Ryan Sullivan | Optometrist | 980 Willow Creek Road, Suite 202, Prescott, AZ 86301-1610 | 2005-07-28 |
1376164012 | Matthew Conor Sullivan | Student in an Organized Health Care Education/Training Program | 1 Bowdoin Sq, Boston, MA 02114-2927 | 2020-05-05 |
1922653179 | Matthew James Sullivan | Physician Assistant | 323 Lowell St, Andover, MA 01810-4659 | 2019-08-05 |
1871156596 | Matthew Sullivan | Counselor | 26 Parkridge Rd, Haverhill, MA 01835-8514 | 2019-04-18 |
1639650955 | Matthew Sullivan | Occupational Therapy Assistant | 500 Valle Vista Dr, Athens, TX 75751-2760 | 2018-08-24 |
1619329703 | Matthew Sullivan | Physical Therapist | 115 E Harmony Rd Ste 160, Fort Collins, CO 80525-3280 | 2016-07-12 |
1760846919 | Matthew L. Sullivan | Nurse Anesthetist, Certified Registered | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2016-04-13 |
Street Address |
6620 FLY RD STE 200 |
City | EAST SYRACUSE |
State | NY |
Zip Code | 13057-9791 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841259769 | Christopher L. Hay | Specialist/Technologist | 6620 Fly Rd, East Syracuse, NY 13057-9717 | 2006-03-20 |
1598286171 | Matthew Macdonald Aloi | Nurse Practitioner | 6620 Fly Rd, East Syracuse, NY 13057-9791 | 2017-07-04 |
1912448713 | Upstate Orthopedics, LLP | Durable Medical Equipment & Medical Supplies | 6620 Fly Rd, Ste 200, East Syracuse, NY 13057-9791 | 2017-03-13 |
1538539929 | Fehid Mehic | Nurse Practitioner | 6620 Fly Rd, East Syracuse, NY 13057-9791 | 2015-09-29 |
1841694882 | Rebecca Infante | Specialist/Technologist | 6620 Fly Rd, East Syracuse, NY 13057-9791 | 2014-10-20 |
1700289238 | Ryan Connolly | Physician Assistant | 6620 Fly Rd, Ste 200, East Syracuse, NY 13057-9791 | 2014-09-29 |
1942634522 | Jaclyn M Ireland | Physician Assistant | 6620 Fly Rd, Suite 200, East Syracuse, NY 13057-9791 | 2013-08-30 |
1861745374 | Allison Ferris Lewis | Physician Assistant | 6620 Fly Rd, East Syracuse, NY 13057 | 2012-10-22 |
1588947550 | Daniel David Birklin | Physician Assistant | 6620 Fly Rd, 200, East Syracuse, NY 13057-9791 | 2011-09-26 |
1942599246 | Michael J Schreck | Orthopaedic Surgery | 6620 Fly Rd, East Syracuse, NY 13057-9791 | 2011-04-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891335527 | Amanda Christian | Clinic/Center | Hcr Home Care- 6007 Fair Lakes Rd, East Syracuse, NY 13057 | 2020-01-10 |
1437690104 | Wojtyna Dental LLC | Dentist | 6600 Weighlock Drive, East Syracuse, NY 13057 | 2017-03-15 |
1538609854 | Marie Elena Dow | Health Educator | 6576 Kirkville Road, East Syracuse, NY 13057 | 2017-03-06 |
1821534470 | Maureen Lanious | Massage Therapist | 6701 Manlius Center Road, Avanti Healing Arts, East Syracuse, NY 13057 | 2017-01-06 |
1629526058 | A Woman's Resource | Home Health | 5860 Bowman Road, East Syracuse, NY 13057 | 2016-09-14 |
1386029221 | Apollo Physical Therapy, Pllc | Physical Therapist | 6304 Carrier Parkway, East Syracuse, NY 13057 | 2015-07-21 |
1457734386 | Podiatry Services of Central New York, PC | Podiatrist | 6647 Kirkville Road, East Syracuse, NY 13057 | 2015-07-09 |
1730592163 | Plev Bc Plc | Dentist | 6600 Weighlock Dr, East Syracuse, NY 13057 | 2014-06-03 |
1821418740 | Kelsey Spradlin | Speech-Language Pathologist | 6400 Fremont Rd, East Syracuse, NY 13057 | 2014-04-17 |
1992044945 | Sizewise Rentals | Durable Medical Equipment & Medical Supplies | 6504 Basile Rowe, East Syracuse, NY 13057 | 2013-02-12 |
Find all providers in zip 13057 |
Taxonomy Code | 207XX0801X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Trauma |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881128882 | Natalie Rollick | Orthopaedic Surgery | 535 East 60th Street, Hospital for Special Surgery, New York, NY 10021 | 2017-04-17 |
1245506245 | Jeremy Podolnick | Orthopaedic Surgery | 5 E 98th St Fl 9, New York, NY 10029-6501 | 2012-03-24 |
1063679942 | Saila Detore | Orthopaedic Surgery | 403 Deer Park Ave, Babylon, NY 11702-2356 | 2008-05-19 |
1871500124 | Howard M Black | Orthopaedic Surgery | 96 Court St, Plattsburgh, NY 12901-2733 | 2006-08-01 |
1790703965 | Brian M Mehling | Orthopaedic Surgery | 800 Montauk Hwy, West Islip, NY 11795-4919 | 2006-07-17 |
1467938894 | Eric Ryan Still | Orthopaedic Surgery | 525 E 68th St, New York, NY 10065-4870 | 2018-07-18 |
1932654282 | Orthopedic Faculty Practice | Orthopaedic Surgery | 6010 Bay Pkwy, 7th Floor, Brooklyn, NY 11204-6079 | 2016-08-16 |
1376943910 | Diederik Otto Verbeek | Orthopaedic Surgery | 535 E 70th St, New York, NY 10021-4823 | 2014-09-02 |
1356772479 | Chima Nwankwo | Orthopaedic Surgery | 263 7th Ave Ste 2b, Brooklyn, NY 11215-3693 | 2013-11-30 |
1386902617 | Joshua Dustin Namm | Orthopaedic Surgery | 101 Nicolls Rd, Hsc T18 Rm 080, Stony Brook, NY 11794-8181 | 2012-04-24 |
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City | EAST SYRACUSE |
Zip Code | 13057 |
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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.