DR. MATTHEW PATRICK SULLIVAN


Address: 6620 Fly Rd, Ste 200, East Syracuse, NY 13057-9791
Phone: 3154644472

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NY 04488400 05

Other Providers MATTHEW SULLIVAN

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

Office Location

Street Address 6620 FLY RD
STE 200
City EAST SYRACUSE
State NY
Zip Code 13057-9791

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207XX0801X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Orthopaedic Trauma

Taxonomy Definition

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.

Providers in the same taxonomy and state

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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Competitor

Search similar providers

City EAST SYRACUSE
Zip Code 13057

Improve Information

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Dataset Information

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.

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