DR. KELLY M SULLIVAN (NPI# 1831105329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831105329 |
| Entity Type | Individual |
| Full Name | DR. KELLY M SULLIVAN |
| Credential | MD |
| Practice Address |
888 Bestgate Road Suite 208 Annapolis MD 21401 |
| Practice Telephone | 4105711280 |
| Practice Fax Number | 4105711288 |
| Mailing Telephone | 4105711280 |
| Mailing Fax Number | 4105711288 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
D59894 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144832205 | Kelly E Sullivan | Nurse Practitioner | 10020 Southern Maryland Blvd Ste 202, Dunkirk, MD 20754-3055 | 2020-08-20 |
| 1124670724 | Kelly Elizabeth Sullivan | Occupational Therapy Assistant | 12 Deforest Rd, Lansdowne, PA 19050-2109 | 2019-07-12 |
| 1427549088 | Kelly Elizabeth Sullivan | Nurse Practitioner | 428 Hartford Tpke Ste 207, Vernon, CT 06066-4841 | 2018-05-19 |
| 1134642267 | Kelly Glen Sullivan | Durable Medical Equipment & Medical Supplies | 3345 Seajay Dr, Beavercreek, OH 45430-1365 | 2017-07-20 |
| 1831636778 | Kelly Sullivan | Assistant Behavior Analyst | 273 Powell Cir, Berlin, MD 21811-1185 | 2017-01-30 |
| 1396197521 | Kelly Sullivan | Speech-Language Pathologist | 82 Ridgecrest Dr, Pittsburgh, PA 15235-4548 | 2016-07-12 |
| 1548657851 | Kelly Sullivan | Speech-Language Pathologist | 1021 Wind River Pkwy, Morrisville, NC 27560-8233 | 2015-04-24 |
| 1568867877 | Kelly Sullivan | Speech-Language Pathologist | 14105 Snow Rd, Brookpark, OH 44142-2557 | 2014-10-29 |
| 1053713024 | Kelly Goodrich Sullivan | Physical Therapist | 2035 Gayle Pl, Clearwater, FL 33763-4217 | 2014-09-22 |
| 1730595752 | Kelly Sullivan | Registered Nurse | 8 Jacqueline Ct, Port Jefferson Station, NY 11776-3117 | 2014-07-10 |
| Street Address |
888 BESTGATE ROAD SUITE 208 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475307 | Gregory Alan Mitchell | Specialist | 888 Bestgate Road, Suite 211, Annapolis, MD 21401-2953 | 2005-05-26 |
| 1114083052 | Jay Thompson Rorick | Optometrist | 888 Bestgate Road, Suite 102, Annapolis, MD 21401-3091 | 2006-12-28 |
| 1952461816 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Family Medicine | 888 Bestgate Road, Annapolis, MD 21401-3091 | 2006-12-11 |
| 1831257310 | Kaiser Foundation Health Plan of The Mid Atlantic States,inc | Pharmacy | 888 Bestgate Road, Annapolis, MD 21401-3091 | 2006-12-05 |
| 1205901246 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Clinical Medical Laboratory | 888 Bestgate Road, Annapolis, MD 21401-3091 | 2006-11-22 |
| 1891868196 | Anthony Boakye | Internal Medicine | 888 Bestgate Road, Suite 102, Annapolis, MD 21401-3091 | 2006-11-16 |
| 1801983713 | Barbara A Hutchinson | Internal Medicine | 888 Bestgate Road, Ste 215, Annapolis, MD 21401-2953 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164682746 | Claire Susan Duggal | Surgery | 621 Ridgely Ave 401, Annapolis, MD 21401-1099 | 2008-06-17 |
| 1134416688 | Anne Arundel Physician Group LLC | Surgery | 2000 Medical Pkwy, Suite 200, Annapolis, MD 21401-3742 | 2011-07-06 |
| 1134309198 | Kelly Sullivan,m.d.,p.c. | Surgery | 888 Bestgate Rd, Suite 208, Annapolis, MD 21401-3091 | 2007-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346713286 | Faulkner Plastic Surgery | Surgery | 6000 Executive Blvd Ste 204, North Bethesda, MD 20852-3803 | 2019-01-03 |
| 1043509748 | Salih Colakoglu | Surgery | 601 N Caroline St # 8152c, Baltimore, MD 21287-0006 | 2011-04-04 |
| 1376786418 | Emile Nathaniel Brown | Surgery | 1838 Greene Tree Rd Ste 370, Pikesville, MD 21208-7102 | 2009-04-17 |
| 1487813358 | Jerome S Plasse Md Pa | Surgery | 10085 Red Run Blvd #405, Owings Mills, MD 21117 | 2008-06-05 |
| 1073793501 | Bradley C Robertson Md L L C | Surgery | 1 Barrington Place, Suite 106, Bel Air, MD 21014-5607 | 2007-11-13 |
| 1093875288 | James E. Vogel | Surgery | 4 Park Center Ct, 100, Owings Mills, MD 21117-5611 | 2006-12-11 |
| 1750463964 | Stephane Corriveau | Surgery | 5530 Wisconsin Ave Ste 711, Chevy Chase, MD 20815-4401 | 2006-10-19 |
| 1477584753 | Alyson Delane Wells | Surgery | 10151 York Rd, Suites 112-114, Hunt Valley, MD 21030-3314 | 2006-07-05 |
| 1053381202 | Gary A Vela | Surgery | 8600 Snowden River Pkwy, Suite 308, Columbia, MD 21045-1982 | 2006-01-23 |
| 1104803782 | Atlantic Plastic Surgery PC | Surgery | 106 Milford St Ste 305, Salisbury, MD 21804 | 2005-12-27 |
| Find all providers with the same taxonomy | ||||
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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.