DAN T SULLIVAN (NPI# 1831301639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831301639 |
| Entity Type | Individual |
| Full Name | DAN T SULLIVAN |
| Credential | M.D. |
| Practice Address |
3780 E Pond Apple Dr Springfield MO 65809-4147 |
| Practice Telephone | 4178837995 |
| Practice Fax Number | 4178822560 |
| Mailing Telephone | 4178837995 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | MDR4804 | MO | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023237682 | Dan Sullivan | Chiropractor | 1600 Normandy Ct, Ste. 110, Lincoln, NE 68512-1470 | 2007-04-24 |
| Street Address |
3780 E POND APPLE DR |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65809-4147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073016671 | Luke P Walker | Pharmacist | 1247 S Greentree Ave, Springfield, MO 65809 | 2018-03-10 |
| 1265985543 | Stacy Loc Rohrbaugh | Registered Nurse | 889 White Diamond Ct, Springfield, MO 65809 | 2016-08-03 |
| 1144651571 | Valence Massage | Massage Therapist | 4411 E. Sunshine, Suite H, Springfield, MO 65809 | 2013-12-11 |
| 1750654752 | Leo Thomas Neu Jr. | Internal Medicine | 3721 E Bowman, Springfield, MO 65809 | 2012-02-22 |
| 1194743187 | Daniel Joseph Edwards | Specialist/Technologist | 807 S Mission Cir, Springfield, MO 65809-1348 | 2006-07-17 |
| 1780892976 | The Arc of The Ozarks | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3445 E Lombard St, Springfield, MO 65809-1420 | 2007-05-19 |
| 1093189953 | Henry Krahn | Community Health Worker | 741 S Mumford Cir, Springfield, MO 65809-1516 | 2015-11-16 |
| 1366683989 | Nancy Louise Samples | Counselor | 4410 E Valley Rd, Springfield, MO 65809-1622 | 2009-03-11 |
| 1558902775 | Stephanie L Mcbratney | Speech-Language Pathologist | 3510 E Whitehall Dr, Springfield, MO 65809-2135 | 2019-09-30 |
| 1508992686 | Raystarr, LLC | Durable Medical Equipment & Medical Supplies | 3259 E Sunshine St Ste R, Springfield, MO 65809-2143 | 2007-02-26 |
| Find all providers in zip 65809 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831124478 | Kathleen A Rogers | Radiologic Technologist | 5273 S Aaron Ave, Springfield, MO 65810-2879 | 2006-07-12 |
| 1356782130 | Stephanie Amber Pfeiffer | Radiologic Technologist | 148 W North St, Springfield, OH 45504-2547 | 2013-07-09 |
| 1992005649 | Gail Ann Anderson | Radiologic Technologist | 800 E Carpenter St, Springfield, IL 62702-5324 | 2010-10-28 |
| 1295981389 | Kathleen A Rogers | Radiologic Technologist | 5273 S Aaron Ave, Springfield, MO 65810-2879 | 2008-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306225412 | Joseph Parks | Radiologic Technologist | 412 Treetop Village Ct, Ballwin, MO 63021-7456 | 2015-05-21 |
| 1164661179 | Mary Ellen Ash | Radiologic Technologist | 407 S Park Ave, Saint Louis, MO 63119-4151 | 2009-02-13 |
| 1689855421 | Linda Kay Goddard | Radiologic Technologist | 7804 Clevedon St, Saint Louis, MO 63123-3822 | 2007-11-20 |
| 1891984951 | Mid-america X-ray LLC | Radiologic Technologist | 1711 Taylor St., Lexington, MO 64067-1153 | 2007-10-15 |
| 1659496636 | Nancy Schultheis | Radiologic Technologist | 9856 Scottdale Dr, Saint Louis, MO 63136-1955 | 2007-03-20 |
| 1295279636 | Cassie Elrod | Radiologic Technologist | 800 Hospital Dr, Columbia, MO 65201-5275 | 2016-12-04 |
| 1053864835 | Robert Fred Vandeborne | Radiologic Technologist | 12647 Olive Blvd, Suite 600, Saint Louis, MO 63141-6393 | 2016-07-28 |
| 1396155636 | Heartland Regional Medical Center | Radiologic Technologist | 8880 Ne 82nd Ter, Kansas City, MO 64158-1313 | 2014-05-07 |
| 1770904393 | Heartland Regional Medical Center | Radiologic Technologist | 6301 N Lucerne Ave, Kansas City, MO 64151-3105 | 2013-12-27 |
| 1295166445 | Daniel Taylor | Radiologic Technologist | 408 Washington Ave, West Plains, MO 65775-3432 | 2013-12-12 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 65809 |
Please comment or provide details below to improve the information on DAN T SULLIVAN.
| 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.