KERRY M. SULLIVAN (NPI# 1861566176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861566176 |
| Entity Type | Individual |
| Full Name | KERRY M. SULLIVAN |
| Credential | MD |
| Practice Address |
710 Lawrence Expy Santa Clara CA 95051-5173 |
| Mailing Address |
1800 Harrison St Fl 7 Oakland CA 94612-3429 |
| Practice Telephone | 4088511000 |
| Mailing Telephone | 5106256262 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
G74971 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G749710 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386724961 | Kerry Renee Sullivan | Counselor | 978 Home Plz, Suite 300, Waterloo, IA 50701-4809 | 2006-10-17 |
| 1326154477 | Kerry P Sullivan | Optometrist | 106 N King St, Windsor, NC 27983-6863 | 2006-08-22 |
| 1093717548 | Kerry Sullivan | Radiology | 4110 Warrensville Center Rd, Warrensville Heights, OH 44122-7024 | 2005-08-15 |
| 1629523568 | Kerry Sullivan | Rehabilitation Hospital | 1401 S California Ave, Chicago, IL 60608-1858 | 2016-08-21 |
| 1801246442 | Kerry Sullivan | Registered Nurse | 100 Route 59 Ste 117, Airmont, NY 10901-4927 | 2016-06-14 |
| 1205094661 | Kerry Sullivan | Social Worker | 645 N Michigan Ave Ste 803, Chicago, IL 60611-5123 | 2008-06-01 |
| Street Address |
710 LAWRENCE EXPY |
| City | SANTA CLARA |
| State | CA |
| Zip Code | 95051-5173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699771030 | Lucy Song | Internal Medicine | 710 Lawrence Expy, Oncology Dept #440, Santa Clara, CA 95051-5173 | 2005-06-21 |
| 1124638465 | Eyad Jabra Kawwa | Physical Therapist | 710 Lawrence Expy, Santa Clara, CA 95051-5173 | 2020-08-02 |
| 1396374112 | Christopher Glen Low | Student in an Organized Health Care Education/Training Program | 710 Lawrence Expy, Santa Clara, CA 95051-5173 | 2020-04-03 |
| 1780213603 | Jeannie Gail Evangelista Radoc | Student in an Organized Health Care Education/Training Program | 710 Lawrence Expy, Santa Clara, CA 95051-5173 | 2020-04-02 |
| 1568091494 | David Feldman | Student in an Organized Health Care Education/Training Program | 710 Lawrence Expy, Santa Clara, CA 95051-5173 | 2020-04-02 |
| 1609404847 | Steven M Herron | Student in an Organized Health Care Education/Training Program | 710 Lawrence Expy, Santa Clara, CA 95051-5173 | 2020-04-01 |
| 1023646114 | Amber O'connor | Student in an Organized Health Care Education/Training Program | 710 Lawrence Expy, Santa Clara, CA 95051-5173 | 2020-04-01 |
| 1780212068 | Andrew Le | Student in an Organized Health Care Education/Training Program | 710 Lawrence Expy, Department 384 Gme, Santa Clara, CA 95051-5173 | 2020-03-31 |
| 1811525405 | Mahza Alam | Student in an Organized Health Care Education/Training Program | 710 Lawrence Expy, Santa Clara, CA 95051-5173 | 2020-03-30 |
| 1003444514 | Stuart Andrew Green | Student in an Organized Health Care Education/Training Program | 710 Lawrence Expy, Santa Clara, CA 95051-5173 | 2020-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043773690 | Christian Hamm | Pharmacist | Kaiser Permanente Medical Center Santa Clara, Dept 362 (inpatient Pharmacy), 710 Lawrence Expressway, Santa Clara, CA 95051 | 2019-04-10 |
| 1053879692 | Jiaqi Weng | Acupuncturist | 2062 Walsh Ave Suite B2, San Clare, CA 95051 | 2019-03-02 |
| 1699293209 | Leslie Avalos | Massage Therapist | 3530 Lochnivar Ave, Santa Clara, CA 95051 | 2017-09-04 |
| 1831552843 | Miral Neel Patel | Physical Therapist | 2737 Walsh Avenue, Alliance Occupational Medicine, Santa Clara, CA 95051 | 2016-03-29 |
| 1861831117 | Alison Wong | Emergency Medicine | 700 Lawrence Expy Dept 100, Santa Clara, CA 95051 | 2013-06-20 |
| 1073889291 | Brittany Lee Bianchi | Speech-Language Pathologist | 3775 Flora Vista Ave, Apt. 501, Santa Clara, CA 95051 | 2012-04-02 |
| 1124390067 | Karo Isajan | Chiropractor | 5145 Stevens Creek Blvd Ste 130, Santa Clara, CA 95051 | 2012-02-08 |
| 1598054991 | David Phillip Guo | Urology | 710 Lawrence Expy Dept 448, Santa Clara, CA 95051 | 2011-04-06 |
| 1043528573 | Jennifer Hui Young | Chiropractor | 2342 Walsh Ave, Santa Clara, CA 95051 | 2010-09-17 |
| 1386961217 | Assefa Gebremichael | Pharmacist | 1000 Kiely Blvd, #91, Santa Clara, CA 95051 | 2010-05-03 |
| Find all providers in zip 95051 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629560149 | Norcal Pediatric Surgical Partners | Surgery | 21c Orinda Way # 276, Orinda, CA 94563-2534 | 2018-05-31 |
| 1598137291 | Pasadena Pediatric Surgery, Inc. | Surgery | 625 S Fair Oaks Ave Ste 286, Pasadena, CA 91105-2613 | 2015-10-21 |
| 1205121704 | Bindi Naik-mathuria | Surgery | 7512 Hampton Ave, West Hollywood, CA 90046-5503 | 2011-06-13 |
| 1295053437 | Ashley Walther | Surgery | 4650 W Sunset Blvd # Ms 100, Los Angeles, CA 90027 | 2010-05-12 |
| 1881918407 | R V Daluvoy Md Inc | Surgery | 908 East Main St, Barstow, CA 92311-2406 | 2010-03-25 |
| 1215162607 | James Pierce | Surgery | 9300 Valley Childrens Pl # Ge01, Madera, CA 93636-8761 | 2009-05-28 |
| 1790921641 | Clinica Medica Del Valle, Inc. | Surgery | 52-565 Harrison Street, Suite 104, Coachella, CA 92236-1534 | 2008-12-24 |
| 1225298870 | Payam Saadai | Surgery | 2221 Stockton Blvd, 3rd Floor, Uc Davis Medical Center, Sacramento, CA 95817-1418 | 2008-06-16 |
| 1396916524 | Erin Brown | Surgery | 2425 Stockton Blvd Shriners Hospital for Children, Sacramento, CA 95817-2215 | 2008-03-15 |
| 1124203872 | Children's Hospital Los Angeles Medical Group | Surgery | 4650 W Sunset Blvd # 72, Los Angeles, CA 90027-6062 | 2007-12-31 |
| Find all providers with the same taxonomy | ||||
| City | SANTA CLARA |
| Zip Code | 95051 |
Please comment or provide details below to improve the information on KERRY M. 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.