MICHAEL PATRICK SULLIVAN (NPI# 1922037548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922037548 |
| Entity Type | Individual |
| Full Name | MICHAEL PATRICK SULLIVAN |
| Credential | M.D. |
| Practice Address |
1117 Spring St Friday Harbor WA 98250-9782 |
| Mailing Address |
Po Box 5096 Bellingham WA 98227-5096 |
| Practice Telephone | 3603782141 |
| Practice Fax Number | 3603783655 |
| Mailing Telephone | 3603782141 |
| Mailing Fax Number | 3603783655 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2013-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD00033030 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LIWA | 0168205 | 01 |
| WA | L&I AND CRIME VICTIMS | 0302692 | 01 |
| WA | BSWA | 7524SU | 01 |
| WA | 8182263 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366918617 | Michael David Sullivan | Social Worker | 403 1/2 Hector St, Ithaca, NY 14850-2025 | 2018-10-15 |
| 1376923292 | Michael Sullivan | Student in an Organized Health Care Education/Training Program | Walter Reed 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2015-06-05 |
| 1881074896 | Michael Gregory Sullivan | Intermediate Care Facility, Mentally Retarded | 30 Hobomack Rd, Quincy, MA 02169-2508 | 2015-06-04 |
| 1104215136 | Michael Sullivan | Perfusionist | 137 Founders Way Ct, Cape Girardeau, MO 63701-9442 | 2015-01-14 |
| 1689927915 | Michael Robert Sullivan | Pharmacist | 41 Buena Vista St, Stamford, CT 06907-2402 | 2012-10-24 |
| 1154672038 | Michael James Sullivan | Dentist | 1882 Hard Rd, Columbus, OH 43235-1996 | 2012-10-02 |
| 1063791747 | Michael Gruer Sullivan | Counselor | 2024 N. Crystal Lake Dr., Suite 200 Room 205, Lakeland, FL 33801-6015 | 2011-08-11 |
| 1457647083 | Michael Patrick Sullivan | Dentist | 1008 G Sreet, Geneva, NE 68361 | 2011-06-22 |
| 1841528585 | Michael Andrew Sullivan | Counselor | 974 73rd St Ste 9, Windsor Heights, IA 50324-1026 | 2009-11-18 |
| 1508191388 | Michael Joseph Sullivan | Audiologist | 6644 Penn Ave S, Richfield, MN 55423-2026 | 2009-10-12 |
| Street Address |
1117 SPRING ST |
| City | FRIDAY HARBOR |
| State | WA |
| Zip Code | 98250-9782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730124371 | Mary Jo Groves | Family Medicine | 1117 Spring St, Friday Harbor, WA 98250 | 2006-06-18 |
| 1245611847 | Mallory Ann Brown | Nurse Practitioner | 1117 Spring St, Friday Harbor, WA 98250-9782 | 2015-06-09 |
| 1245642198 | Lauren Elisabeth Olsen | Family Medicine | 1117 Spring St, Friday Harbor, WA 98250-9782 | 2014-05-27 |
| 1902232507 | Peacehealth Peace Island Medical Center | Internal Medicine | 1117 Spring St, Friday Harbor, WA 98250-9782 | 2013-09-16 |
| 1831430164 | Kristen Rezabek | Dietitian, Registered | 1117 Spring St, Friday Harbor, WA 98250-9782 | 2013-03-12 |
| 1447526470 | Allison Goodwin Moyes | Emergency Medicine | 1117 Spring St, Friday Harbor, WA 98250-9782 | 2012-03-23 |
| 1043369044 | Rachel A. Bishop | Family Medicine | 1117 Spring St, Friday Harbor, WA 98250-9782 | 2007-01-09 |
| 1316009178 | Ruth Kay Fothergill | Family Medicine | 1117 Spring St, Friday Harbor, WA 98250 | 2006-12-15 |
| 1578647640 | Douglas R Tuttle | Emergency Medicine | 1117 Spring St, Friday Harbor, WA 98250-9782 | 2006-10-25 |
| 1689777609 | Roy W. Graves | Emergency Medicine | 1117 Spring St, Friday Harbor, WA 98250-9782 | 2006-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235642802 | Aileen Disney Howe | Occupational Therapist | 504 Fallingreen Way, Friday Harbor, WA 98250 | 2017-11-06 |
| 1255880217 | Bo Turnage Dds | Clinic/Center | 180 1st St, Ste 9, Friday Harbor, WA 98250 | 2016-09-30 |
| 1427452440 | Mt. Baker Planned Parenthood | Nurse Practitioner | 470 Reed Street, Unit 2a, Friday Harbor, WA 98250 | 2014-10-20 |
| 1851636211 | William Marvin Gaskill Sr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 17 Indian Beach Ln, Friday Harbor, WA 98250 | 2012-12-11 |
| 1275881831 | Freedom Enterprises Pllc | Clinic/Center | 180 First Street, #9, Friday Harbor, WA 98250 | 2012-08-29 |
| 1508129842 | Peacehealth Peace Island Medical Center | Emergency Medicine | 1117 Spring St., Friday Harbor, WA 98250 | 2012-06-21 |
| 1437468626 | Sarah Carlson | Speech-Language Pathologist | 505 Spring Street, Friday Harbor, WA 98250 | 2010-10-05 |
| 1164731113 | Lavendera Day Spa Ltd | Massage Therapist | 285 Spring Street, Friday Harbor, WA 98250 | 2010-09-24 |
| 1003124009 | Ciely Ti Gray | Massage Therapist | 440 Spring Street, Friday Harbor, WA 98250 | 2010-09-24 |
| 1881909950 | Karan Hannah | Speech-Language Pathologist | 599 High Haro Dr, Friday Harbor, WA 98250 | 2010-08-13 |
| Find all providers in zip 98250 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508129842 | Peacehealth Peace Island Medical Center | Emergency Medicine | 1117 Spring St., Friday Harbor, WA 98250 | 2012-06-21 |
| 1447526470 | Allison Goodwin Moyes | Emergency Medicine | 1117 Spring St, Friday Harbor, WA 98250-9782 | 2012-03-23 |
| 1578647640 | Douglas R Tuttle | Emergency Medicine | 1117 Spring St, Friday Harbor, WA 98250-9782 | 2006-10-25 |
| 1689777609 | Roy W. Graves | Emergency Medicine | 1117 Spring St, Friday Harbor, WA 98250-9782 | 2006-09-06 |
| 1700994233 | Loren Arthur Johnson | Emergency Medicine | 1117 Spring St, Friday Harbor, WA 98250-9782 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659985554 | Trans-west Ambulance Service LLC | Emergency Medicine | 526 N West Ave # Pmb112, Arlington, WA 98223-1251 | 2020-09-08 |
| 1629602016 | Franciscan Medical Group | Emergency Medicine | 3556 Market Pl W Ste 109, University Place, WA 98466-4339 | 2020-02-25 |
| 1477010676 | Hcmd LLC | Emergency Medicine | 11477 Nw Admiral Pl, Silverdale, WA 98383-4503 | 2019-02-23 |
| 1801352505 | Western Washington Emergency Physicians Pllc | Emergency Medicine | 14815 Pacific Ave S, Parkland, WA 98444-4654 | 2019-02-18 |
| 1013490507 | Dispatchhealth Washington PC | Emergency Medicine | 6912 220th St Sw Ste 113, Mountlake Terrace, WA 98043-2174 | 2018-09-11 |
| 1659802320 | Anders Conway | Emergency Medicine | 413 Lilly Rd Ne Dept Of, Olympia, WA 98506-5133 | 2017-03-24 |
| 1457705147 | Daniel Hinds | Emergency Medicine | 10019 N Austin Ln, Spokane, WA 99208-6072 | 2016-04-19 |
| 1497140206 | Angus Agnew | Emergency Medicine | 315 M.l.k. Jr. Way, Tacoma, WA 98405 | 2015-03-30 |
| 1518376151 | Karthikeyan Muthuswamy | Emergency Medicine | St Clare Hospital Emergency Department, 11315 Bridgeport Way Sw, Lakewood, WA 98499 | 2014-08-07 |
| 1285041137 | Anthony Guynes | Emergency Medicine | Swedish Phys. Redmond, 18100 Ne Union Hill Rd. Ste 200, Redmond, WA 98052-3330 | 2014-07-11 |
| Find all providers with the same taxonomy | ||||
| City | FRIDAY HARBOR |
| Zip Code | 98250 |
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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.