KARA MARIE SULLIVAN (NPI# 1922142975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922142975 |
| Entity Type | Individual |
| Full Name | KARA MARIE SULLIVAN |
| Other Name | KARA MARIE SCHNEIDER |
| Credential | MD |
| Practice Address |
1230 E Main St Mankato MN 56001-5066 |
| Practice Telephone | 5076251811 |
| Mailing Telephone | 5076251811 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
49370 | MN | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 17830 | MN | Allopathic & Osteopathic Physicians |
| N | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
49370 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979033 | Kara Sullivan | Student in an Organized Health Care Education/Training Program | 31 Pratt Ln, Wolcott, CT 06716-3012 | 2020-03-30 |
| 1386160968 | Kara E Sullivan | Speech-Language Pathologist | 800 N Cheyenne Rd, Nixa, MO 65714-6581 | 2017-08-16 |
| 1104229723 | Kara Elisabeth Sullivan | Specialist | 40 Montcalm Ave Unit 1, Brighton, MA 02135 | 2014-09-28 |
| 1366813263 | Kara Allison Sullivan | Nurse Practitioner | 230 Worcester St, Wellesley, MA 02481-5420 | 2015-10-18 |
| Street Address |
1230 E MAIN ST |
| City | MANKATO |
| State | MN |
| Zip Code | 56001-5066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154325173 | Kimberly A Aho | Psychiatry & Neurology | 1230 E Main St, Mankato, MN 56001-5066 | 2005-06-08 |
| 1699381418 | Emily Anna Potter | Nurse Practitioner | 1230 E Main St, Mankato, MN 56001-5066 | 2020-09-17 |
| 1699233965 | Zachary Joel Stevens | Physician Assistant | 1230 E Main St, Mankato, MN 56001-5066 | 2019-03-06 |
| 1033674288 | Season Marie Hoffman | Nurse Practitioner | 1230 E Main St, Mankato, MN 56001-8001 | 2019-02-01 |
| 1912471665 | Abby Jo Tibodeau | Dietitian, Registered | 1230 E Main St, Mankato, MN 56001-5066 | 2019-01-16 |
| 1154800886 | Travis Mattson | Physical Therapist | 1230 E Main St, Mankato, MN 56001-8001 | 2018-08-13 |
| 1801383955 | Nathan Evers | Pharmacist | 1230 E Main St, Mankato, MN 56001-5066 | 2018-04-15 |
| 1942704945 | Jennifer Sue Marble | Registered Nurse | 1230 E Main St, Mankato, MN 56001 | 2018-03-23 |
| 1669976742 | Brooke Renee Long | Registered Nurse | 1230 E Main St, Mankato, MN 56001 | 2018-03-22 |
| 1245740463 | Galen Mary Hilgendorf | Physician Assistant | 1230 E Main St, Mankato, MN 56001-5066 | 2017-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| 1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
| 1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
| 1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
| 1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
| Find all providers in zip 56001 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942555909 | Omar Mousa | Internal Medicine | 1025 Marsh St, Mankato, MN 56001-4752 | 2012-07-16 |
| 1649436668 | Ming-hsi Wang | Internal Medicine | 1025 Marsh St, Mankato, MN 56001-4752 | 2008-07-29 |
| 1346420965 | Matthew R. Carns | Internal Medicine | 1230 E Main St, Mankato, MN 56001-5066 | 2007-11-12 |
| 1184607798 | Shilun David Li | Internal Medicine | 1015 Marsh St, Mankato, MN 56001-5294 | 2005-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457795775 | Tyson Sievers | Internal Medicine | 406 Harvard St Se, Mmc 36, Minneapolis, MN 55455-0362 | 2013-04-18 |
| 1114269461 | Sachin Mohan | Internal Medicine | 640 Jackson St # Mc11503f, Saint Paul, MN 55101-2502 | 2013-03-25 |
| 1609011949 | Elizabeth Fallon | Internal Medicine | 2550 University Ave West Suite 423 South, Minneapolis, MN 55114-1904 | 2008-12-15 |
| 1780829440 | Albert Dallas Newcomer | Internal Medicine | 437 Eagle Ln Sw, Rochester, MN 55902-4137 | 2008-12-10 |
| 1528215415 | Ronald F Kettering | Internal Medicine | 1635 11th Ave Ne, Rochester, MN 55906-4266 | 2008-08-21 |
| 1710147392 | Ridgeview Clinics | Internal Medicine | 560 South Maple Street, Suite 220, Waconia, MN 55387-0000 | 2008-06-17 |
| 1265609085 | Jeffrey Sanders | Internal Medicine | 1185 Town Centre Dr #205, Eagan, MN 55123-1343 | 2008-05-12 |
| 1467640482 | Metropolitan Gastrointestinal Specialists | Internal Medicine | 17322 91st Ave N, Maple Grove, MN 55311-5403 | 2007-10-04 |
| 1144412503 | Paul R Dambowy | Internal Medicine | 1973 Sloan Pl Ste 100, Saint Paul, MN 55117-2085 | 2007-08-09 |
| 1598962656 | Maria E Moscandrew | Internal Medicine | 825 S 8th St Ste 250, Minneapolis, MN 55404-1214 | 2007-06-29 |
| 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.