JAMES HENRY SULLIVAN MD LLC (NPI# 1922207984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922207984 |
| Entity Type | Organization |
| Organization Name | JAMES HENRY SULLIVAN MD LLC |
| Practice Address |
973 Mica Dr Suite 102 Carson City NV 89705-7255 |
| Mailing Address |
Po Box 4100 Portland OR 97208-4100 |
| Practice Telephone | 7752679222 |
| Practice Fax Number | 7752679225 |
| Mailing Telephone | 5033722740 |
| Mailing Fax Number | 5033722755 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2010-05-13 |
| Authorized Official Name | JAMES HENRY SULLIVAN (PRESIDENT) |
| Authorized Official Telephone | 7752679222 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
973 MICA DR SUITE 102 |
| City | CARSON CITY |
| State | NV |
| Zip Code | 89705-7255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154323277 | Joseph Patrick Walls | Orthopaedic Surgery | 973 Mica Dr, Ste 201, Carson City, NV 89705-7255 | 2005-06-01 |
| 1922456110 | Conor White | Physical Therapist | 973 Mica Dr, Suite 201, Carson City, NV 89705-7255 | 2016-05-27 |
| 1891179065 | Joseph William Benton IIi | Nurse Practitioner | 973 Mica Dr, Carson City, NV 89705-7255 | 2015-07-16 |
| 1437572864 | Peter N Costa, Md, Ltd | Durable Medical Equipment & Medical Supplies | 973 Mica Dr, Suite 201, Carson City, NV 89705-7258 | 2014-01-21 |
| 1710311626 | Robin Y Tomita, M.d. | Durable Medical Equipment & Medical Supplies | 973 Mica Dr, Suite 201, Carson City, NV 89705-7255 | 2013-08-27 |
| 1255627964 | Marco Mendoza | Orthopaedic Surgery | 973 Mica Dr, Suite 201, Carson City, NV 89705-7255 | 2011-06-21 |
| 1801193883 | Nicholas J Dirig | Orthopaedic Surgery | 973 Mica Dr, Suite 201, Carson City, NV 89705-7255 | 2011-02-28 |
| 1629394663 | Randall L Goode Md PC | Pain Medicine | 973 Mica Dr, Carson City, NV 89705-7255 | 2010-04-15 |
| 1386970614 | Star Ray Chenoweth | Physician Assistant | 973 Mica Dr, Suite 201, Carson City, NV 89705-7255 | 2009-10-21 |
| 1316193287 | Candace Camelon | Nurse Practitioner | 973 Mica Dr, Suite 201, Carson City, NV 89705-7255 | 2008-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366642423 | Melinda Kaye Hoskins | Registered Nurse | 937 Mica Dr Ste 16b, Carson City, NV 89705 | 2007-07-18 |
| 1396897849 | Ronald Winkelman | Optometrist | 3370 N. Hwy 395 South, Carson City, NV 89705 | 2007-01-17 |
| 1821155300 | Huyen Mong Nguyen | Optometrist | 911 Topsy Ln Ste 236, Carson City, NV 89705 | 2007-01-03 |
| 1013018241 | Timothy R. Stoll Dds LLC | Dentist | 1625 Hwy 88, Suite 201, Minden, NV 89705 | 2006-09-26 |
| 1720198344 | Costco Wholesale Corporation | Pharmacy | 700 Old Clear Creek Rd, Carson City, NV 89705 | 2006-08-30 |
| 1821089376 | Kelly A Roetman | Registered Nurse | 973 Mica Dr Ste 201, Carson City, NV 89705 | 2005-11-03 |
| 1083145809 | Ashten Howard | Physician Assistant | 973 Mica Dr Ste 201, Carson City, NV 89705 | 2017-03-23 |
| 1881068518 | Emma Bacharach | Physician Assistant | 973 Mica Dr Ste 201, Carson City, NV 89705 | 2015-11-18 |
| 1770845885 | Melinda Hoskins Cnm, Ltd | Registered Nurse | 937 Mica Dr Ste 16b, Carson City, NV 89705 | 2012-06-13 |
| 1437418811 | Daniel James Cepela | Orthopaedic Surgery | 973 Mica Dr Ste 201, Carson City, NV 89705 | 2012-05-06 |
| Find all providers in zip 89705 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275806945 | Cheryl Hilty Orr M D Medical Corporation | Anesthesiology | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2012-02-10 |
| 1316115231 | Carson Douglas Anesthesia Services Inc | Anesthesiology | 973 Mica Dr, Suite 102, Carson City, NV 89705-7255 | 2008-02-13 |
| 1386837391 | Christopher J Garrett Ltd | Anesthesiology | 973 Mica Dr, Suite 101, Carson City, NV 89705-7170 | 2007-08-22 |
| 1538268529 | Christopher Joseph Garrett | Anesthesiology | 973 Mica Dr, Suite 101, Carson City, NV 89705-7170 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144858374 | Sudhir S Khemka Md, Pllc | Anesthesiology | 2913 Josephine Dr, Henderson, NV 89044-0374 | 2020-04-01 |
| 1215564539 | Mark David Kraft | Anesthesiology | 8861 W Sahara Ave Ste 220, Las Vegas, NV 89117-4805 | 2020-03-25 |
| 1659918498 | Center for Wellness and Pain Care of Las Vegas, Inc. | Anesthesiology | 6930 S Cimarron Rd, Ste 260, Las Vegas, NV 89113-2135 | 2019-11-27 |
| 1588143226 | Affiliated Pain Management LLC | Anesthesiology | 2080 E Calvada Blvd Ste 500, Pahrump, NV 89048-6578 | 2018-08-13 |
| 1154839637 | Jacob Blake, Md Ltd. | Anesthesiology | 5590 Kietzke Lane, Reno, NV 89511 | 2018-01-18 |
| 1922526755 | Pain Care Innovation LLC | Anesthesiology | 222 Karen Ave Unit 3305, Las Vegas, NV 89109-5308 | 2017-08-31 |
| 1003367921 | Charlie Y. Nahm, Md, PC | Anesthesiology | 9333 W Sunset Rd, Suite A, Las Vegas, NV 89148-4845 | 2016-10-14 |
| 1588082374 | Tara-lin Hollins | Anesthesiology | 3281 N Decatur Blvd Ste 150, Las Vegas, NV 89130-3264 | 2014-03-31 |
| 1225385842 | Quicknd Pain Care | Anesthesiology | 3111 S Maryland Pkwy Ste 200, Las Vegas, NV 89109-2319 | 2012-08-14 |
| 1487911962 | Coppel Medical Enterprise | Anesthesiology | 1070 Wigwam Pkwy, Suite 120, Henderson, NV 89074-8177 | 2012-04-20 |
| Find all providers with the same taxonomy | ||||
| City | CARSON CITY |
| Zip Code | 89705 |
Please comment or provide details below to improve the information on JAMES HENRY SULLIVAN MD LLC.
| 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.