DR. CHRISTOPHER DAVID SULLIVAN (NPI# 1932194677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932194677 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER DAVID SULLIVAN |
| Credential | M.D, M.P.H. |
| Practice Address |
5555 W Thunderbird Rd Glendale AZ 85306 |
| Mailing Address |
5555 W Thunderbird Rd Glendale AZ 85306-4622 |
| Practice Telephone | 6028655094 |
| Practice Fax Number | 8885312944 |
| Mailing Telephone | 6028655094 |
| Mailing Fax Number | 8885312944 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2018-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146L00000X | Emergency Medical Technician, Paramedic | 095555 | PA | Emergency Medical Service Providers |
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
56878 | AZ | Allopathic & Osteopathic Physicians |
| N | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
2009036609 | MO | Allopathic & Osteopathic Physicians |
| N | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
MD432439 | PA | Allopathic & Osteopathic Physicians |
| N | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
22041 | SC | Allopathic & Osteopathic Physicians |
| N | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
0101238689 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 19600 E 39th St S, Independence, MO 640572301 | 8166988160 | 8885312944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124504311 | Christopher Sullivan | Dentist | 1320 W A St, Lincoln, NE 68522-1231 | 2018-07-11 |
| 1750803748 | Christopher Sullivan | Podiatrist | 6442 S. Speedway Blvd, Ste 102, Tucson, AZ 85710 | 2017-07-11 |
| 1437535093 | Christopher Sullivan | Pharmacist | 214 S Van L Mungo Blvd, Pageland, SC 29728-1950 | 2015-08-06 |
| 1952706442 | Christopher Douglas Sullivan | Chiropractor | 80 Apple Valley Dr, Langhorne, PA 19047-1901 | 2014-10-27 |
| 1730524554 | Christopher M Sullivan | Counselor | 576 Avalon Ct Ne, Albany, OR 97322-4593 | 2013-05-07 |
| 1811008253 | Christopher Andrew Sullivan | Obstetrics & Gynecology | 6060 N Fountain Plaza Dr Ste 200, Maternal Fetal Medicine Associates of Arizona, Tucson, AZ 85704-7872 | 2006-08-31 |
| 1124041470 | Christopher John Sullivan | Internal Medicine | 2801 Sw College Road, Suite 16, Ocala, FL 34474 | 2006-07-26 |
| 1770506271 | Christopher J. Sullivan | Internal Medicine | 12255 S. 80th Ave., Suite 204, Palos Heights, IL 60463 | 2006-07-25 |
| 1609839448 | Christopher J Sullivan | Internal Medicine | 500 Harvard Street Se, University of Minnesota Medical Center, Minneapolis, MN 55455 | 2006-04-11 |
| 1144889908 | Christopher Sullivan | Pathology | 169 Ashley Avenue, Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2019-06-06 |
| Street Address |
5555 W THUNDERBIRD RD |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134746597 | Samantha Borbely | Registered Nurse | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2020-07-01 |
| 1891319380 | Amy Robinson | Pharmacist | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2020-06-01 |
| 1538709134 | Teresa Socio | Nurse Practitioner | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2020-01-10 |
| 1861032773 | Amy Suzanne Mabry | Pediatrics | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2020-01-08 |
| 1558907311 | Edim Musa | Nurse Practitioner | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2019-11-26 |
| 1437623717 | Camile Fabrigail Solidum | Nurse Practitioner | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2019-01-19 |
| 1730660119 | Melissa England | Pharmacist | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2018-08-23 |
| 1477047520 | Ashley Blair Forester | Nurse Practitioner | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2018-06-20 |
| 1063912574 | Adrian Senh Long | Nurse Practitioner | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2018-02-20 |
| 1952822892 | Akash Nabh Md Pllc | Internal Medicine | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2017-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
| 1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
| 1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
| 1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
| 1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
| 1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
| 1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
| 1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
| 1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
| 1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
| Find all providers in zip 85306 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326008335 | Tabitha Woolpert | Preventive Medicine | 22624 N 73rd Dr, Glendale, AZ 85310-5661 | 2006-03-24 |
| 1275074700 | Passport Health Holdings, LLC | Preventive Medicine | 18301 N 79th Ave, Ste D148, Glendale, AZ 85308-8479 | 2017-03-16 |
| 1316066392 | Elizabeth Virginia Murphy | Preventive Medicine | 330 N Brand Blvd, Glendale, CA 91203-2308 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227906 | Stchealth LLC | Preventive Medicine | 411 S 1st St, Phoenix, AZ 85004-2754 | 2020-05-26 |
| 1376033233 | Passport Health Holdings LLC | Preventive Medicine | 4647 N 32nd Street, Suite 115 1st Floor, Phoenix, AZ 85018-3346 | 2018-05-16 |
| 1578004008 | Passport Health Holdings, LLC | Preventive Medicine | 1116 E Route 66, Flagstaff, AZ 86001-4706 | 2017-03-16 |
| 1558802082 | Passport Health Holdings, LLC | Preventive Medicine | 2601 N. 3rd Street, Ste 102, Phoenix, AZ 85004-1145 | 2017-03-16 |
| 1366983801 | Passport Health Holdings, LLC | Preventive Medicine | 2034 E Southern Ave Ste L, Tempe, AZ 85282-7511 | 2017-03-16 |
| 1295119022 | Arizona Wellness Medicine LLC | Preventive Medicine | 8776 E Shea Blvd Ste 106-196, Scottsdale, AZ 85260-6629 | 2015-07-10 |
| 1285041822 | Jason Theodosakis | Preventive Medicine | 5257 N Via Sempreverde, Tucson, AZ 85750-5967 | 2014-07-15 |
| 1528369774 | Suzanne Lynn Valente | Preventive Medicine | 4775 S Butterfield Dr, Tucson, AZ 85714-3449 | 2010-11-04 |
| 1558690602 | Carlton Koons Meschievitz | Preventive Medicine | 222 Jacob Ln, Prescott, AZ 86303-8806 | 2009-12-21 |
| 1417181660 | James W. Justice | Preventive Medicine | 3663 E Kingler Spring Pl, Tucson, AZ 85718-2324 | 2009-05-03 |
| 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.