DR. ANDREW SULLIVAN (NPI# 1932470291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932470291 |
| Entity Type | Individual |
| Full Name | DR. ANDREW SULLIVAN |
| Credential | D.O. |
| Practice Address |
162 1st St Bldg 1402 Port Hueneme CA 93043-4316 |
| Practice Telephone | 9365230454 |
| Practice Fax Number | 8059822071 |
| Mailing Telephone | 9365230454 |
| Mailing Fax Number | 8059822071 |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2015-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 0102203574 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932628344 | Andrew Thomas Sullivan | Student in an Organized Health Care Education/Training Program | 106 Mccall Street, Clover, SC 29710 | 2017-09-18 |
| 1881621720 | Andrew L Sullivan | Family Medicine | 777 Township Line Rd, Suite 200, Yardley, PA 19067-5552 | 2006-06-27 |
| 1235127796 | Andrew J Sullivan | Family Medicine | 34 N Helderberg Pkwy, Slingerlands, NY 12159-9258 | 2005-10-10 |
| 1164942983 | Andrew James Sullivan | Counselor | 20 Eastbrook Rd, Suite 104, Dedham, MA 02026 | 2017-06-22 |
| 1992163646 | Andrew Joseph Sullivan | Specialist | 801 Pleasant St, Brockton, MA 02301-3052 | 2016-02-09 |
| 1497131445 | Andrew Sullivan | Physical Therapist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2015-07-31 |
| 1780067678 | Andrew Sullivan | Physician Assistant | 802 Ackerly St, Lamoni, IA 50140-1544 | 2015-07-09 |
| 1932454261 | Andrew James Sullivan | Nurse Practitioner | 2316 1st Ave S, Birmingham, AL 35233-2414 | 2012-07-24 |
| 1881837490 | Andrew Christopher Sullivan | Anesthesiology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2009-04-13 |
| 1437277399 | Andrew J Sullivan | Physical Therapist | 5 Edgewood Ave, Greenwich, CT 06830-5211 | 2007-03-27 |
| Street Address |
162 1ST ST BLDG 1402 |
| City | PORT HUENEME |
| State | CA |
| Zip Code | 93043-4316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285947952 | Richard Benjamin Bonnes | Physician Assistant | 162 1st St Bldg 1402, Port Hueneme, CA 93043-4316 | 2010-07-22 |
| 1023501871 | Erin Michelle Anderson | Physical Therapy Assistant | 162 1st St Bldg 1402, Port Hueneme, CA 93043-4316 | 2018-06-07 |
| 1265951305 | Nickolas Vincent Ponce | Military Health Care Provider | 162 1st St Bldg 1402, Port Hueneme, CA 93043-4316 | 2017-09-10 |
| 1316334717 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | 162 1st St Bldg 1402, Port Hueneme, CA 93043 | 2015-04-23 |
| 1033506431 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | 162 1st St Bldg 1402, Port Hueneme, CA 93043 | 2015-04-23 |
| 1457771628 | Erin Alexis Murphy | Family Medicine | 162 1st St Bldg 1402, Port Hueneme, CA 93043-5005 | 2014-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558852921 | Ryan Kitchens | Military Health Care Provider | 4643 Dock Road Building 524, Port Hueneme, CA 93043 | 2018-05-22 |
| 1881952661 | Underwater Construction Team Two | Military/U.S. Coast Guard Transport | 4643 Dock Road Bldg 524, Underwater Construction Team Two, Port Hueneme, CA 93043 | 2012-04-30 |
| 1528037108 | Thomas A Colp | Optometrist | 162 First Street, Port Hueneme, CA 93043 | 2006-03-16 |
| 1033184874 | Erwin Lee Hoffman | Pediatrics | 162 First St, Port Hueneme Amulatory Clinic Navy Base, Port Hueneme, CA 93043 | 2006-02-22 |
| 1366412157 | William Malcolm Brown IIi | Family Medicine | 1436 Pacific Avenue, Port Hueneme, CA 93043 | 2006-01-24 |
| 1740385095 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | 162 1st St, Naval Medical Center, Port Hueneme, CA 93043 | 2006-09-13 |
| 1871828723 | Seth T. Secrease | Military Health Care Provider | Naval Clinic Port Hueneme, 162 1st St, Port Hueneme, CA 93043-0001 | 2009-10-09 |
| 1396930129 | Shawn Jeremy Kern | Military Health Care Provider | Underwater Construction Team 2 Medical, 4643 Dock Road Bldg 524, Port Hueneme, CA 93043-0001 | 2007-09-14 |
| 1376754242 | Joshua William Ross | Military Health Care Provider | Naval Ambulatory Care Clinic, 162 1st Street Building 1402, Port Hueneme, CA 93043-0001 | 2007-05-24 |
| 1801978952 | Nacc Port Huneme | Clinic/Center | Nacc, 162 First Street Building 1402, Port Hueneme, CA 93043-0001 | 2006-10-19 |
| Find all providers in zip 93043 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | PORT HUENEME |
| Zip Code | 93043 |
Please comment or provide details below to improve the information on DR. ANDREW 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.