DR. PAUL RYAN CHARLES SULLIVAN (NPI# 1952754400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952754400 |
Entity Type | Individual |
Full Name | DR. PAUL RYAN CHARLES SULLIVAN |
Credential | MD |
Practice Address |
1093 Prospect Ave West Hartford CT 06105-1104 |
Practice Telephone | 8605235753 |
Mailing Telephone | 8605235753 |
Enumeration Date | 2016-07-20 |
Last Update Date | 2016-07-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
013428 | CT | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356824486 | Paul J Sullivan | Counselor | 11-12 Broadway Ave, Gloversville, NY 12078 | 2018-09-14 |
1427289347 | Paul Michael Sullivan | Counselor | 5397 Howard Rd, Petoskey, MI 49770-8815 | 2009-07-28 |
1013042613 | Paul Joseph Sullivan | Physical Therapist | 14 Gawaine Rd, North Easton, MA 02356-2642 | 2007-02-22 |
1730247032 | Paul Damian Sullivan | Psychiatry & Neurology | 11117 Waycroft Way, Rockville, MD 20852-3216 | 2006-12-05 |
1386721504 | Paul Michael Sullivan | Internal Medicine | 44060 Woodward, Bloomfield Hills, MI 48302 | 2006-11-01 |
1184728875 | Paul J. Sullivan | Physician Assistant | 36000 Darnall Loop, Room 1272, Carl R. Darnall Army Medical Center, Ft Hood, TX 76544 | 2006-09-12 |
1417953647 | Paul Edward Sullivan | Podiatrist | 925 Chestnut St, Fifth Floor, Philadelphia, PA 19107-4216 | 2005-06-22 |
1548822885 | Paul Francis Sullivan | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2019-07-08 |
1891278669 | Paul Joseph Sullivan | Psychologist | 525 E 68th St Fl 11, New York, NY 10065-4870 | 2018-09-07 |
1245695402 | Paul Sullivan | Physical Therapist | 34 Manchester Ave, Forked River, NJ 08731-1366 | 2015-12-15 |
Street Address |
1093 PROSPECT AVE |
City | WEST HARTFORD |
State | CT |
Zip Code | 06105-1104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730674532 | Charter Anesthesiology LLC | Anesthesiology | 1093 Prospect Ave, West Hartford, CT 06105-1104 | 2018-06-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275155939 | Pruthwy R Addanki | Student in an Organized Health Care Education/Training Program | Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2020-05-15 |
1700447802 | Samuel Flynn | Student in an Organized Health Care Education/Training Program | 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 | 2019-06-28 |
1730743568 | Turab J Mohammed | Student in an Organized Health Care Education/Training Program | Saint Francis Hospital Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2019-04-26 |
1164900387 | Breanne Ferrara | Social Worker | 43 Wooland St, Hartford, CT 06105 | 2018-07-31 |
1154814069 | Signature Smiles of Hartford LLC | Dentist | 550 Farmington Avenue, Suite B, Hartford, CT 06105 | 2018-06-14 |
1356839062 | Jaimy Villavicencio | Student in an Organized Health Care Education/Training Program | 100 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2018-04-27 |
1750885679 | Brittany Bird | Student in an Organized Health Care Education/Training Program | 839-841 Asylum Avenue, Hartford, CT 06105 | 2018-03-23 |
1972032241 | Ashley Nicole Mills | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, 3rd Floor, Hartford, CT 06105 | 2017-06-08 |
1528506847 | Samuel Agyei | Social Worker | 291 Collins St, Hartford, CT 06105 | 2017-02-07 |
1841735818 | Katie Strahowski | Nurse Practitioner | 85 Gillett Street, Clean Slate, Hartford, CT 06105 | 2016-12-30 |
Find all providers in zip 06105 |
Taxonomy Code | 207RE0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Endocrinology, Diabetes & Metabolism |
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
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 |
---|---|---|---|---|
1225004922 | David John Domenichini | Internal Medicine | 1216 Farmington Ave, Room 102, West Hartford, CT 06107-2672 | 2006-02-23 |
1629188131 | Patrick H Mcdermott | Internal Medicine | 1216 Farmington Ave, Suite 101, West Hartford, CT 06107-2672 | 2006-08-30 |
1326060484 | Elizabeth A Fasy | Internal Medicine | 445 S Main St, West Hartford, CT 06110-1646 | 2006-07-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376103762 | Fairfield County Endocrine, LLC | Internal Medicine | 18 Sunnyside Ln, Westport, CT 06880-1710 | 2019-06-18 |
1013458447 | James Magner | Internal Medicine | 1022 Field Dr, Woodbridge, CT 06525-2638 | 2017-03-18 |
1740675818 | Vivek Alaigh | Internal Medicine | 29 Hospital Plz Ste 601, Stamford, CT 06902-3602 | 2015-04-05 |
1669801619 | Geetika Gupta | Internal Medicine | 1952 Whitney Ave Ste 14, Hamden, CT 06517-1209 | 2013-11-09 |
1134562911 | Lori Marie De La Portilla | Internal Medicine | 462 Queen St # 303, Southington, CT 06489-1801 | 2013-04-11 |
1346592862 | Kathleen Mary O'connell | Internal Medicine | 9 Stonecrop Ln, Wilton, CT 06897-2405 | 2012-10-08 |
1104159037 | Robert Aaron Levine | Internal Medicine | 137 Winthrop Rd, Guilford, CT 06437-1632 | 2009-09-10 |
1124209101 | Maryanne Horta Bhojwani | Internal Medicine | 112 Quarry Rd Ste 250, Trumbull, CT 06611-4877 | 2007-11-19 |
1366585762 | Ann E Taylor | Internal Medicine | Pfizer, Eastern Point Road, Groton, CT 06340 | 2007-02-15 |
1306916846 | Antonio Pantaleo | Internal Medicine | 945 Summer St Fl 3, Stamford, CT 06905 | 2006-11-09 |
Find all providers with the same taxonomy |
City | WEST HARTFORD |
Zip Code | 06105 |
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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.