ARTHUR FRANCIS SULLIVAN IV (NPI# 1972709368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972709368 |
| Entity Type | Individual |
| Full Name | ARTHUR FRANCIS SULLIVAN IV |
| Credential | M.D. |
| Practice Address |
400 S 43rd St Renton WA 98055-5714 |
| Mailing Address |
Po Box 24584 Seattle WA 98124 |
| Practice Telephone | 4252283450 |
| Mailing Telephone | 4256564255 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2010-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD60131822 | WA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | RS2007-0308 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | TRAINING | RS2007-0308 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992366256 | Arthur Sullivan | Psychologist | 355 Fishkill Ave, Beacon, NY 12508-2061 | 2019-06-26 |
| 1659569770 | Arthur Lee Sullivan | Nurse Practitioner | 12201 Renfert Way, Suite 360, Austin, TX 78758-5354 | 2007-10-15 |
| Street Address |
400 S 43RD ST |
| City | RENTON |
| State | WA |
| Zip Code | 98055-5714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780681569 | Minsoo Kang | Internal Medicine | 400 S 43rd St, Renton, WA 98055 | 2005-07-07 |
| 1700490760 | Toni Anne Wolcott | Registered Nurse | 400 S 43rd St, Renton, WA 98055 | 2020-09-06 |
| 1770107484 | Richmond Li | Registered Nurse | 400 S 43rd St, Renton, WA 98055-5714 | 2020-05-29 |
| 1144840711 | Brendan Wesley-smith | Registered Nurse | 400 S 43rd St, Renton, WA 98055-5714 | 2020-04-23 |
| 1205460359 | Yingying Lu | Registered Nurse | 400 S 43rd St, Renton, WA 98055-5714 | 2020-02-27 |
| 1508404955 | Hannah Rae Humphrey | Speech-Language Pathologist | 400 S 43rd St, Renton, WA 98055-5714 | 2019-12-17 |
| 1881232247 | Jennifer Susan Katz | Physical Therapist | 400 S 43rd St, Renton, WA 98055-5714 | 2019-12-17 |
| 1760029714 | Selam Estefanos | Registered Nurse | 400 S 43rd St, Renton, WA 98055-5714 | 2019-12-09 |
| 1407493133 | Alba Sari | Registered Nurse | 400 S 43rd St, Renton, WA 98055-5714 | 2019-12-02 |
| 1336784131 | Julia Lysyuk | Nurse Anesthetist, Certified Registered | 400 S 43rd St, Renton, WA 98055-5714 | 2019-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
| 1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
| 1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
| 1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
| Find all providers in zip 98055 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790727535 | Yen-tsun Lai | Emergency Medicine | 4033 Talbot Rd S Ste 570, Renton, WA 98055 | 2006-06-12 |
| 1275589608 | Gabrielle Dionyse Lauren Bernard | Emergency Medicine | 1205 N 10th St Ste A, Renton, WA 98057-5577 | 2006-05-26 |
| 1881665099 | Se Jung Shin | Emergency Medicine | 10555 Se Carr Rd Bldg M, Renton, WA 98055-5820 | 2006-01-27 |
| 1427412022 | Chad Lowell Ulrich | Emergency Medicine | 400 S 43rd St, Renton, WA 98055-5714 | 2016-04-09 |
| 1851710214 | Andrej Pogribny | Emergency Medicine | 400 S 43rd St, Renton, WA 98055-5714 | 2014-04-15 |
| 1063831766 | Maika Clement Dang | Emergency Medicine | 400 S 43rd St, Renton, WA 98055 | 2014-04-09 |
| 1104054543 | Tara Kay Martin | Emergency Medicine | 400 S 43rd St, Renton, WA 98055-5714 | 2009-06-24 |
| 1891976395 | Danielle Schindler | Emergency Medicine | 400 S 43rd St, Renton, WA 98055-5714 | 2007-11-26 |
| 1801085097 | Todd Reginald Davis | Emergency Medicine | 400 S 43rd St, Renton, WA 98055-5714 | 2007-10-24 |
| 1922125178 | Andrew Louis Homer | Emergency Medicine | 400 S 43rd St, Renton, WA 98055-5714 | 2007-03-23 |
| Find all providers in RENTON | ||||
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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.