DR. DENNIS HENRY SULLIVAN (NPI# 1982612842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982612842 |
| Entity Type | Individual |
| Full Name | DR. DENNIS HENRY SULLIVAN |
| Credential | M.D. |
| Practice Address |
4300 W 7th St Grecc (3j/nlr) Little Rock AR 72205-5446 |
| Practice Telephone | 5012572503 |
| Practice Fax Number | 5012572501 |
| Mailing Telephone | 5012572503 |
| Mailing Fax Number | 5012572501 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
N-7225 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | QUALCHOICE | 16770000000 | 01 |
| AR | BCBS | 5J595 | 01 |
| AR | TRICARE | N7225 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124365812 | Dennis Patrick Sullivan | Licensed Practical Nurse | 4975 Reservoir Rd, Morrisville, NY 13408-1415 | 2013-01-15 |
| 1225354004 | Dennis Michael Sullivan | General Practice | 308 Melanie Ct, Beavercreek, OH 45434-6220 | 2010-04-19 |
| 1447332952 | Dennis James Sullivan Jr. | Surgery | 72718 Maple Street, Odanah, WI 54861-0250 | 2006-10-20 |
| 1932204542 | Dennis J. Sullivan | Dentist | 416 E River St, Grand Ledge, MI 48837-1754 | 2006-09-14 |
| 1861421265 | Dennis Michael Sullivan | Emergency Medicine | 703 Comanche Trl, West Monroe, LA 71291-8117 | 2006-06-30 |
| 1992795686 | Dennis M Sullivan | Family Medicine | Ctmc, Us Army Meddac, Fort Drum, NY 13602 | 2005-10-25 |
| 1528247038 | Dennis Robert Sullivan | Chiropractor | 3318 Se 156th Ave, Portland, OR 97236-2119 | 2007-10-31 |
| 1497770853 | Dennis J Sullivan | Orthopaedic Surgery | 7 Portland Farms Rd, Suite 2, Scarborough, ME 04074 | 2006-07-13 |
| 1992749964 | Dennis J Sullivan | Specialist | 1201 Alhambra Blvd, #410, Sacramento, CA 95816-5238 | 2006-06-16 |
| 1073552873 | Dennis Michael Sullivan | Chiropractor | 2305 Se Washington St, Suite 109, Milwaukie, OR 97222-7647 | 2006-06-06 |
| Street Address |
4300 W 7TH ST GRECC (3J/NLR) |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-5446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760475743 | Cecil Michael Dupriest | Chiropractor | 4300 W 7th St, Little Rock, AR 72205-5446 | 2005-08-25 |
| 1992305510 | Rhonda S Davidson | Registered Nurse | 4300 W 7th St, Little Rock, AR 72205-5446 | 2020-11-01 |
| 1508473026 | Anne Cetto | Pharmacist | 4300 W 7th St, Little Rock, AR 72205-5446 | 2020-09-29 |
| 1497361182 | Jason Dale Ryburn | Licensed Practical Nurse | 4300 W 7th St, Little Rock, AR 72205-5446 | 2020-09-18 |
| 1821604521 | Neil K Shah | Pharmacist | 4300 W 7th St, Little Rock, AR 72205-5446 | 2020-09-17 |
| 1053922294 | Tacara Nichole Anderson | Registered Nurse | 4300 W 7th St, Little Rock, AR 72205-5446 | 2020-08-12 |
| 1720697873 | Anu Nicole Asonganyi | Pharmacist | 4300 W 7th St, Little Rock, AR 72205-5446 | 2020-07-24 |
| 1558987578 | Rachel Briggler | Pharmacist | 4300 W 7th St, Little Rock, AR 72205-5446 | 2020-06-25 |
| 1093330086 | Sarah Elizabeth Talley | Pharmacist | 4300 W 7th St, Little Rock, AR 72205-5446 | 2020-06-15 |
| 1740805167 | Autumn Elizabeth Stice | Pharmacist | 4300 W 7th St, Little Rock, AR 72205-5446 | 2020-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1992239479 | Bushra Shah Md Pllc | Internal Medicine | 100 Vigne Dr, Little Rock, AR 72223-4581 | 2017-04-12 |
| 1154443372 | Kalpana P Padala | Internal Medicine | 629 Jack Stephens Dr, Little Rock, AR 72205-5525 | 2007-04-06 |
| 1811059363 | Paula M. Podrazik | Internal Medicine | 4301 W. Markham, #783, Little Rock, AR 72205-7101 | 2006-12-14 |
| 1508956079 | David Lipschitz | Internal Medicine | 415 N Mckinley, Suite 130, Little Rock, AR 72205-3013 | 2006-10-13 |
| 1306816087 | Thomas Darrell Cain | Internal Medicine | 10001 Lile Drive, Little Rock, AR 72205-6217 | 2006-01-25 |
| 1720073349 | David Dongjie Liu | Internal Medicine | 1 St Vincent Cir, Suite 210, Little Rock, AR 72205-5405 | 2005-09-20 |
| 1023569852 | Evgueni Roudachevski, D.o. | Internal Medicine | 11912 Kanis Rd, Suite F2, Little Rock, AR 72211-3733 | 2016-10-17 |
| 1083976534 | Veronica Alicia Pinto Miranda | Internal Medicine | 4301 W Markham St, Little Rock, AR 72205 | 2012-06-11 |
| 1114055712 | Parkway Health Center Inc. | Internal Medicine | 14300 Chenal Pkwy, Little Rock, AR 72211-5805 | 2007-03-02 |
| 1003941519 | Shannon G Mclaughlin | Internal Medicine | 14300 Chenal Pkwy, Little Rock, AR 72211-5805 | 2007-02-23 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
Please comment or provide details below to improve the information on DR. DENNIS HENRY 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.