LAWRENCE X SULLIVAN JR. (NPI# 1982680674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982680674 |
| Entity Type | Individual |
| Full Name | LAWRENCE X SULLIVAN JR. |
| Credential | MD |
| Practice Address |
4815 Liberty Ave Suite 156 Pittsburgh PA 15224-2156 |
| Practice Telephone | 4125783505 |
| Practice Fax Number | 4126887799 |
| Mailing Telephone | 4125783505 |
| Mailing Fax Number | 4126887799 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2020-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | MD041027E | PA | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
MD041027E | PA | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | MD041027E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001141498 | 05 | |
| CAQH | 10937285 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952554404 | Lawrence Christopher Sullivan | Pediatrics | 346 W 22nd St Apt 3, New York, NY 10011-2670 | 2008-10-28 |
| 1043552664 | Lawrence P Sullivan | Dentist | 11 Sparta Ave, Sparta, NJ 07871-1801 | 2013-03-21 |
| 1265554182 | Lawrence Sullivan | Psychoanalyst | 141 E 88th St, New York, NY 10128-2273 | 2007-04-03 |
| 1508901372 | Lawrence Bennett Sullivan | Psychologist | 375 Laguna Honda Blvd, Laguna Honda Hospital and Rehab Center, Medical Svcs, San Francisco, CA 94116-1411 | 2007-02-20 |
| 1639251465 | Lawrence P Sullivan | Psychiatry & Neurology | 1700 W Paradise Dr, West Bend, WI 53095-9795 | 2006-10-20 |
| 1891726824 | Lawrence Lowrey Sullivan | Obstetrics & Gynecology | 12 Crest Rd, St Albans, VT 05478 | 2006-07-06 |
| 1558324889 | Lawrence Guy Sullivan | Orthopaedic Surgery | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2006-04-08 |
| Street Address |
4815 LIBERTY AVE SUITE 156 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15224-2156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600425 | James M Rossetti | Internal Medicine | 4815 Liberty Ave, Ste Gr70, Pittsburgh, PA 15224-2156 | 2005-06-21 |
| 1790225910 | Stephanie Riffer | Physician Assistant | 4815 Liberty Ave, Suite Gr 30, Pittsburgh, PA 15224-2156 | 2017-03-07 |
| 1477098457 | Marcy Lindley | Nurse Practitioner | 4815 Liberty Ave, Suite 340, Pittsburgh, PA 15224-2156 | 2016-12-29 |
| 1508309600 | West Penn Eye Associates | Specialist | 4815 Liberty Ave, Suite M-25, Pittsburgh, PA 15224-2156 | 2016-11-22 |
| 1649729757 | Alexis Elizabeth Allan | Physician Assistant | 4815 Liberty Ave, Suite Gr30, Pittsburgh, PA 15224-2156 | 2016-09-30 |
| 1053701656 | Amanda Henning | Physician Assistant | 4815 Liberty Ave, Suite Gr 70, Pittsburgh, PA 15224-2156 | 2015-02-03 |
| 1962807651 | Allegheny Health Network | General Acute Care Hospital | 4815 Liberty Ave, Suite 448, Pittsburgh, PA 15224-2156 | 2014-10-24 |
| 1003219411 | Allegheny Health Network | Colon & Rectal Surgery | 4815 Liberty Ave, Suite M56, Pittsburgh, PA 15224-2156 | 2014-09-29 |
| 1700285111 | Brogan Nicole Keane | Physician Assistant | 4815 Liberty Ave, Suite 222, Pittsburgh, PA 15224-2156 | 2014-08-21 |
| 1780097212 | Roshanak Fereydouni | Optometrist | 4815 Liberty Ave, Pittsburgh, PA 15224-2156 | 2014-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336618289 | Jessica Reyes Angel | Student in an Organized Health Care Education/Training Program | 4401 Penn Avenue Children's Hospital of Pittsburgh, Pittsburgh, PA 15224 | 2018-11-21 |
| 1497239131 | Tal Levin-decanini | Nurse Practitioner | Complex Care Clinic, 4401 Penn Ave, Pittsburgh, PA 15224 | 2018-09-19 |
| 1649750951 | Mario Castro Medina | Transplant Surgery | Upmc Childrens Hospital of Pittsburgh, 4401 Penn Avenue Faculty Pavillion 5th Floor, Pittsburgh, PA 15224 | 2018-08-16 |
| 1245745785 | Ericka Blake Lias | Pediatrics | Children's Hospital of Pittsburgh of Upmc, 4401 Penn Ave, Pittsburgh, PA 15224 | 2017-12-06 |
| 1316463904 | Olivia Graham | Speech-Language Pathologist | 4414 Woolslayer Way, Pittsburgh, PA 15224 | 2017-08-16 |
| 1821525437 | Megan Eileen Gunsaulus | Pediatrics | Upmc Pittsburgh One Childrens Hospital Drive, 4401 Penn Avenue 5th Floor Faculty Pavillion, Pittsburgh, PA 15224 | 2017-05-12 |
| 1336593771 | Matthew Shao-lin Wong | Student in an Organized Health Care Education/Training Program | 4401 Penn Avenue Suite 3300, Pittsburgh, PA 15224 | 2016-04-22 |
| 1295110427 | Chananya Karunasumetta | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4101 Penn Avenue, 5th Fl. Faculty Pavilion, Pittsburgh, PA 15224 | 2015-07-29 |
| 1518348705 | Montserrat Antonieta Corbera-hincapie | Pediatrics | Rangos Research Center, 4401 Penn Avenue, 7th Floor Children's Hospital of Pitt, Pittsburgh, PA 15224 | 2015-06-12 |
| 1497136782 | Christopher Thomas Stem | Pediatrics | Division of Pediatric Emergency Medicine, Children's Ho, 4401 Penn Avenue, Aob 2nd Floor Suite 2400, Pittsburgh, PA 15224 | 2015-06-12 |
| Find all providers in zip 15224 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861959884 | Pedro Augusto Reck Dos Santos | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Lothrop St # C900, Pittsburgh, PA 15213-2536 | 2019-02-26 |
| 1023582418 | Luciana Da Fonseca Da Silva | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4401 Penn Ave Fl 5, Pittsburgh, PA 15224-1334 | 2019-01-18 |
| 1295110427 | Chananya Karunasumetta | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4101 Penn Avenue, 5th Fl. Faculty Pavilion, Pittsburgh, PA 15224 | 2015-07-29 |
| 1942500103 | Hideo Kanemitsu | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Lothrop St. C-900, Upmc Presbyterian, Pittsburgh, PA 15213 | 2010-10-21 |
| 1396988986 | Joanna Sesti | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Lothrop Street C-800, Upmc Presbyterian, Pittsburgh, PA 15213 | 2009-04-12 |
| 1801052741 | Brian Richard Lace | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Lothrop St Suite 900-c, Cardiothoracic, Pittsburgh, PA 15213 | 2008-07-30 |
| 1891848818 | Jonathan D'cunha | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Lothrop Street, C-900, C-800, Pittsburgh, PA 15213 | 2007-01-21 |
| 1730282302 | V R Machiraju | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5200 Cenre Ave, Suite 715, Pittsburgh, PA 15232 | 2006-09-07 |
| 1639106263 | Lawrence R Crist | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Lothrop St. C800, Upmc Presbyterian, Pittsburgh, PA 15213 | 2006-06-27 |
| 1629023809 | Hiran C. Fernando | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 320 E North Ave Ste 363, Pittsburgh, PA 15212-4756 | 2006-05-24 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15224 |
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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.