William J Sullivan (NPI# 1093805897, PAC ID# 1759282080) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1093805897 |
PAC ID by PECOS | 1759282080 |
Professional Enrollment ID | I20040122000434 |
Full Name | William J Sullivan |
Organization Legal Name | VIA CHRISTI HOSPITAL PITTSBURG INC |
Address |
1102 E Centennial Pittsburg KS 66762-6686 |
Phone Number | 6202316100 |
Gender | M |
Credential | MD |
Medical School | THE UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MEDICINE |
Graduation Year | 1990 |
Primary Specialty | INTERNAL MEDICINE |
Group Practice PAC ID | 0547171670 |
Number of Group Practice Members | 34 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
170006 | VIA CHRISTI HOSPITAL PITTSBURG INC |
260137 | FREEMAN HEALTH SYSTEM-FREEMAN WEST |
171376 | GIRARD MEDICAL CENTER |
260001 | MERCY HOSPITAL JOPLIN |
170040 | UNIVERSITY OF KANSAS HOSPITAL |
Address | Phone | Organization |
---|---|---|
608 Willard St, Frontenac, KS 66763-2120 | 6202318849 | MEDICAL CONSULTANTS OF PITTSBURG, INC |
1102 E Centennial, Pittsburg, KS 66762-6686 | 6202316100 | VIA CHRISTI HOSPITAL PITTSBURG INC |
Organization Legal Name | VIA CHRISTI HOSPITAL PITTSBURG INC |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jill S Shriver | Registered Dietitian Or Nutrition Professional | Via Christi Hospital Pittsburg Inc | 1102 E Centennial, Pittsburg, KS 66762-6686 |
Jacob Tarabolous | Anesthesiology | Via Christi Hospital Pittsburg Inc | 1102 E Centennial, Pittsburg, KS 66762-6686 |
Steven B Mayhew | Clinical Psychologist | Via Christi Hospital Pittsburg Inc | 200 E Centennial B, Pittsburg, KS 66762-6559 |
Kay W Quick | Nurse Practitioner | Via Christi Hospital Pittsburg Inc | 1102 E Centennial, Pittsburg, KS 66762-6686 |
Cynthia I Visner | Psychiatry | Via Christi Hospital Pittsburg Inc | 1102 E Centennial, Pittsburg, KS 66762-6686 |
Street Address |
1102 E CENTENNIAL |
City | PITTSBURG |
State | KS |
Zip | 66762-6686 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jill S Shriver | Registered Dietitian Or Nutrition Professional | Via Christi Hospital Pittsburg Inc | 1102 E Centennial, Pittsburg, KS 66762-6686 |
Jacob Tarabolous | Anesthesiology | Via Christi Hospital Pittsburg Inc | 1102 E Centennial, Pittsburg, KS 66762-6686 |
Kay W Quick | Nurse Practitioner | Via Christi Hospital Pittsburg Inc | 1102 E Centennial, Pittsburg, KS 66762-6686 |
Cynthia I Visner | Psychiatry | Via Christi Hospital Pittsburg Inc | 1102 E Centennial, Pittsburg, KS 66762-6686 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tracy M Orellana | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
William T Carl | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
Bethany Nicole Enoch | Family Medicine | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
Kayla D Angleton | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
Jay Justin Middleton | Psychologist, Clinical | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
Tonya Kendrick | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
Curtis L Mellen | Physician Assistant | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
Crystal D Merriman | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
Trista Dawn King | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
Brock A Boekhout | Psychologist, Clinical | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
Find all physicians in zip 66762 |
City | PITTSBURG |
Zip Code | 66762 |
Specialty | INTERNAL MEDICINE |
City + Specialty | PITTSBURG + INTERNAL MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.