Katelyn Marie Sullivan (NPI# 1205220720, PAC ID# 2567775331) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1205220720 |
| PAC ID by PECOS | 2567775331 |
| Professional Enrollment ID | I20180913001863 |
| Full Name | Katelyn Marie Sullivan |
| Organization Legal Name | STEWARD EMERGENCY PHYSICIANS, INC |
| Address |
2100 Corchester Ave Dorchester MA 02124-5615 |
| Phone Number | 6175064445 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0244401404 |
| Number of Group Practice Members | 133 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220017 | CARNEY HOSPITAL |
| 220126 | NORWOOD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 235 N Pearl St, Brockton, MA 02301-1794 | 9786870156 | STEWARD EMERGENCY PHYSICIANS, INC |
| 2100 Corchester Ave, Dorchester, MA 02124-5615 | 6175064445 | STEWARD EMERGENCY PHYSICIANS, INC |
| Organization Legal Name | STEWARD EMERGENCY PHYSICIANS, INC |
| Physicians | 129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Breckon Daniel Pav | Emergency Medicine | Steward Emergency Physicians, Inc | 2100 Corchester Ave, Dorchester, MA 02124-5615 |
| Matthew Kratochvil | Emergency Medicine | Steward Emergency Physicians, Inc | 200 Groton Rd, Ayer, MA 01432-1168 |
| Matthew Y Rhee | Emergency Medicine | Steward Emergency Physicians, Inc | 70 E St, Methuen, MA 01844-4597 |
| Nathan Shapiro | Emergency Medicine | Steward Emergency Physicians, Inc | 200 Groton Rd, Ayer, MA 01432-1168 |
| Peter J Dimatteo | Emergency Medicine | Steward Emergency Physicians, Inc | 200 Groton Rd, Ayer, MA 01432-1168 |
| Mark D Pearlmutter | Emergency Medicine | Steward Emergency Physicians, Inc | 200 Groton Rd, Ayer, MA 01432-1168 |
| Kathryn Lupez | Emergency Medicine | Steward Emergency Physicians, Inc | 795 Middle St, Fall River, MA 02721-1733 |
| Bryan C Saleeba | Nurse Practitioner | Steward Emergency Physicians, Inc | 795 Middle St, Fall River, MA 02721-1733 |
| Murtaza Akhter | Emergency Medicine | Steward Emergency Physicians, Inc | 235 N Pearl St, Brockton, MA 02301-1794 |
| Samuel Kim | Emergency Medicine | Steward Emergency Physicians, Inc | 200 Groton Rd, Ayer, MA 01432-1168 |
| Street Address |
2100 CORCHESTER AVE |
| City | DORCHESTER |
| State | MA |
| Zip | 02124-5615 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Breckon Daniel Pav | Emergency Medicine | Steward Emergency Physicians, Inc | 2100 Corchester Ave, Dorchester, MA 02124-5615 |
| Okeanis Vaou | Neurology | Steward Medical Group Inc | 2100 Corchester Ave, Dorchester, MA 02124-5615 |
| Morteza M Farizan | Vascular Surgery | 2100 Corchester Ave, Dorchester, MA 02124-5615 | |
| Nikolaos Michalacos | Internal Medicine | Steward Medical Group Inc | 2100 Corchester Ave, Dorchester, MA 02124-5615 |
| Raymond K Ryan | Neurology | Steward Medical Group Inc | 2100 Corchester Ave, Dorchester, MA 02124-5615 |
| Stacey Mceachern | Nurse Practitioner | Steward Medical Group Inc | 2100 Corchester Ave, Dorchester, MA 02124-5615 |
| Cyllene A Saintelien | Nurse Practitioner | Steward Medical Group Inc | 2100 Corchester Ave, Dorchester, MA 02124-5615 |
| Robert B Gilman | Psychiatry | Steward Medical Group Inc | 2100 Corchester Ave, Dorchester, MA 02124-5615 |
| Puay Eng Tan | Pathology | Steward Medical Group Inc | 2100 Corchester Ave, Dorchester, MA 02124-5615 |
| James P Morgan | Cardiovascular Disease (cardiology) | Steward Medical Group Inc | 2100 Corchester Ave, Dorchester, MA 02124-5615 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John C Dupuy | Chiropractic | Active Chiropractic Rehab Inc | 497 Washington St, Dorchester, MA 02124-2014 |
| Carl J Virusso | Chiropractic | Active Chiropractic Rehab Inc | 497 Washington St, Dorchester, MA 02124-2014 |
| Jonathan M Pincus | Internal Medicine | Codman Square Health Center, Inc | 637 Washington St, Dorchester, MA 02124-3510 |
| Marie A Pierre-victor | Clinical Social Worker | Codman Square Health Center, Inc | 637 Washington St, Dorchester, MA 02124-3510 |
| Denise M Croken | Nurse Practitioner | Codman Square Health Center, Inc | 637 Washington St, Dorchester, MA 02124-3510 |
| Melissa Dagher | Clinical Social Worker | Codman Square Health Center, Inc | 637 Washington St, Dorchester, MA 02124-3510 |
| Jahna Knobler | Nurse Practitioner | Codman Square Health Center, Inc | 637 Washington St, Dorchester, MA 02124-3510 |
| Elisabeth A. Offenberger | Registered Dietitian Or Nutrition Professional | Codman Square Health Center, Inc | 637 Washington St, Dorchester, MA 02124-3510 |
| Jane F Tuitt | Nurse Practitioner | Codman Square Health Center, Inc | 637 Washington St, Dorchester, MA 02124-3510 |
| Sara A Tepperberg | Family Medicine | Codman Square Health Center, Inc | 637 Washington St, Dorchester, MA 02124-3510 |
| Find all physicians in zip 02124 | |||
| City | DORCHESTER |
| Zip Code | 02124 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | DORCHESTER + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Katelyn Marie Sullivan.
| 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.