Mark F Sullivan (NPI# 1497722615, PAC ID# 2668407545) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is THORACIC SURGERY.
| Nation Provider ID (NPI) | 1497722615 |
| PAC ID by PECOS | 2668407545 |
| Professional Enrollment ID | I20110520000469 |
| Full Name | Mark F Sullivan |
| Organization Legal Name | WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION |
| Address |
11236 Robinwood Dr Suite 203 Hagerstown MD 21742-6802 |
| Phone Number | 3016654760 |
| Gender | M |
| Credential | MD |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | THORACIC SURGERY |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 1052224565 |
| Number of Group Practice Members | 1143 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210001 | MERITUS MEDICAL CENTER |
| 510008 | BERKELEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11236 Robinwood Dr, Suite 203, Hagerstown, MD 21742-6802 | 3016654760 | WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION |
| 2000 Foundation Way, Suite 3100, Martinsburg, WV 25401-9198 | 3043503273 | WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION |
| 1 Medical Ctr Dr, Morgantown, WV 26506-1200 | 3045984865 | WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION |
| Organization Legal Name | WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION |
| Physicians | 1207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Molly Ober Fechter-leggett | Psychologist, Clinical | West Virginia University Medical Corporation | 3602 Collins Ferry Rd, Morgantown, WV 26505-2378 |
| Matraca Hovatter | Nurse Practitioner | West Virginia University Medical Corporation | 250 Retail Cir, Suite 106, Morgantown, WV 26508-1647 |
| Farheen Shirazi | Cardiovascular Disease (cardiology) | West Virginia University Medical Corporation | 13079 Garrett Hwy, Uha Oakland Ckd Clinic, Oakland, MD 21550 |
| Mackenzie James Clarkson | Internal Medicine | West Virginia University Medical Corporation | 14 Comfort Dr, Reedsville, WV 26547-0359 |
| Kristin Wendell | Nurse Practitioner | West Virginia University Medical Corporation | 205 Bakers Ridge Rd, Morgantown, WV 26508-1500 |
| Emily Butler | Physician Assistant | West Virginia University Medical Corporation | 3803 Emerson Ave, Parkersburg, WV 26104-1116 |
| Irfan Zeb | Internal Medicine | West Virginia University Medical Corporation | 426 8th St, Glen Dale, WV 26038-1451 |
| Binu T Chacko | Internal Medicine | West Virginia University Medical Corporation | 2601 Cranberry Sq, Morgantown, WV 26508-9201 |
| Jada Lauren Powell | Nurse Practitioner | West Virginia University Medical Corporation | 30 Mon General Dr, Morgantown, WV 26505-2853 |
| Omar Duenas | Obstetrics/gynecology | West Virginia University Medical Corporation | 1160 Van Voorhis Rd, Morgantown, WV 26505-3435 |
| Street Address |
11236 ROBINWOOD DR SUITE 203 |
| City | HAGERSTOWN |
| State | MD |
| Zip | 21742-6802 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine P Lewis | Gastroenterology | 11236 Robinwood Dr, Suite 102, Hagerstown, MD 21742-6800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diana M Gaviria | Family Medicine | Washington County Health Department | 1302 Pennsylvania, Hagerstown, MD 21742 |
| Gerald J Apollon | Family Medicine | U N I Medical Care Inc | 187 N Pointe Dr, Suite 113, Hagerstown, MD 21742 |
| Erwin Aldana | Critical Care (intensivists) | U N I Medical Care Inc | 187 N Pointe Dr, Suite 113, Hagerstown, MD 21742 |
| Tammi P Fuller | Certified Nurse Midwife (cnm) | Washington County Health Department | 1302 Pennsylvania, Hagerstown, MD 21742 |
| Melissa S Crawford-halterman | Clinical Social Worker | Washington County Health Department | 1302 Pennsylvania, Hagerstown, MD 21742 |
| Abebe Haregewoin | Radiation Oncology | Washington County Health Department | 1302 Pennsylvania, Hagerstown, MD 21742 |
| Victoria E Sterling | Clinical Social Worker | Washington County Health Department | 1302 Pennsylvania, Hagerstown, MD 21742 |
| Tammy S Thornton | Registered Dietitian Or Nutrition Professional | Washington County Health Department | 1302 Pennsylvania, Hagerstown, MD 21742 |
| Sharon L Nayfack | Clinical Social Worker | Washington County Health Department | 1302 Pennsylvania, Hagerstown, MD 21742 |
| Kathryn M Koons | Nurse Practitioner | Brook Lane Health Services Inc | 13215 Brook Lane Dr, Hagerstown, MD 21742-1435 |
| Find all physicians in zip 21742 | |||
| City | HAGERSTOWN |
| Zip Code | 21742 |
| Specialty | THORACIC SURGERY |
| City + Specialty | HAGERSTOWN + THORACIC SURGERY |
Please comment or provide details below to improve the information on Mark F 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.