Katie J Sullivan (NPI# 1649524059, PAC ID# 3274853197) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1649524059 |
| PAC ID by PECOS | 3274853197 |
| Professional Enrollment ID | I20150518000220 |
| Full Name | Katie J Sullivan |
| Organization Legal Name | MILES RIVER PHYSICIANS |
| Address |
607 Dutchmans Ln Easton MD 21601-3345 |
| Phone Number | 4108229133 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1951425545 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210037 | UNIVERSITY OF MD SHORE MEDICAL CENTER AT EASTON |
| Address | Phone | Organization |
|---|---|---|
| 607 Dutchmans Ln, Easton, MD 21601-3345 | 4108229133 | MILES RIVER PHYSICIANS |
| Organization Legal Name | MILES RIVER PHYSICIANS |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frances Seymour | Internal Medicine | Miles River Physicians | 607 Dutchmans Ln, Easton, MD 21601-3345 |
| Esther Elizabeth Elliott | Family Medicine | Miles River Physicians | 607 Dutchmans Ln, Easton, MD 21601-3345 |
| Street Address |
607 DUTCHMANS LN |
| City | EASTON |
| State | MD |
| Zip | 21601-3345 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frances Seymour | Internal Medicine | Miles River Physicians | 607 Dutchmans Ln, Easton, MD 21601-3345 |
| Esther Elizabeth Elliott | Family Medicine | Miles River Physicians | 607 Dutchmans Ln, Easton, MD 21601-3345 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina M Ball | Nurse Practitioner | Integrace Health Inc | 501 Dutchman's Lane, Easton, MD 21601 |
| Kathryn J Meyer | Anesthesiology | Tidewater Anesthesia Associates, Pa | 510 Inlewila Ave, Suite 110, Easton, MD 21601 |
| Elizabeth R Tomar | Psychiatry | Integrace Health Inc | 501 Dutchman's Lane, Easton, MD 21601 |
| Manjit S Chowdhary | Anesthesiology | Tidewater Anesthesia Associates, Pa | 510 Inlewila Ave, Suite 110, Easton, MD 21601 |
| John E Mulflur | Anesthesiology | Tidewater Anesthesia Associates, Pa | 510 Inlewila Ave, Suite 110, Easton, MD 21601 |
| Stanley Allen Feinblum | Optometry | Easton Optical, LLC | 210 Marlboro Ave, 31 Easton Eye Care and Optical, Easton, MD 21601-2716 |
| Kyle Nicholas Kravetz | Optometry | Easton Optical, LLC | 210 Marlboro Ave, 31 Easton Eye Care and Optical, Easton, MD 21601-2716 |
| Curtis Matthew Foy | Family Medicine | Anne Arundel Physician Group LLC | 28438 Marlboro Ave, Easton, MD 21601-2732 |
| Aarti Kishen | Clinical Social Worker | 19 Bay St, Suite 2, Easton, MD 21601-2754 | |
| Alexander Earl Carpenter | Optometry | Easton Optical, LLC | 210 Marlboro Ave, Suite 31, Easton, MD 21601-2767 |
| Find all physicians in zip 21601 | |||
| City | EASTON |
| Zip Code | 21601 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | EASTON + NURSE PRACTITIONER |
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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.