Marc D Sullivan


Address: 10769 N Frank Lloyd Wright Blvd, Suite A120, Scottsdale, AZ 85259-2682

Marc D Sullivan (NPI# 1437350030, PAC ID# 4880750983) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1437350030
PAC ID by PECOS 4880750983
Professional Enrollment ID I20090225000291
Full Name Marc D Sullivan
Address 10769 N Frank Lloyd Wright Blvd
Suite A120
Scottsdale
AZ 85259-2682
Gender M
Medical School UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduation Year 2004
Primary Specialty FAMILY MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
500026 SWEDISH EDMONDS HOSPITAL

Other Locations

Address Phone Organization
10769 N Frank Lloyd Wright Blvd, Suite A120, Scottsdale, AZ 85259-2682

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_431_overall Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 2%

Organization Information

Office Location

Street Address 10769 N FRANK LLOYD WRIGHT BLVD
SUITE A120
City SCOTTSDALE
State AZ
Zip 85259-2682

Physicians in the same zip code

Name Specialty Organization Address
Sara Banerjee Diagnostic Radiology Radadvantage A Professional Corporation 12338 N 138th Pl, Scottdale, AZ 85259-2304
Jessica N Hontiveros Physical Therapy Genesis Eldercare Rehabilitation Services LLC 11415 N 114th St, Scottsdale, AZ 85259-2564
Michael J Ruffing Occupational Therapy Genesis Eldercare Rehabilitation Services LLC 11415 N 114th St, Scottsdale, AZ 85259-2564
Amy E Kennedy Occupational Therapy Genesis Eldercare Rehabilitation Services LLC 11415 N 114th St, Scottsdale, AZ 85259-2564
Brendan P Cousineau Physical Therapy 11291 E Via Linda, Suite 124, Scottsdale, AZ 85259-2661
Glenn Hinchman Family Medicine 10679 N Frank Lloyd Wright Blvd, Suite 101, Scottsdale, AZ 85259-2675
Robert T Bailey Family Medicine 10715 N Frank Lloyd Wright Blvd, Suite 107, Scottsdale, AZ 85259-2691
Priti B Ram Diagnostic Radiology Virtual Radiologic Professionals LLC 12455 N 118th Way, Scottsdale, AZ 85259-2718
Stephen J Adams Diagnostic Radiology Virtual Radiologic Professionals LLC 12455 N 118th Way, Scottsdale, AZ 85259-2718
Farukh S Mian Diagnostic Radiology Leconte Radiology PC 12886 E Desert Trl, Scottsdale, AZ 85259-3560
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Competitor

Search similar physicians

City SCOTTSDALE
Zip Code 85259
Specialty FAMILY MEDICINE
City + Specialty SCOTTSDALE + FAMILY MEDICINE

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Dataset Information

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.

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