Elise Sullivan (NPI# 1538365986, PAC ID# 5890933386) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1538365986 |
| PAC ID by PECOS | 5890933386 |
| Professional Enrollment ID | I20150129001612 |
| Full Name | Elise Sullivan |
| Organization Legal Name | THE MEMORIAL HOSPITAL |
| Address |
785 Russell St Craig CO 81625-2019 |
| Phone Number | 9708263161 |
| Gender | F |
| Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1254231533 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 061314 | MEMORIAL HOSPITAL, THE |
| Address | Phone | Organization |
|---|---|---|
| 750 Hospital Loop, Craig, CO 81625-8750 | 9708263161 | THE MEMORIAL HOSPITAL |
| 785 Russell St, Craig, CO 81625-2019 | 9708263161 | THE MEMORIAL HOSPITAL |
| Organization Legal Name | THE MEMORIAL HOSPITAL |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren M Good | Dermatology | The Memorial Hospital | 785 Russell St, Craig, CO 81625-2019 |
| Carol A Bolt | Physician Assistant | The Memorial Hospital | 600 Russell St, Craig, CO 81625-2018 |
| Gerald Irving Myers | Cardiovascular Disease (cardiology) | The Memorial Hospital | 750 Hospital Loop, Craig, CO 81625-8750 |
| Dana L Miller | General Surgery | The Memorial Hospital | 750 Hospital Loop, Craig, CO 81625-8750 |
| Larry W Kipe | Family Medicine | The Memorial Hospital | 600 Russell St, Craig, CO 81625-2018 |
| Lyric E Wood | Clinical Social Worker | The Memorial Hospital | 785 Russell St, Craig, CO 81625-2019 |
| Robert C Mclean | Otolaryngology | The Memorial Hospital | 785 Russell St, Craig, CO 81625-2019 |
| Jimmy S Ellis | Obstetrics/gynecology | The Memorial Hospital | 750 Hospital Loop, Craig, CO 81625-8750 |
| Mary N Wardrop | Emergency Medicine | The Memorial Hospital | 750 Hospital Loop, Craig, CO 81625-8750 |
| John Keith Prescott | Certified Registered Nurse Anesthetist (crna) | The Memorial Hospital | 785 Russell St, Craig, CO 81625-2019 |
| Street Address |
785 RUSSELL ST |
| City | CRAIG |
| State | CO |
| Zip | 81625-2019 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren M Good | Dermatology | The Memorial Hospital | 785 Russell St, Craig, CO 81625-2019 |
| Lyric E Wood | Clinical Social Worker | The Memorial Hospital | 785 Russell St, Craig, CO 81625-2019 |
| Robert C Mclean | Otolaryngology | The Memorial Hospital | 785 Russell St, Craig, CO 81625-2019 |
| John Keith Prescott | Certified Registered Nurse Anesthetist (crna) | The Memorial Hospital | 785 Russell St, Craig, CO 81625-2019 |
| Jennifer L Schmitt | Physician Assistant | The Memorial Hospital | 785 Russell St, Craig, CO 81625-2019 |
| John A Leblanc | Orthopedic Surgery | The Memorial Hospital | 785 Russell St, Craig, CO 81625-2019 |
| Jared B Schoeberl | Physician Assistant | The Memorial Hospital | 785 Russell St, Craig, CO 81625-2019 |
| Jeffrey Womble | General Surgery | The Memorial Hospital | 785 Russell St, Craig, CO 81625-2019 |
| Evan C Fleming | Physician Assistant | The Memorial Hospital | 785 Russell St, Craig, CO 81625-2019 |
| Julia C Von Allmen | Physician Assistant | The Memorial Hospital | 785 Russell St, Craig, CO 81625-2019 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rita J Petersen | Chiropractic | 450 Ctr St, Craig, CO 81625-1126 | |
| Craig W Rummel | Chiropractic | 333 E Victory Way, Craig, CO 81625-1823 | |
| Sarah M Hopfenbeck | Internal Medicine | Yampa Valley Medical Center | 595 Russell St, Craig, CO 81625-1920 |
| Jona Ely | Nurse Practitioner | Yampa Valley Medical Center | 595 Russell St, Craig, CO 81625-1920 |
| Mary Shannon Becker | Family Medicine | Yampa Valley Medical Center | 595 Russell St, Craig, CO 81625-1920 |
| Raymond C Petersen | Internal Medicine | Yampa Valley Medical Center | 595 Russell St, Craig, CO 81625-1920 |
| Carol A Bolt | Physician Assistant | The Memorial Hospital | 600 Russell St, Craig, CO 81625-2018 |
| Larry W Kipe | Family Medicine | The Memorial Hospital | 600 Russell St, Craig, CO 81625-2018 |
| Kelsie L Bond | Physician Assistant | The Memorial Hospital | 600 Russell St, Craig, CO 81625-2018 |
| Neilene Folks | Physician Assistant | Northwest Colorado Visiting Nurse Association | 745 Russell St, Craig, CO 81625-2019 |
| Find all physicians in zip 81625 | |||
| City | CRAIG |
| Zip Code | 81625 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CRAIG + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Elise 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.