Brittany A Sullivan (NPI# 1063859452, PAC ID# 6305150368) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1063859452 |
| PAC ID by PECOS | 6305150368 |
| Professional Enrollment ID | I20150804005099 |
| Full Name | Brittany A Sullivan |
| Organization Legal Name | SUMMIT MEDICAL GROUP, INC. |
| Address |
6105 1st Financial Dr Burlington KY 41005-7892 |
| Phone Number | 8593015901 |
| Gender | F |
| Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2163326240 |
| Number of Group Practice Members | 511 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180035 | ST ELIZABETH EDGEWOOD |
| 180045 | ST ELIZABETH FLORENCE |
| Address | Phone | Organization |
|---|---|---|
| 6105 1st Financial Dr, Burlington, KY 41005-7892 | 8593015901 | SUMMIT MEDICAL GROUP, INC. |
| 19 S Main St, Dry Ridge, KY 41035-7332 | 8598235441 | SUMMIT MEDICAL GROUP, INC. |
| 4900 Houston Rd, Florence, KY 41042-4824 | 8592127700 | SUMMIT MEDICAL GROUP, INC. |
| 2300 Chamber Ctr Dr, Suite 100, Lakeside Park, KY 41017-1686 | 8593413114 | SUMMIT MEDICAL GROUP, INC. |
| Organization Legal Name | SUMMIT MEDICAL GROUP, INC. |
| Physicians | 487 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caroline Elmer-lyon | Urology | Summit Medical Group, Inc. | 610 Medical Village Dr, Edgewood, KY 41017-3416 |
| James Schack | Family Medicine | Summit Medical Group, Inc. | 79 Country Club Dr, Butler, KY 41006-8704 |
| Balaji Kalyanaraman | Urology | Summit Medical Group, Inc. | 7370 Turfway Rd, Florence, KY 41042-4895 |
| Abraham Llapitan Tacang | Rheumatology | Summit Medical Group, Inc. | 651 Centre View Boulvard, Crestview Hills, KY 41017-5419 |
| Rani L. Clark | Nurse Practitioner | Summit Medical Group, Inc. | 2885 Alexandria Way, Highland Heights, KY 41076-1511 |
| Gabriel Ymalay | Internal Medicine | Summit Medical Group, Inc. | 135 Courthouse Xing, Independence, KY 41051-2509 |
| Ashley Nicole Minton | Family Medicine | Summit Medical Group, Inc. | 300 Commerical Circle, Alexandria, KY 41001-0001 |
| Saadeddine Dughman | Cardiovascular Disease (cardiology) | Summit Medical Group, Inc. | 900 Medical Village Dr, Edgewood, KY 41017-3422 |
| James Michael Morrow | Podiatry | Summit Medical Group, Inc. | 525 Alexandria Pike, Suite 230, Southgate, KY 41071-3243 |
| Brandon A Cowan | Hospitalist | Summit Medical Group, Inc. | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Street Address |
6105 1ST FINANCIAL DR |
| City | BURLINGTON |
| State | KY |
| Zip | 41005-7892 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kruti C Patel | Family Medicine | Summit Medical Group, Inc. | 6105 1st Financial Dr, Burlington, KY 41005-7892 |
| Brent Plummer | Nurse Practitioner | Summit Medical Group, Inc. | 6105 1st Financial Dr, Burlington, KY 41005-7892 |
| Steven Lee Willett | Obstetrics/gynecology | Summit Medical Group, Inc. | 6105 1st Financial Dr, Burlington, KY 41005-7892 |
| Amanda J Frazier | Nurse Practitioner | Summit Medical Group, Inc. | 6105 1st Financial Dr, Burlington, KY 41005-7892 |
| Lily E Hahn | Obstetrics/gynecology | Summit Medical Group, Inc. | 6105 1st Financial Dr, Burlington, KY 41005-7892 |
| Mark J Kolar | Family Medicine | Summit Medical Group, Inc. | 6105 1st Financial Dr, Burlington, KY 41005-7892 |
| Michael J Duncan | Nurse Practitioner | Summit Medical Group, Inc. | 6105 1st Financial Dr, Burlington, KY 41005-7892 |
| Abby Loftus-smith | Obstetrics/gynecology | Summit Medical Group, Inc. | 6105 1st Financial Dr, Burlington, KY 41005-7892 |
| Anthony John Vita | Psychiatry | Summit Medical Group, Inc. | 6105 1st Financial Dr, Burlington, KY 41005-7892 |
| Melissa Mauser | Clinical Social Worker | Summit Medical Group, Inc. | 6105 1st Financial Dr, Burlington, KY 41005-7892 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerry L Tolbert | Family Medicine | Christ Hospital Medical Associates, II LLC | 1838 Florence Pike B, Burlington, KY 41005-1838 |
| Gerry L Tolbert | Family Medicine | Christ Hospital Medical Associates, II LLC | 1838 Florence Pike B, Burlington, KY 41005-1838 |
| Elizabeth Ann Tanner | Nurse Practitioner | Christ Hospital Medical Associates, II LLC | 1838 Florence Pike B, Burlington, KY 41005-1838 |
| Lauren E Steckman | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 1747 Patrick Dr S, Burlington, KY 41005-7317 |
| Amy L Swope | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 1747 Patrick Dr S, Burlington, KY 41005-7317 |
| Laura A Jacobs | Nurse Practitioner | Summit Medical Group, Inc. | 6105 1st Financial Dr, Burlington, KY 41005-7892 |
| Katlyn Lee | Optometry | Primary Eye Care Associates Psc | 1821 Florence Pike, Suite 1, Burlington, KY 41005-7942 |
| David M Blair | Optometry | Primary Eye Care Associates Psc | 1821 Florence Pike, Suite 1, Burlington, KY 41005-7942 |
| City | BURLINGTON |
| Zip Code | 41005 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BURLINGTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Brittany A 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.