Patrick K Sullivan (NPI# 1659345015, PAC ID# 6800971557) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1659345015 |
| PAC ID by PECOS | 6800971557 |
| Professional Enrollment ID | I20080311000498 |
| Full Name | Patrick K Sullivan |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP INC |
| Address |
235 Plain St Suite 501 Providence RI 02905-3243 |
| Phone Number | 4014445495 |
| Gender | M |
| Medical School | MAYO MEDICAL SCHOOL |
| Graduation Year | 1979 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialties | OTOLARYNGOLOGY |
| Group Practice PAC ID | 2567455082 |
| Number of Group Practice Members | 600 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 235 Plain St, Suite 501, Providence, RI 02905-3243 | 4014445495 | LIFESPAN PHYSICIAN GROUP INC |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP INC |
| Physicians | 560 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roy Souaid | Internal Medicine | Lifespan Physician Group Inc | 1500 Pontiac Ave, Suite 101, Cranston, RI 02920-4486 |
| Amritpal Singh Jawanda | Family Medicine | Lifespan Physician Group Inc | 639 Metacom Ave, Warren, RI 02885-2348 |
| Alisha Lakhani | Rheumatology | Lifespan Physician Group Inc | 407 E Ave, Suite 250, Pawtucket, RI 02860-5290 |
| Leah R Battista | Obstetrics/gynecology | Lifespan Physician Group Inc | 148 W River St, Suite 1g, Providence, RI 02904-2615 |
| Mahmoud Mowafy | Internal Medicine | Lifespan Physician Group Inc | 164 Summit Ave, Providence, RI 02906-2853 |
| Caroline Sizer | Physical Medicine and Rehabilitation | Lifespan Physician Group Inc | 765 Allens Ave, Suite 110, Providence, RI 02905-5443 |
| Christine Michele Leddy | Psychiatry | Lifespan Physician Group Inc | 11 Friendship St, Newport, RI 02840-2209 |
| Dana Siperstein | Psychiatry | Lifespan Physician Group Inc | 167 Point St, Providence, RI 02903-4771 |
| Brady Geronimo Case | Psychiatry | Lifespan Physician Group Inc | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 |
| Maurice Francis Joyce Iii | Anesthesiology | Lifespan Physician Group Inc | 55 Lambert Lind Hwy, Warwick, RI 02886-1074 |
| Street Address |
235 PLAIN ST SUITE 501 |
| City | PROVIDENCE |
| State | RI |
| Zip | 02905-3243 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Steigman | Internal Medicine | 235 Plain St, Suite 306, Providence, RI 02905-3241 | |
| James T Pascalides | Podiatry | University Foot and Ankle Center Inc | 235 Plain St, Suite 201, Providence, RI 02905-3242 |
| Daniel K Kwan | Plastic and Reconstructive Surgery | Lifespan Physician Group Inc | 235 Plain St, Suite 501, Providence, RI 02905-3243 |
| Reena A Bhatt | Hand Surgery | Lifespan Physician Group Inc | 235 Plain St, Suite 203, Providence, RI 02905-3241 |
| Patricia A Rompf | Cardiovascular Disease (cardiology) | 235 Plain St, Suite 301, Providence, RI 02905-3241 | |
| Paul Y Liu | Plastic and Reconstructive Surgery | Lifespan Physician Group Inc | 235 Plain St, Suite 203, Providence, RI 02905-3241 |
| Michael D Beitle | Obstetrics/gynecology | 235 Plain St, Suite 101a, Providence, RI 02905-3242 | |
| Karl U Breuing | Plastic and Reconstructive Surgery | Lifespan Physician Group Inc | 235 Plain St, Suite 501, Providence, RI 02905-3243 |
| Louis R Simeone | Podiatry | University Foot and Ankle Center Inc | 235 Plain St, Suite 201, Providence, RI 02905-3242 |
| Peter Lewis | Podiatry | University Foot and Ankle Center Inc | 235 Plain St, Suite 201, Providence, RI 02905-3242 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clarissa D. Lewis | Optometry | The Providence Community Health Centers Inc. | 335 Prairie Ave, Fl 2, Providence, RI 02905-1924 |
| Angel M. Eads | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Sandrine O Guilherme | Clinical Social Worker | The Providence Center Inc | 355 Prairie Ave, Providence, RI 02905-1928 |
| Katherine Williams | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Luis A Ferreira | Clinical Social Worker | The Providence Center Inc | 355 Prairie Ave, Providence, RI 02905-1928 |
| Andrew Saal | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Lauren E Stewart | Obstetrics/gynecology | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Tenesha R Lisbon | Nurse Practitioner | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Elaine K Parker Williams | Nurse Practitioner | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Carla Martin | Internal Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Find all physicians in zip 02905 | |||
| City | PROVIDENCE |
| Zip Code | 02905 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | PROVIDENCE + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Patrick K 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.