Jonathan M Sullivan (NPI# 1528387958, PAC ID# 6901047125) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1528387958 |
| PAC ID by PECOS | 6901047125 |
| Professional Enrollment ID | I20130730000619 |
| Full Name | Jonathan M Sullivan |
| Organization Legal Name | ADVANCED FOOT AND ANKLE CARE CENTERS OF OHIO, INC. |
| Address |
1000 Michigan St Sidney OH 45365-2404 |
| Phone Number | 9374921211 |
| Gender | M |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 1456325885 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360174 | UPPER VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1000 Michigan St, Sidney, OH 45365-2404 | 9374921211 | ADVANCED FOOT AND ANKLE CARE CENTERS OF OHIO, INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 87% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 83% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | ADVANCED FOOT AND ANKLE CARE CENTERS OF OHIO, INC. |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alfred W Kwon | Podiatry | Advanced Foot and Ankle Care Centers of Ohio, Inc. | 1000 Michigan St, Sidney, OH 45365-2404 |
| Eric J Polansky | Podiatry | Advanced Foot and Ankle Care Centers of Ohio, Inc. | 1255 E Ash St, Piqua, OH 45356-4131 |
| Hillarie S Amburgey | Podiatry | Advanced Foot and Ankle Care Centers of Ohio, Inc. | 1000 Michigan St, Sidney, OH 45365-2404 |
| Kimberly A Avramaut | Podiatry | Advanced Foot and Ankle Care Centers of Ohio, Inc. | 1000 Michigan St, Sidney, OH 45365-2404 |
| Street Address |
1000 MICHIGAN ST |
| City | SIDNEY |
| State | OH |
| Zip | 45365-2404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alfred W Kwon | Podiatry | Advanced Foot and Ankle Care Centers of Ohio, Inc. | 1000 Michigan St, Sidney, OH 45365-2404 |
| Hillarie S Amburgey | Podiatry | Advanced Foot and Ankle Care Centers of Ohio, Inc. | 1000 Michigan St, Sidney, OH 45365-2404 |
| Kimberly A Avramaut | Podiatry | Advanced Foot and Ankle Care Centers of Ohio, Inc. | 1000 Michigan St, Sidney, OH 45365-2404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donn S Fishbein | Pathology | 915 W Michigan St, Sidney, OH 45365-0497 | |
| Sherri Lynn Underwood | Nurse Practitioner | Dayton Pain Center LLC | 331 6th Ave, Sidney, OH 45365-1040 |
| Srinivas Erragolla | Physical Medicine and Rehabilitation | Dayton Pain Center LLC | 331 6th Ave, Sidney, OH 45365-1040 |
| Bhimavarapu K Reddy | Interventional Pain Management | Dayton Pain Center LLC | 331 6th Ave, Sidney, OH 45365-1040 |
| Darcy Whyte | Physician Assistant | Dayton Pain Center LLC | 331 6th Ave, Sidney, OH 45365-1040 |
| Edward I Nelson | Anesthesiology | Dayton Pain Center LLC | 331 6th Ave, Sidney, OH 45365-1040 |
| Lita R Budiamal-mathai | Pain Management | Dayton Pain Center LLC | 331 6th Ave, Sidney, OH 45365-1040 |
| Veronica Lee Profitt Wood | Nurse Practitioner | Dayton Pain Center LLC | 331 6th Ave, Sidney, OH 45365-1040 |
| Stephen Thomas Mathai | Addiction Medicine | Dayton Pain Center LLC | 331 6th Ave, Sidney, OH 45365-1040 |
| Dennis Elliott Mcclure | Pain Management | Dayton Pain Center LLC | 331 6th Ave, Sidney, OH 45365-1040 |
| Find all physicians in zip 45365 | |||
| City | SIDNEY |
| Zip Code | 45365 |
| Specialty | PODIATRY |
| City + Specialty | SIDNEY + PODIATRY |
Please comment or provide details below to improve the information on Jonathan M 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.