Lisa M Sullivan (NPI# 1922081199, PAC ID# 7719172196) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1922081199 |
| PAC ID by PECOS | 7719172196 |
| Professional Enrollment ID | I20101110001484 |
| Full Name | Lisa M Sullivan |
| Organization Legal Name | DIGESTIVE DISEASE MEDICINE OF CENTRAL NEW YORK, LLP |
| Address |
110 Business Park Dr Utica NY 13502-6302 |
| Phone Number | 3156247000 |
| Gender | F |
| Medical School | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
| Graduation Year | 1994 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1254351141 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330245 | ST ELIZABETH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 110 Business Park Dr, Utica, NY 13502-6302 | 3156247000 | DIGESTIVE DISEASE MEDICINE OF CENTRAL NEW YORK, LLP |
| Organization Legal Name | DIGESTIVE DISEASE MEDICINE OF CENTRAL NEW YORK, LLP |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Esteban Onate | Physician Assistant | Digestive Disease Medicine of Central New York, LLP | 110 Business Park Dr, Utica, NY 13502-6302 |
| Bradley F Sklar | Gastroenterology | Digestive Disease Medicine of Central New York, LLP | 110 Business Park Dr, Utica, NY 13502-6302 |
| Stanley P Weiselberg | Gastroenterology | Digestive Disease Medicine of Central New York, LLP | 110 Business Park Dr, Utica, NY 13502-6302 |
| Richard Cherpak | Gastroenterology | Digestive Disease Medicine of Central New York, LLP | 110 Business Park Dr, Utica, NY 13502-6302 |
| Michele C Dischiavo | Physician Assistant | Digestive Disease Medicine of Central New York, LLP | 110 Business Park Dr, Utica, NY 13502-6302 |
| Harvey Hamilton Allen | Gastroenterology | Digestive Disease Medicine of Central New York, LLP | 110 Business Park Dr, Utica, NY 13502-6302 |
| Cynthia M Law | Nurse Practitioner | Digestive Disease Medicine of Central New York, LLP | 110 Business Park Dr, Utica, NY 13502-6302 |
| Aida Durmisevic | Nurse Practitioner | Digestive Disease Medicine of Central New York, LLP | 110 Business Park Dr, Utica, NY 13502-6302 |
| Syed Saeed Zaman | Pathology | Digestive Disease Medicine of Central New York, LLP | 110 Business Park Dr, Utica, NY 13502-6302 |
| Deborah L Clarey | Nurse Practitioner | Digestive Disease Medicine of Central New York, LLP | 110 Business Park Dr, Utica, NY 13502-6302 |
| Street Address |
110 BUSINESS PARK DR |
| City | UTICA |
| State | NY |
| Zip | 13502-6302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Esteban Onate | Physician Assistant | Digestive Disease Medicine of Central New York, LLP | 110 Business Park Dr, Utica, NY 13502-6302 |
| Bradley F Sklar | Gastroenterology | Digestive Disease Medicine of Central New York, LLP | 110 Business Park Dr, Utica, NY 13502-6302 |
| Stanley P Weiselberg | Gastroenterology | Digestive Disease Medicine of Central New York, LLP | 110 Business Park Dr, Utica, NY 13502-6302 |
| Richard Cherpak | Gastroenterology | Digestive Disease Medicine of Central New York, LLP | 110 Business Park Dr, Utica, NY 13502-6302 |
| Michele C Dischiavo | Physician Assistant | Digestive Disease Medicine of Central New York, LLP | 110 Business Park Dr, Utica, NY 13502-6302 |
| Harvey Hamilton Allen | Gastroenterology | Digestive Disease Medicine of Central New York, LLP | 110 Business Park Dr, Utica, NY 13502-6302 |
| Cynthia M Law | Nurse Practitioner | Digestive Disease Medicine of Central New York, LLP | 110 Business Park Dr, Utica, NY 13502-6302 |
| Aida Durmisevic | Nurse Practitioner | Digestive Disease Medicine of Central New York, LLP | 110 Business Park Dr, Utica, NY 13502-6302 |
| Syed Saeed Zaman | Pathology | Digestive Disease Medicine of Central New York, LLP | 110 Business Park Dr, Utica, NY 13502-6302 |
| Deborah L Clarey | Nurse Practitioner | Digestive Disease Medicine of Central New York, LLP | 110 Business Park Dr, Utica, NY 13502-6302 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terry F Lutz | Optometry | 710 Horatio St, Suite 700, Utica, NY 13502-1461 | |
| Edward J Casper Jr. | Chiropractic | 441 Trenton Ave, Utica, NY 13502-1605 | |
| Tatyana Misyulya | Family Medicine | Faxton - St Lukes Healthcare | 417 Trenton Ave, Utica, NY 13502-1613 |
| Salvatore Capuana | Chiropractic | 441 Trenton Ave, Utica, NY 13502-1661 | |
| David M Abdoo | Physical Therapy | 430 Coventry Ave, Utica, NY 13502-1764 | |
| Rachel Colino | Nurse Practitioner | Extend Care Family Health Np Pllc | 101 Herkimer Rd, Utica, NY 13502-2311 |
| Jonathan D Colino | Nurse Practitioner | Extend Care Family Health Np Pllc | 101 Herkimer Rd, Utica, NY 13502-2311 |
| Nalini J Namassivaya | Pulmonary Disease | Faxton - St Lukes Healthcare | 35 Riverside Dr, Utica, NY 13502-2320 |
| Komgrit Chukiert | Pulmonary Disease | Faxton - St Lukes Healthcare | 35 Riverside Dr, Utica, NY 13502-2320 |
| Thomas E Gwilt | Nurse Practitioner | Faxton - St Lukes Healthcare | 35 Riverside Dr, Utica, NY 13502-2320 |
| Find all physicians in zip 13502 | |||
| City | UTICA |
| Zip Code | 13502 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | UTICA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lisa 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.