Louis D Sully (NPI# 1346212966, PAC ID# 8022134857) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1346212966 |
| PAC ID by PECOS | 8022134857 |
| Professional Enrollment ID | I20100929000500 |
| Full Name | Louis D Sully |
| Organization Legal Name | ENT SPECIALISTS PC |
| Address |
720 N 129th St Omaha NE 68154-6109 |
| Phone Number | 4023970670 |
| Gender | M |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3173517539 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 280040 | THE NEBRASKA METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 720 N 129th St, Omaha, NE 68154-6109 | 4023970670 | ENT SPECIALISTS PC |
| Organization Legal Name | ENT SPECIALISTS PC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debora Goebel | Otolaryngology | Ent Specialists PC | 720 N 129th St, Omaha, NE 68154-6109 |
| Christine M Lepoudre | Otolaryngology | Ent Specialists PC | 6249 Grand River Rd, Brighton, MI 48114-5305 |
| Misty R Mueller | Qualified Audiologist | Ent Specialists PC | 720 N 129th St, Omaha, NE 68154-6109 |
| Melissa Kosky | Qualified Audiologist | Ent Specialists PC | 25500 Meadowbrook Rd, Suite 220, Novi, MI 48375-1882 |
| Trent W Quinlan | Otolaryngology | Ent Specialists PC | 933 E Pierce St, Council Bluffs, IA 51503-4626 |
| Shant A Korkigian | Otolaryngology | Ent Specialists PC | 25500 Meadowbrook Rd, Suite 220, Novi, MI 48375-1882 |
| Catherine Buchele | Qualified Audiologist | Ent Specialists PC | 25500 Meadowbrook Rd, Suite 220, Novi, MI 48375-1882 |
| Kenneth R Stallons | Qualified Audiologist | Ent Specialists PC | 720 N 129th St, Omaha, NE 68154-6109 |
| Kendra E Luebke | Otolaryngology | Ent Specialists PC | 720 N 129th St, Omaha, NE 68154-6109 |
| Patrick C Farrell | Otolaryngology | Ent Specialists PC | 720 N 129th St, Omaha, NE 68154-6109 |
| Street Address |
720 N 129TH ST |
| City | OMAHA |
| State | NE |
| Zip | 68154-6109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debora Goebel | Otolaryngology | Ent Specialists PC | 720 N 129th St, Omaha, NE 68154-6109 |
| Misty R Mueller | Qualified Audiologist | Ent Specialists PC | 720 N 129th St, Omaha, NE 68154-6109 |
| Kenneth R Stallons | Qualified Audiologist | Ent Specialists PC | 720 N 129th St, Omaha, NE 68154-6109 |
| Kendra E Luebke | Otolaryngology | Ent Specialists PC | 720 N 129th St, Omaha, NE 68154-6109 |
| Patrick C Farrell | Otolaryngology | Ent Specialists PC | 720 N 129th St, Omaha, NE 68154-6109 |
| David A Denman | Otolaryngology | Ent Specialists PC | 720 N 129th St, Omaha, NE 68154-6109 |
| Ryan K Sewell | Otolaryngology | Ent Specialists PC | 720 N 129th St, Omaha, NE 68154-6109 |
| Kyle Jonathan Stansifer | Otolaryngology | Ent Specialists PC | 720 N 129th St, Omaha, NE 68154-6109 |
| Brenda J Ohlrich | Audiologist | Ent Specialists PC | 720 N 129th St, Omaha, NE 68154-6109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter N Piperis | Pain Management | Momenta Pain Care, LLC | 1805 N 145th St, Omaha, NE 68154-1179 |
| Eric P Troudt | Certified Registered Nurse Anesthetist (crna) | Hypnos Anesthesia PC | 1805 N 145th St, Omaha, NE 68154-1179 |
| David A Dramse | Certified Registered Nurse Anesthetist (crna) | Hypnos Anesthesia PC | 1805 N 145th St, Omaha, NE 68154-1179 |
| Griffith F Evans | Anesthesiology | Momenta Pain Care, LLC | 1805 N 145th St, Omaha, NE 68154-1179 |
| Heather L Kanago | Qualified Speech Language Pathologist | 1805 N 126th Cir, Omaha, NE 68154-1213 | |
| Nicholas M Neneman | Chiropractic | 1808 N 120th St, Omaha, NE 68154-1392 | |
| Ryan L Villwok | Chiropractic | 625 N 114th St, Omaha, NE 68154-1514 | |
| Daniel Jackson | Optometry | 713 N 114th St, Omaha, NE 68154-1515 | |
| June M Schlegelmilch | Clinical Social Worker | 11920 Burt St, Suite 190, Omaha, NE 68154-1573 | |
| Jay A Rich | Psychiatry | Jay A Rich Md and Associates PC | 11920 Burt St, Omaha, NE 68154-1598 |
| Find all physicians in zip 68154 | |||
| City | OMAHA |
| Zip Code | 68154 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | OMAHA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Louis D Sully.
| 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.