Sabra Sullivan (NPI# 1932176641, PAC ID# 9032308044) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1932176641 |
| PAC ID by PECOS | 9032308044 |
| Professional Enrollment ID | I20110106000666 |
| Full Name | Sabra Sullivan |
| Address |
501 Marshall St Suite 606 Jackson MS 39202-1650 |
| Gender | F |
| Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduation Year | 1988 |
| Primary Specialty | DERMATOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250102 | MISSISSIPPI BAPTIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 501 Marshall St, Suite 606, Jackson, MS 39202-1650 |
| Street Address |
501 MARSHALL ST SUITE 606 |
| City | JACKSON |
| State | MS |
| Zip | 39202-1650 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael C Livingston | Obstetrics/gynecology | 501 Marshall St, Suite 501, Jackson, MS 39202-1615 | |
| Brittany A Little | Nurse Practitioner | Jackson Pulmonary Associates, Pa | 501 Marshall St, Suite 200, Jackson, MS 39202-1687 |
| Gina E Heath | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Robert W Naef | Obstetrics/gynecology | 501 Marshall St, Suite 600, Jackson, MS 39202-1650 | |
| Ashley M Johnson | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 501 Marshall St, Suite 400, Jackson, MS 39202-1687 |
| Lindsey B Lassiter | Nurse Practitioner | Jackson Pulmonary Associates, Pa | 501 Marshall St, Suite 200, Jackson, MS 39202-1687 |
| Laurie S Nimon | Nurse Practitioner | Southeast Urogyn LLC | 501 Marshall St, Suite 600, Jackson, MS 39202-1650 |
| George Edward Copeland Iii | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Erin R Cummins | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Raymond L Portis | Internal Medicine | Jackson Pulmonary Associates, Pa | 501 Marshall St, Suite 200, Jackson, MS 39202-1687 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony Bedear Petro | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Jason G Murphy | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Nathan Dudley Maples | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Andrew Currier Mallette | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Alexander John Haick | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Martha D Dickens | Family Practice | Medical Foundation of Central Mississippi Inc | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Amanda Leigh Ellis | Nurse Practitioner | Southeast Urogyn LLC | 501 Marshall St, Suite 600, Jackson, MS 39202-1650 |
| Steven E Speights | Obstetrics/gynecology | Southeast Urogyn LLC | 501 Marshall St, Suite 600, Jackson, MS 39202-1650 |
| Robert L Harris | Obstetrics/gynecology | Southeast Urogyn LLC | 501 Marshall St, Suite 600, Jackson, MS 39202-1650 |
| Leticia Otchere-darko | Anesthesiology | State of Mississippi-university of Mississippi Medical Center | 1421 N State St, Suite 203, Jackson, MS 39202-1658 |
| Find all physicians in zip 39202 | |||
| City | JACKSON |
| Zip Code | 39202 |
| Specialty | DERMATOLOGY |
| City + Specialty | JACKSON + DERMATOLOGY |
Please comment or provide details below to improve the information on Sabra 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.