Kayla M Sullivan (NPI# 1629525415, PAC ID# 9133407489) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1629525415 |
| PAC ID by PECOS | 9133407489 |
| Professional Enrollment ID | I20161020002305 |
| Full Name | Kayla M Sullivan |
| Organization Legal Name | INTEGRATED PREMIER GROUP SPECIALTY LLC |
| Address |
123 E Baseline Rd Suite D104 Tempe AZ 85283-1291 |
| Phone Number | 4807180568 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0446537096 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 123 E Baseline Rd, Suite D104, Tempe, AZ 85283-1291 | 4807180568 | INTEGRATED PREMIER GROUP SPECIALTY LLC |
| Organization Legal Name | INTEGRATED PREMIER GROUP SPECIALTY LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Felicia M Aman | Nurse Practitioner | Integrated Premier Group Specialty LLC | 123 E Baseline Rd, Suite D104, Tempe, AZ 85283-1291 |
| Valerie Nicole Scott | Nurse Practitioner | Integrated Premier Group Specialty LLC | 123 E Baseline Rd, Suite D104, Tempe, AZ 85283-1291 |
| Dennis Dorr Weimer Jr. | Psychiatry | Integrated Premier Group Specialty LLC | 123 E Baseline Rd, Suite D104, Tempe, AZ 85283-1291 |
| Roxanna Donan | Nurse Practitioner | Integrated Premier Group Specialty LLC | 123 E Baseline Rd, Suite D104, Tempe, AZ 85283-1291 |
| Feras Aldaoud | Internal Medicine | Integrated Premier Group Specialty LLC | 123 E Baseline Rd, Suite D104, Tempe, AZ 85283-1291 |
| Martha A Lamarre | Physician Assistant | Integrated Premier Group Specialty LLC | 123 E Baseline Rd, Suite D104, Tempe, AZ 85283-1291 |
| Elise C Terry | Physician Assistant | Integrated Premier Group Specialty LLC | 123 E Baseline Rd, Suite D104, Tempe, AZ 85283-1291 |
| Jaeha Song | Podiatry | Integrated Premier Group Specialty LLC | 123 E Baseline Rd, Suite D104, Tempe, AZ 85283-1291 |
| Deborah Dugan | Nurse Practitioner | Integrated Premier Group Specialty LLC | 123 E Baseline Rd, Suite D104, Tempe, AZ 85283-1291 |
| Casandra Ray Hamlin | Nurse Practitioner | Integrated Premier Group Specialty LLC | 123 E Baseline Rd, Suite D104, Tempe, AZ 85283-1291 |
| Street Address |
123 E BASELINE RD SUITE D104 |
| City | TEMPE |
| State | AZ |
| Zip | 85283-1291 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Felicia M Aman | Nurse Practitioner | Integrated Premier Group Specialty LLC | 123 E Baseline Rd, Suite D104, Tempe, AZ 85283-1291 |
| Valerie Nicole Scott | Nurse Practitioner | Integrated Premier Group Specialty LLC | 123 E Baseline Rd, Suite D104, Tempe, AZ 85283-1291 |
| Dennis Dorr Weimer Jr. | Psychiatry | Integrated Premier Group Specialty LLC | 123 E Baseline Rd, Suite D104, Tempe, AZ 85283-1291 |
| Roxanna Donan | Nurse Practitioner | Integrated Premier Group Specialty LLC | 123 E Baseline Rd, Suite D104, Tempe, AZ 85283-1291 |
| Feras Aldaoud | Internal Medicine | Integrated Premier Group Specialty LLC | 123 E Baseline Rd, Suite D104, Tempe, AZ 85283-1291 |
| Martha A Lamarre | Physician Assistant | Integrated Premier Group Specialty LLC | 123 E Baseline Rd, Suite D104, Tempe, AZ 85283-1291 |
| Elise C Terry | Physician Assistant | Integrated Premier Group Specialty LLC | 123 E Baseline Rd, Suite D104, Tempe, AZ 85283-1291 |
| Jaeha Song | Podiatry | Integrated Premier Group Specialty LLC | 123 E Baseline Rd, Suite D104, Tempe, AZ 85283-1291 |
| Deborah Dugan | Nurse Practitioner | Integrated Premier Group Specialty LLC | 123 E Baseline Rd, Suite D104, Tempe, AZ 85283-1291 |
| Casandra Ray Hamlin | Nurse Practitioner | Integrated Premier Group Specialty LLC | 123 E Baseline Rd, Suite D104, Tempe, AZ 85283-1291 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kiup A Kim | General Surgery | 2737 W Baseline Rd, Suite 27, Tempe, AZ 85283-1051 | |
| Rashda Kaif | Internal Medicine | 2737 W Baseline Rd, Suite 24, Tempe, AZ 85283-1051 | |
| Lorena A Conde | Physician Assistant | Gila Internal Medicine and Geriatric P C | 2727 W Baseline Rd, Suite 11, Phoenix, AZ 85283-1068 |
| Enrique M Cifuentes | Family Medicine | Gila Internal Medicine and Geriatric P C | 2727 W Baseline Rd, Suite 11, Phoenix, AZ 85283-1068 |
| Ephraim E Temple | Physician Assistant | Gila Internal Medicine and Geriatric P C | 2727 W Baseline Rd, Suite 11, Phoenix, AZ 85283-1068 |
| Aureliano E Cifuentes Sr. | Internal Medicine | Gila Internal Medicine and Geriatric P C | 2727 W Baseline Rd, Suite 11, Phoenix, AZ 85283-1068 |
| Boris Schwartz | Nurse Practitioner | Gila Internal Medicine and Geriatric P C | 2727 W Baseline Rd, Suite 8, Tempe, AZ 85283-1068 |
| Ali A Askari | Cardiovascular Disease (cardiology) | 2727 W Baseline Rd, Suite 8, Tempe, AZ 85283-1068 | |
| Savannah M Schoose | Physician Assistant | Gila Internal Medicine and Geriatric P C | 2727 W Baseline Rd, Suite 11, Phoenix, AZ 85283-1068 |
| Danielle M Guerin | Nurse Practitioner | Gila Internal Medicine and Geriatric P C | 2727 W Baseline Rd, Suite 8, Tempe, AZ 85283-1068 |
| Find all physicians in zip 85283 | |||
| City | TEMPE |
| Zip Code | 85283 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | TEMPE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kayla 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.