Kerrie L Sullivan (NPI# 1619074077, PAC ID# 9436244621) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1619074077 |
| PAC ID by PECOS | 9436244621 |
| Professional Enrollment ID | I20071003000257 |
| Full Name | Kerrie L Sullivan |
| Organization Legal Name | MARYLAND BRAIN SPINE AND PAIN LLC |
| Address |
1000 Bestgate Rd Suite 400 Annapolis MD 21401-3371 |
| Phone Number | 4102662720 |
| Gender | F |
| Graduation Year | 1999 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7618963646 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1000 Bestgate Rd, Suite 400, Annapolis, MD 21401-3371 | 4102662720 | MARYLAND BRAIN SPINE AND PAIN LLC |
| Organization Legal Name | MARYLAND BRAIN SPINE AND PAIN LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian J Sullivan | Neurosurgery | Maryland Brain Spine and Pain LLC | 1000 Bestgate Rd, Suite 400, Annapolis, MD 21401-3371 |
| Tushar Sharma | Pain Management | Maryland Brain Spine and Pain LLC | 1000 Bestgate Rd, Suite 400, Annapolis, MD 21401-3371 |
| Gary A Dix | Neurosurgery | Maryland Brain Spine and Pain LLC | 1000 Bestgate Rd, Suite 400, Annapolis, MD 21401-3371 |
| Wendy Riekers | Physician Assistant | Maryland Brain Spine and Pain LLC | 1000 Bestgate Rd, Suite 400, Annapolis, MD 21401-3371 |
| Karen J Scott | Physician Assistant | Maryland Brain Spine and Pain LLC | 1000 Bestgate Rd, Suite 400, Annapolis, MD 21401-3371 |
| Kevin Slayton | Physician Assistant | Maryland Brain Spine and Pain LLC | 1000 Bestgate Rd, Suite 400, Annapolis, MD 21401-3371 |
| Franklin R Hepfer | Physician Assistant | Maryland Brain Spine and Pain LLC | 1000 Bestgate Rd, Suite 400, Annapolis, MD 21401-3371 |
| Alexandre Andre Debetencourt | Physician Assistant | Maryland Brain Spine and Pain LLC | 1000 Bestgate Rd, Suite 400, Annapolis, MD 21401-3371 |
| Kevin A Asonglefac | Nurse Practitioner | Maryland Brain Spine and Pain LLC | 1000 Bestgate Rd, Suite 400, Annapolis, MD 21401-3371 |
| Simi Okuboye | Nurse Practitioner | Maryland Brain Spine and Pain LLC | 130 Love Point Rd, Stevensville, MD 21666-2132 |
| Street Address |
1000 BESTGATE RD SUITE 400 |
| City | ANNAPOLIS |
| State | MD |
| Zip | 21401-3371 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian J Sullivan | Neurosurgery | Maryland Brain Spine and Pain LLC | 1000 Bestgate Rd, Suite 400, Annapolis, MD 21401-3371 |
| Tushar Sharma | Pain Management | Maryland Brain Spine and Pain LLC | 1000 Bestgate Rd, Suite 400, Annapolis, MD 21401-3371 |
| Gary A Dix | Neurosurgery | Maryland Brain Spine and Pain LLC | 1000 Bestgate Rd, Suite 400, Annapolis, MD 21401-3371 |
| Wendy Riekers | Physician Assistant | Maryland Brain Spine and Pain LLC | 1000 Bestgate Rd, Suite 400, Annapolis, MD 21401-3371 |
| Karen J Scott | Physician Assistant | Maryland Brain Spine and Pain LLC | 1000 Bestgate Rd, Suite 400, Annapolis, MD 21401-3371 |
| Kevin Slayton | Physician Assistant | Maryland Brain Spine and Pain LLC | 1000 Bestgate Rd, Suite 400, Annapolis, MD 21401-3371 |
| Franklin R Hepfer | Physician Assistant | Maryland Brain Spine and Pain LLC | 1000 Bestgate Rd, Suite 400, Annapolis, MD 21401-3371 |
| Alexandre Andre Debetencourt | Physician Assistant | Maryland Brain Spine and Pain LLC | 1000 Bestgate Rd, Suite 400, Annapolis, MD 21401-3371 |
| Kevin A Asonglefac | Nurse Practitioner | Maryland Brain Spine and Pain LLC | 1000 Bestgate Rd, Suite 400, Annapolis, MD 21401-3371 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hien T Pham | Optometry | Visionworks, Inc | 169 Jennifer Square Ctr D, Annapolis, MD 21401 |
| Shana R Levy | Optometry | Visionworks, Inc | 169 Jennifer Square Ctr D, Annapolis, MD 21401 |
| Emily C O Meara | Optometry | The Center for Vision Development, LLC | 2525 Riva Rd, Suite 126, Annapolis, MD 21401-0077 |
| Jennifer Jayne Kungle | Optometry | The Center for Vision Development, LLC | 2525 Riva Rd, Suite 126, Annapolis, MD 21401-0077 |
| Katherine Hill | Nurse Practitioner | Anne Arundel Physician Group LLC | 2003 Medical Pkwy, Suite 150, Annapolis, MD 21401-0317 |
| Kay A Hoskey | Obstetrics/gynecology | Anne Arundel Physician Group LLC | 2003 Medical Pkwy, Suite 150, Annapolis, MD 21401-0317 |
| Johann Entinger | Podiatry | Podiatry Group of Annapolis Pa | 139 Old Solomons Island Rd C, Annapolis, MD 21401-0902 |
| James M Mckee | Podiatry | Podiatry Group of Annapolis Pa | 139 Old Solomons Island Rd, Suite C, Annapolis, MD 21401-0902 |
| Adam Lawrence Weaver | Podiatry | Podiatry Group of Annapolis Pa | 139 Old Solomons Island Rd, Suite C, Annapolis, MD 21401-0902 |
| Adeleke A Ogunmefun | Psychiatry | 139 Old Solomons Island Rd, Suite A, Annapolis, MD 21401-0902 | |
| Find all physicians in zip 21401 | |||
| City | ANNAPOLIS |
| Zip Code | 21401 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ANNAPOLIS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kerrie L 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.