Emily Elizabeth Sullivan (NPI# 1861930489, PAC ID# 9537411095) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1861930489 |
| PAC ID by PECOS | 9537411095 |
| Professional Enrollment ID | I20181010002764 |
| Full Name | Emily Elizabeth Sullivan |
| Organization Legal Name | BROOKSIDE MEDICAL ASSOCIATES PC |
| Address |
106 Nate Whipple Hwy Suite 101 Cumberland RI 02864-1403 |
| Phone Number | 4016581197 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7315226990 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410012 | THE MIRIAM HOSPITAL |
| 410011 | LANDMARK MEDICAL CENTER |
| 410005 | OUR LADY OF FATIMA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 106 Nate Whipple Hwy, Suite 101, Cumberland, RI 02864-1403 | 4016581197 | BROOKSIDE MEDICAL ASSOCIATES PC |
| Organization Legal Name | BROOKSIDE MEDICAL ASSOCIATES PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jenna Boutilier | Nurse Practitioner | Brookside Medical Associates PC | 106 Nate Whipple Hwy, Suite 101, Cumberland, RI 02864-1403 |
| Gerda Newcomb | Nurse Practitioner | Brookside Medical Associates PC | 106 Nate Whipple Hwy, Suite 101, Cumberland, RI 02864-1403 |
| Kristin Meegan | Nurse Practitioner | Brookside Medical Associates PC | 106 Nate Whipple Hwy, Suite 101, Cumberland, RI 02864-1403 |
| Scott A Wilson | Internal Medicine | Brookside Medical Associates PC | 106 Nate Whipple Hwy, Suite 101, Cumberland, RI 02864-1403 |
| Street Address |
106 NATE WHIPPLE HWY SUITE 101 |
| City | CUMBERLAND |
| State | RI |
| Zip | 02864-1403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony G Bruzzese | Diagnostic Radiology | Toll Gate Radiology II LLC | 106 Nate Whipple Hwy, Cumberland, RI 02864-1428 |
| Jenna Boutilier | Nurse Practitioner | Brookside Medical Associates PC | 106 Nate Whipple Hwy, Suite 101, Cumberland, RI 02864-1403 |
| Gerda Newcomb | Nurse Practitioner | Brookside Medical Associates PC | 106 Nate Whipple Hwy, Suite 101, Cumberland, RI 02864-1403 |
| Kristin Meegan | Nurse Practitioner | Brookside Medical Associates PC | 106 Nate Whipple Hwy, Suite 101, Cumberland, RI 02864-1403 |
| Scott A Wilson | Internal Medicine | Brookside Medical Associates PC | 106 Nate Whipple Hwy, Suite 101, Cumberland, RI 02864-1403 |
| Alan D Gaines | Allergy/immunology | 106 Nate Whipple Hwy, Suite 201, Cumberland, RI 02864-1403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven B Kirschner | Gastroenterology | 106 Nate Whipple Hgwy, Cumberland, RI 02864 | |
| Pamela M Styler | Psychologist, Clinical | 2180 Hendon Rd, Suite 21, Cumberland, RI 02864 | |
| Brianna L Landry | Physical Therapy | 175 Nate Whipple Hwy, Suite 101, Cumberland, RI 02864-1422 | |
| Tilak K Verma | Pulmonary Disease | 175 Nate Whipple Hwy, Suite 101, Cumberland, RI 02864-1422 | |
| Thomas P Sowa | Chiropractic | 175 Nate Whipple Hwy 205, Cumberland, RI 02864-1425 | |
| Stanley Balon | Internal Medicine | 175 Nate Whipple Hwy, Suite 204, Cumberland, RI 02864-1425 | |
| Alla Korennaya | Neurology | 175 Nate Whipple Hwy, Suite 203, Cumberland, RI 02864-1425 | |
| Mihaela Iovanel | Internal Medicine | 175 Nate Whipple Hwy, Suite 208, Cumberland, RI 02864-1427 | |
| John F Biernacki | Oral Surgery | Attleboro Cumberland Oral Surgeons Inc | 175 Nate Whipple Hwy, Suite 210, Cumberland, RI 02864-1427 |
| Farid A Irshad | Physician Assistant | Pulmonary and Sleep Office of New England, PC | 3353 Mendon Rd, Suite 3, Cumberland, RI 02864-2122 |
| Find all physicians in zip 02864 | |||
| City | CUMBERLAND |
| Zip Code | 02864 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CUMBERLAND + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Emily Elizabeth 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.