DR. PATSA H SULLIVAN (NPI# 1013093061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013093061 |
| Entity Type | Individual |
| Full Name | DR. PATSA H SULLIVAN |
| Credential | M.D. |
| Practice Address |
800 E 28th Street Minneapolis MN 55407-3723 |
| Practice Telephone | 6128634060 |
| Practice Fax Number | 9528088131 |
| Mailing Telephone | 6128634060 |
| Mailing Fax Number | 6128634963 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2009-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
47577 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 724486000 | 05 |
| Street Address |
800 E 28TH STREET |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-3723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558338335 | Rebecca R Kuehn | Anesthesiology | 800 E 28th Street, Minneapolis, MN 55407-3799 | 2006-03-01 |
| 1295111300 | Patricia Ann Bernal | Nurse Practitioner | 800 E 28th Street, Minneapolis, MN 55407-3723 | 2015-07-31 |
| 1033590088 | Nathan Dean Swenson | Emergency Medicine | 800 E 28th Street, Minneapolis, MN 55407 | 2015-06-16 |
| 1841436250 | Paige Renee Safranski | Recreation Therapist | 800 E 28th Street, Mail Route 12213, Minneapolis, MN 55407 | 2009-01-07 |
| 1922060177 | Timothy D Sielaff | Surgery | 800 E 28th Street, Mail Route 39602, Minneapolis, MN 55407-3799 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679838403 | Richard Lee | Radiology | 701 Park Ave # G1, Minneapolis, MN 55415-1623 | 2012-07-09 |
| 1275627820 | Xin Wang | Radiology | The Center for Prostate Cancer, 420 Delaware Street Se, Mayo Building, Fourth Floor, Minneapolis, MN 55455 | 2006-10-03 |
| 1073991840 | Lindsey Sloan | Radiology | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2015-05-13 |
| 1790077584 | Christopher Thomas Wilke | Radiology | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2011-05-11 |
| 1053550228 | Stephanie Terezakis | Radiology | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2009-02-11 |
| 1992993455 | Brenda Aika Shoo | Radiology | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2007-10-10 |
| 1932285988 | David J Monyak | Radiology | 800 E 28th St, Minneapolis, MN 55407-3723 | 2006-10-31 |
| 1184708638 | Vladimir Kogan | Radiology | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2006-10-24 |
| 1275614927 | Minnesota Radiation Oncology Group Pa | Radiology | 800 E 28th St, Minneapolis, MN 55407-3723 | 2006-10-18 |
| 1174628770 | James B Orner | Radiology | 500 Harvard Street Se, Radiation Oncology Clinic, Minneapolis, MN 55455 | 2006-09-14 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.