MATTHEW R SULLIVAN (NPI# 1104104918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104104918 |
Entity Type | Individual |
Full Name | MATTHEW R SULLIVAN |
Credential | M.D. |
Practice Address |
243 Elm St Vrh-kane Center, Hematology/oncology Claremont NH 03743-4921 |
Practice Telephone | 6035426777 |
Mailing Telephone | 6035426777 |
Enumeration Date | 2011-07-27 |
Last Update Date | 2016-09-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 17663 | NH | Allopathic & Osteopathic Physicians |
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
17663 | NH | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548653256 | Matthew Austin Sullivan | Student in an Organized Health Care Education/Training Program | 1830 E Monument St Ste 7000, Baltimore, MD 21287 | 2015-03-05 |
1902228422 | Matthew D Sullivan | Naturopath | 3804 Ne 94th St, Seattle, WA 98115-3755 | 2014-01-17 |
1437279320 | Matthew Burton Sullivan | Speech-Language Pathologist | 5601 35th Ave N, St Petersburg, FL 33710-1911 | 2007-04-02 |
1053311472 | Matthew Ryan Sullivan | Optometrist | 980 Willow Creek Road, Suite 202, Prescott, AZ 86301-1610 | 2005-07-28 |
1376164012 | Matthew Conor Sullivan | Student in an Organized Health Care Education/Training Program | 1 Bowdoin Sq, Boston, MA 02114-2927 | 2020-05-05 |
1922653179 | Matthew James Sullivan | Physician Assistant | 323 Lowell St, Andover, MA 01810-4659 | 2019-08-05 |
1871156596 | Matthew Sullivan | Counselor | 26 Parkridge Rd, Haverhill, MA 01835-8514 | 2019-04-18 |
1639650955 | Matthew Sullivan | Occupational Therapy Assistant | 500 Valle Vista Dr, Athens, TX 75751-2760 | 2018-08-24 |
1619329703 | Matthew Sullivan | Physical Therapist | 115 E Harmony Rd Ste 160, Fort Collins, CO 80525-3280 | 2016-07-12 |
1760846919 | Matthew L. Sullivan | Nurse Anesthetist, Certified Registered | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2016-04-13 |
Street Address |
243 ELM ST VRH-KANE CENTER, HEMATOLOGY/ONCOLOGY |
City | CLAREMONT |
State | NH |
Zip Code | 03743-4921 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164419602 | Charles M Sawyer | Family Medicine | 243 Elm St, Claremont, NH 03743-4921 | 2005-09-30 |
1093339160 | Caroline Ward | Occupational Therapist | 243 Elm St, Claremont, NH 03743-4999 | 2020-06-03 |
1578119319 | Holly Mitchell | Occupational Therapist | 243 Elm St, Claremont, NH 03743-4999 | 2019-08-16 |
1891260220 | Crystal Nicole Hays | Nurse Practitioner | 243 Elm St, Claremont, NH 03743-4921 | 2018-10-12 |
1740769777 | Felicia M Bickford Butler | Physician Assistant | 243 Elm St, Claremont, NH 03743-4999 | 2018-08-10 |
1871083279 | Nicole Ann Morris | Nurse Practitioner | 243 Elm St, Claremont, NH 03743-4999 | 2018-05-11 |
1386183432 | Jenna Marie Poulin | Nurse Practitioner | 243 Elm St, Claremont, NH 03743-4921 | 2017-02-21 |
1114396975 | Christopher Mann | Nurse Anesthetist, Certified Registered | 243 Elm St, Claremont, NH 03743-4921 | 2015-09-22 |
1093153793 | Malcolm S. Schongalla | Emergency Medicine | 243 Elm St, Claremont, NH 03743-4921 | 2013-06-05 |
1821353855 | Janet Stryker | Occupational Therapy Assistant | 243 Elm St, Valley Regional Hospital, Claremont, NH 03743-4921 | 2012-07-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093321036 | Jennifer Maynard | Speech-Language Pathologist | 160 Hanover St, Claremont, NH 03743 | 2020-09-16 |
1285167122 | Erik Baker | Case Management | 52 W Pleasant Street, Claremont, NH 03743 | 2017-04-07 |
1598208076 | Home | Public Health or Welfare | 7 Pear St Unit C, Clearmont, NH 03743 | 2016-12-01 |
1306238118 | Kyle W Messier | Dental Hygienist | 1 Tremont St., Claremont, NH 03743 | 2015-03-03 |
1457653792 | 3 Stone Dental Pllc | Dentist | 367 Washington St. Unit 3, Claremont, NH 03743 | 2010-11-18 |
1427363993 | Swathi Dasari | Pharmacist | 71-73 Pleasant St., Claremont, NH 03743 | 2010-08-09 |
1811135460 | Kim Marie Reardon | Occupational Therapy Assistant | 290 Hanover Street, Claremont, NH 03743 | 2009-02-04 |
1447497227 | Elizabeth Zea Forrest | Social Worker | 140 North Street, West Central Services, Claremont, NH 03743 | 2009-01-15 |
1346425980 | Personal Touch Home Aides of Greater Portsmouth, Inc. | Home Health | 156 A Elm Street, Claremont, NH 03743 | 2008-01-02 |
1720121445 | Tlc Family Resource Center | Clinic/Center | 109 Pleasant Street, Claremont, NH 03743 | 2007-02-14 |
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Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306940705 | Stanley I Kim | Internal Medicine | 981 W Foothill Blvd, Claremont, CA 91711-3304 | 2006-09-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568622801 | Yoko Fukuda | Internal Medicine | 155 Borthwick Ave Ste C, Portsmouth, NH 03801-7156 | 2008-06-10 |
1063470011 | Zachary S Spigelman | Internal Medicine | 6 Tsienneto Rd Ste 204, Derry, NH 03038-1584 | 2006-05-01 |
1356302822 | Nancy S Chun | Internal Medicine | 10 Prospect St., Second Floor, Nashua, NH 03060 | 2006-03-31 |
1831175314 | John Posner | Internal Medicine | 166 Kinsley St, Nashua, NH 03060-3676 | 2005-12-16 |
1346223385 | Gabriele Southgate | Internal Medicine | 87 Mcgregor Street, Hematology/oncology, Manchester, NH 03102 | 2005-11-23 |
1710971684 | Douglas J Weckstein | Internal Medicine | 200 Technology Dr, Hooksett, NH 03106-2504 | 2005-09-07 |
1649271438 | Phillip Joseph Manno | Internal Medicine | 172 Kinsley St, Nashua, NH 03060-3648 | 2005-08-03 |
1033523733 | Bhavina Batukbhai Sharma | Internal Medicine | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2014-06-20 |
1568803971 | Sivraj Muralikrishnan | Internal Medicine | 2300 Southwood Dr, Nashua, NH 03063 | 2013-07-13 |
1699119842 | Garrett Thomas Wasp | Internal Medicine | One Medical Center Dr, Hematology/oncology, Lebanon, NH 03756-0001 | 2013-04-18 |
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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.