DR. SEAN SULLIVAN


Address: John Paul Jones Circle, Department of Pediatrics, Portsmouth, VA 23708-2197
Phone: 7579537550

DR. SEAN SULLIVAN (NPI# 1104990829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104990829
Entity Type Individual
Full Name DR. SEAN SULLIVAN
Credential MD
Practice Address John Paul Jones Circle
Department of Pediatrics
Portsmouth
VA 23708-2197
Mailing Address 1051 Cambridge Cres
Norfolk
VA 23508-1255
Practice Telephone 7579537550
Enumeration Date 2006-11-17
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0206X Pediatrics
Specialization: Pediatric Gastroenterology
IN Allopathic & Osteopathic Physicians

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1265495857 Sean Patrick Sullivan Registered Nurse 141 Lakeshore Dr, Unit A6, Racine, WI 53403-9653 2006-04-06
1093316929 Sean Sullivan Pharmacist 5000 W Pauline Whitaker Pkwy, Rogers, AR 72758-9104 2020-11-06
1043872138 Sean Sullivan Student in an Organized Health Care Education/Training Program 5501 Old York Rd Ste 1, Philadelphia, PA 19141-3098 2019-06-28
1063906071 Sean Sullivan Nurse Practitioner 209 S State St, Ann Arbor, MI 48104-2005 2018-06-22
1477057958 Sean Harry Sullivan Jr. Surgery 251 E Huron St, Chicago, IL 60611 2018-03-20
1881064970 Sean Sullivan Physical Therapist 30 Broad St, Floor 12, New York, NY 10004-2304 2015-10-01
1932596772 Sean Patrick Sullivan Pediatrics 3901 Beaubien St, Detroit, MI 48201 2015-04-20
1669871604 Sean Raymond Sullivan Physical Therapist 5 Middlesex Ave, Somerville, MA 02145-1102 2014-08-15

Office Location

Street Address JOHN PAUL JONES CIRCLE
DEPARTMENT OF PEDIATRICS
City PORTSMOUTH
State VA
Zip Code 23708-2197

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740250844 Richard P Serianni Anesthesiology John Paul Jones Circle, Portsmouth, VA 23708-0001 2006-01-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932724754 William Dowling Student in an Organized Health Care Education/Training Program 260 John Paul Jones Circle, Fpo, AA 23708 2020-06-09
1760003156 Kylie Miller Student in an Organized Health Care Education/Training Program 600 John Paul Jones Circle, Portsmouth, VA 23708 2020-04-27
1750900304 Jonathan David Hickman Student in an Organized Health Care Education/Training Program Nmcp 620 John Paul Jones Cir., Bldg 3, Portsmouth, VA 23708 2020-04-14
1447716550 Nathan Le Holterman Student in an Organized Health Care Education/Training Program Navy Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 2019-02-13
1467930545 Jonathan Volland Dentist Naval Medical Center - 620 John Paul Jones Cr, Portsmouth, VA 23708 2018-08-01
1629570171 Brendan James O'shea Student in an Organized Health Care Education/Training Program 690 John Paul Jones Circle, Fpo, AA 23708 2018-03-01
1467909077 Patricia Hicks Smith Nurse Practitioner 620 John Paul Jones Blvd., Naval Medical Center Portsmouth, Portsmouth, VA 23708 2016-09-01
1790139392 Lauren Pitters Student in an Organized Health Care Education/Training Program 620 John Paul Jones Circle Drive, Naval Medical Center Portsmouth, Portsmouth, VA 23708 2016-04-20
1841683745 Karrie Anne Brondell Walker Student in an Organized Health Care Education/Training Program 620 John Paul Jones, Naval Medical Center Portsmouth, Portsmouth, VA 23708 2015-03-17
1962821967 Jody Manners Psychiatry & Neurology 620 John Paul Jones Cir # 2e, Portsmouth, VA 23708 2014-04-08
Find all providers in zip 23708

Taxonomy Information

Taxonomy Code 2080P0206X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Gastroenterology

Taxonomy Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003011180 Justin Hollon Pediatrics 620 John Paul Jones Circle, Naval Medical Center Portsmouth, Portsmouth, VA 23708 2007-06-18
1093789091 John Kenyon Watson Pediatrics 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2006-02-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548529126 Bon Secours-st. Mary's Hospital of Richmond, Inc. Pediatrics 5855 Bremo Rd Ste 605, Richmond, VA 23226-1926 2012-05-16
1083885214 Benjamin Isaac Enav Pediatrics 2700 Prosperity Ave, Suite 260, Fairfax, VA 22031-4339 2008-03-15
1407908445 Mahendra D.shah,m.d.& Associates,p.c. Pediatrics 4207 Whitford Ct, # 1703, Glen Allen, VA 23060-4138 2007-01-18
1154430916 Juan C Olazagasti Pediatrics 102 Highland Ave Se Ste 305, Roanoke, VA 24013-2253 2006-08-29
1881625408 Juan F Villalona Pediatrics 7229 Forest Ave Ste 106, The Highland II Medical Office Building, Richmond, VA 23226-3765 2006-07-05
1205884368 Gastroenterology Associates of Northern Virginia, LLC Pediatrics 3700 Joseph Siewick Dr., Suite 308, Fairfax, VA 22033-1739 2006-05-04
1740253020 Peter Lee Jr. Pediatrics 3022 Williams Dr, Suite 301, Fairfax, VA 22031-4600 2006-02-08
1174517478 Scott Michael Sirlin Pediatrics 19455 Deerfield Ave, Suite 205, Lansdowne, VA 20176-8100 2005-09-01
1730516675 Bon Secours Virginia Medical Group I, LLC Pediatrics 5875 Bremo Rd, Suite 303, Richmond, VA 23226-1934 2013-10-10
1013259688 Gayathri Krishnaveni Naraparaju Pediatrics 5855 Bremo Rd Ste 605, Richmond, VA 23226-1926 2013-03-21
Find all providers with the same taxonomy

Competitor

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City PORTSMOUTH
Zip Code 23708

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Dataset Information

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.

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