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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
IN | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194366070 | Sean Alyston Sullivan | Case Manager/Care Coordinator | 1645 Mountainman Loop, Anchorage, AK 99507-1975 | 2019-10-02 |
1750421830 | Sean Timothy Sullivan | Dentist | 18625 Hoich Dr, Omaha, NE 68136-1233 | 2007-02-07 |
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 |
Street Address |
JOHN PAUL JONES CIRCLE DEPARTMENT OF PEDIATRICS |
City | PORTSMOUTH |
State | VA |
Zip Code | 23708-2197 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740250844 | Richard P Serianni | Anesthesiology | John Paul Jones Circle, Portsmouth, VA 23708-0001 | 2006-01-23 |
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 Code | 2080P0206X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Gastroenterology |
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. |
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 |
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 |
City | PORTSMOUTH |
Zip Code | 23708 |
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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.