SCOTT KEITH SULLIVAN JR. (NPI# 1154344000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154344000 |
| Entity Type | Individual |
| Full Name | SCOTT KEITH SULLIVAN JR. |
| Credential | MD |
| Practice Address |
1717 Saint Charles Ave New Orleans LA 70130-5223 |
| Mailing Address |
Po Box 8664 Metairie LA 70011-8664 |
| Practice Telephone | 5048992800 |
| Mailing Telephone | 5048992800 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2016-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
MD.021287 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 192322 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265950737 | Scott Jeffrey Sullivan | Dentist | 3516 S 47th St Ste 104, Tacoma, WA 98409-4427 | 2017-09-06 |
| 1477070522 | Scott Sullivan | Physical Therapist | 5320 Mark Dabling Blvd # 100, Colorado Springs, CO 80918-3839 | 2017-08-29 |
| 1063612844 | Scott Louis Sullivan | Dentist | 76 Doctors Park Dr., Santa Rosa, CA 95405-6615 | 2007-07-20 |
| 1972134567 | Scott R Sullivan | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2020-02-01 |
| 1770056608 | Scott Lamar Sullivan | Counselor | 7000b S Center Dr, Clearlake, CA 95422-8131 | 2019-01-03 |
| 1386143899 | Scott Sullivan | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2018-02-10 |
| 1689100471 | Scott Sullivan | Student in an Organized Health Care Education/Training Program | 2390 W Congress St, Lafayette, LA 70506-4205 | 2017-05-11 |
| 1932467123 | Scott Sullivan | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2012-04-25 |
| 1033496179 | Scott Patric Sullivan | Specialist/Technologist | 205 S Main St, Suite C, Longmont, CO 80501-1716 | 2011-11-03 |
| 1750440004 | Scott G Sullivan | Physician Assistant | 301 Andrews Avenue, (lyster Army Health Clinic), Fort Rucker, AL 36362-5000 | 2006-12-06 |
| Street Address |
1717 SAINT CHARLES AVE |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70130-5223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801445457 | Sarah Anne Nelson | Physician Assistant | 1717 Saint Charles Ave, New Orleans, LA 70130-5223 | 2019-09-06 |
| 1952883605 | Raegen E Harbour | Physician Assistant | 1717 Saint Charles Ave, New Orleans, LA 70130-5223 | 2018-08-29 |
| 1720573389 | Kati Hayes | Physician Assistant | 1717 Saint Charles Ave, New Orleans, LA 70130-5223 | 2018-06-26 |
| 1962920082 | Catherine Marie Cousins | Physician Assistant | 1717 Saint Charles Ave, New Orleans, LA 70130-5223 | 2017-09-08 |
| 1326569468 | Madelyn Rebstock | Physician Assistant | 1717 Saint Charles Ave, New Orleans, LA 70130-5223 | 2017-06-28 |
| 1992249403 | Kristin Rambeau Kitchen | Physical Therapist | 1717 Saint Charles Ave, New Orleans, LA 70130-5223 | 2016-12-19 |
| 1366805475 | Coastal Anesthesia, Inc. | Anesthesiology | 1717 Saint Charles Ave, New Orleans, LA 70130-5223 | 2016-04-05 |
| 1346643814 | Jeanne Marie Flotte | Physician Assistant | 1717 Saint Charles Ave, New Orleans, LA 70130-5223 | 2014-09-29 |
| 1134354202 | St. Charles Surgical Hospital, LLC | Surgery | 1717 Saint Charles Ave, New Orleans, LA 70130-5223 | 2009-05-19 |
| 1629218565 | Parish Anesthesia Uptown LLC | Anesthesiology | 1717 Saint Charles Ave, New Orleans, LA 70130-5223 | 2009-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497216030 | Chloe Haagen | Social Worker | 1164 Camp St, New Orleans, LA 70130 | 2019-03-27 |
| 1154831055 | Autism Nomore, L.L.C. | Behavioral Analyst | 92o Poeyfarre Street, Condo 373, New Orleans, LA 70130 | 2017-10-05 |
| 1285155515 | Encounter Medical Group, P.C. Dba Two Dreams New Orleans | Substance Abuse Rehabilitation Facility | 1820 St. Charles Ave., Suite 212, New Orleans, LA 70130 | 2017-06-27 |
| 1184154858 | The Guild At Raphael Village LLC | Clinic/Center | 500 Soraparu Street, New Orleans, LA 70130 | 2017-06-15 |
| 1912436346 | Mary Victoria Buckley | Counselor | 625 Celeste St Ste 210, New Orleans, LA 70130 | 2017-06-08 |
| 1043746217 | Horace Derry | Counselor | 521 St. Mary St., New Orleans, LA 70130 | 2017-05-10 |
| 1235677311 | Leah S Foster | Social Worker | 643 Magazine St., Ste 304, New Orleans, LA 70130 | 2017-02-08 |
| 1144681800 | Hill Country Monitoring LLC | Neurological Surgery | 650 Poydas St, Ste 1400, New Orleans, LA 70130 | 2016-03-09 |
| 1457754277 | Jeremy Echols | Counselor | 400 Bienville, Suite E, New Orleans, LA 70130 | 2014-10-07 |
| 1497175103 | Allison Palmisano | Psychologist | 1529 Jackson Ave # 2, New Orleans, LA 70130 | 2014-04-21 |
| Find all providers in zip 70130 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770842486 | Katherine Ford Chiasson | Surgery | 1514 Jefferson Hwy, Brent House Room 634, New Orleans, LA 70121-2429 | 2012-05-15 |
| 1134354202 | St. Charles Surgical Hospital, LLC | Surgery | 1717 Saint Charles Ave, New Orleans, LA 70130-5223 | 2009-05-19 |
| 1407043755 | Center for Restorative Breast Surgery LLC | Surgery | 1717 St Charles Ave, New Orleans, LA 70130 | 2007-10-01 |
| 1952514382 | Christopher George Trahan | Surgery | 1717 St Charles Ave, New Orleans, LA 70130 | 2007-05-08 |
| 1750446209 | Thomas Calvert Naugle Jr. | Surgery | 2633 Napoleon Ave, Ste 814, New Orleans, LA 70115 | 2006-12-26 |
| 1740247741 | Christopher Babycos | Surgery | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003430257 | Thibodaux Regional Network Development Corporation | Surgery | 604 N Acadia Rd Ste 410, Thibodaux, LA 70301-4897 | 2020-06-03 |
| 1942590153 | Jenna Martin Bourgeois | Surgery | Associates In Plastic Surgery, 8425 Cumberland Place, Baton Rouge, LA 70806 | 2011-04-10 |
| 1710121306 | John P Guste | Surgery | 3900 Veterans Blvd., Suite 200, Metairie, LA 70002 | 2009-04-27 |
| 1700929874 | The Plastic Surgery Center LLP | Surgery | 385 Bert Kouns Ind. Loop, Bldg 100, Shreveport, LA 71106-8124 | 2007-02-15 |
| 1295808863 | James W Wade | Surgery | 5233 Dijon Drive, Baton Rouge, LA 70817 | 2006-11-15 |
| 1861595969 | Terry A Cromwell | Surgery | 1101 South College Road, Suite 400, Lafayette, LA 70503 | 2006-09-06 |
| 1568482339 | Herbert Stephen Maguire | Surgery | 501 Medical Center Dr Ste 1b, Alexandria, LA 71301-8124 | 2006-07-21 |
| 1346260205 | O'neil Joseph Engeron | Surgery | 615 Dunn St, Houma, LA 70360-4707 | 2006-07-20 |
| 1912936196 | Kenneth W. Sanders, Md and Willis-knighton Medical Center | Surgery | 1811 East Bert Kouns, Suite 160, Shreveport, LA 71105-5505 | 2006-07-01 |
| 1134190465 | Ralph W Colpitts | Surgery | 2000 Southwood Dr, Suite B, Lake Charles, LA 70605-4138 | 2006-01-26 |
| Find all providers with the same taxonomy | ||||
| City | NEW ORLEANS |
| Zip Code | 70130 |
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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.