BRIAN EDWARD SULLIVAN (NPI# 1194771048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194771048 |
| Entity Type | Individual |
| Full Name | BRIAN EDWARD SULLIVAN |
| Credential | M.D. |
| Practice Address |
1500 Associates Dr Dubuque IA 52002-2201 |
| Practice Telephone | 5635844430 |
| Practice Fax Number | 5635844422 |
| Mailing Telephone | 5635844100 |
| Mailing Fax Number | 5635844110 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2011-01-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 31567 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 2156117 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972761252 | Brian Michael Sullivan | Family Medicine | 514 Americas Way, Apt 6347, Box Elder, SD 57719-7600 | 2008-05-23 |
| 1336282961 | Brian C Sullivan | Chiropractor | 142 Rantoul St, Beverly, MA 01915-4241 | 2007-02-14 |
| 1306947338 | Brian A Sullivan | Chiropractor | 101 Blossom Dr, Winchester, VA 22602-6100 | 2006-09-25 |
| 1174537120 | Brian Patrick Sullivan | Psychologist | 5170 Hwy 105 S, Suite 1, Banner Elk, NC 28604 | 2006-07-27 |
| 1770145401 | Brian Patrick Sullivan | Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2019-07-02 |
| 1659869550 | Brian Thomas Sullivan | Student in an Organized Health Care Education/Training Program | 601 N Caroline St # 5165, Baltimore, MD 21287-0006 | 2018-04-25 |
| 1316466956 | Brian H Sullivan | Community Health Worker | 140 Route 303, Valley Cottage, NY 10989-5906 | 2017-09-14 |
| 1699290106 | Brian Sullivan | Counselor | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2017-08-04 |
| 1831551654 | Brian Sullivan | Student in an Organized Health Care Education/Training Program | 5100 W Broad St, Columbus, OH 43228-1607 | 2016-03-22 |
| 1639558893 | Brian Sullivan | Social Worker | 301 Broadway, Chelsea, MA 02150-2807 | 2015-05-21 |
| Street Address |
1500 ASSOCIATES DR |
| City | DUBUQUE |
| State | IA |
| Zip Code | 52002-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275530271 | Tri-state Surgery Center, L.L.C. | Clinic/Center | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2005-07-05 |
| 1235757261 | Emily Burgmeier May | Nurse Practitioner | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2020-07-07 |
| 1104451673 | Emily Claire Kuhl | Occupational Therapist | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2020-03-05 |
| 1679105449 | Chelsea Leah Berry | Physician Assistant | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2020-02-10 |
| 1689212227 | Toni Marie Monat | Physical Therapist | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2019-12-13 |
| 1457905424 | Sara Elizabeth Croghan | Physical Therapist | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2019-07-29 |
| 1104356997 | Matthew Keith Kraciun | Family Medicine | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2017-06-14 |
| 1558890202 | Kristen Celeste Anderson | Pediatrics | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2017-06-07 |
| 1194279117 | Brittany Gosse | Physical Therapist | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2016-08-08 |
| 1205280468 | Naomi Hasselblad | Internal Medicine | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2016-04-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144725193 | Rebecca Marie Fitzpatrick | Pharmacist | 7425 Chavenelle Rd Ste 300, Dubuque, IA 52002 | 2018-03-29 |
| 1598020943 | Steven Matthew Leifker | Dentist | 1645 John F. Kennedy Rd, Dubuque, IA 52002 | 2012-07-11 |
| 1922364280 | Susan A Neuser | Pharmacist | 74 25 Chavenelle Rd, Dubuque, IA 52002 | 2012-04-11 |
| 1720308240 | Yakov S Zagalskiy | Family Medicine | 1500 Associates Drive, Dubuque, IA 52002 | 2010-06-07 |
| 1689904690 | Meryl Rae Welsh | Counselor | 2255 Jkf Road, Dubuque, IA 52002 | 2010-01-14 |
| 1982864047 | Joel Gregory Thielen | Acupuncturist | 1880 Radford Road, Dubuque, IA 52002 | 2008-06-12 |
| 1609052323 | Jason E Meyer Physical Therapy PC | Clinic/Center | 2300 John F Kennedy Rd, Dubuque, IA 52002 | 2008-01-11 |
| 1508053828 | Assisted Living Concepts Inc | Assisted Living Facility | 2700 Matthew John Drive, Dubuque, IA 52002 | 2007-10-01 |
| 1588863252 | Miracle Ear | Audiologist-Hearing Aid Fitter | 555 Jf Kennedy Road, Dubuque, IA 52002 | 2007-07-13 |
| 1639383599 | Michelle Ann Gardner | Optometrist | 808 Wacker Dr, Dubuque, IA 52002 | 2007-05-10 |
| Find all providers in zip 52002 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568402840 | Simon Behnam Isaac | Internal Medicine | 3068 Huntington Dr, Dubuque, IA 52001-1591 | 2006-06-07 |
| 1093769960 | Douglas Allan Schmid | Internal Medicine | 500 Laurel St, Dubuque, IA 52003-7937 | 2006-05-22 |
| 1023087590 | Darryl K. Mozena | Internal Medicine | 1515 Delhi Street, Suite 100, Dubuque, IA 52001-6389 | 2006-03-16 |
| 1104896273 | Catherine M Crall | Internal Medicine | Womens Wellness Center, PC, 777 Mazzuchelli Place, Dubuque, IA 52001 | 2006-01-23 |
| 1003269325 | Ryan Elsey | Internal Medicine | 1515 Delhi St Ste 100, Dubuque, IA 52001-6389 | 2016-07-21 |
| 1205280468 | Naomi Hasselblad | Internal Medicine | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2016-04-14 |
| 1467867598 | Amy Marie Winsky | Internal Medicine | 1000 Langworthy St, Dubuque, IA 52001-7313 | 2014-06-27 |
| 1396062170 | Katherine Michelle Parker | Internal Medicine | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2010-05-03 |
| 1558593582 | Pinalkumar V Patel | Internal Medicine | 1515 Delhi St, Dubuque, IA 52001-6389 | 2009-08-08 |
| 1356549539 | Khawar Nadeem Warraich | Internal Medicine | 1515 Delhi St Ste 100, Dubuque, IA 52001-6320 | 2007-07-10 |
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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.