WENDY S. SULLIVAN


Address: 6820 Hospital Dr, Suite 210, Baltimore, MD 21237-4352
Phone: 4103916131

WENDY S. SULLIVAN (NPI# 1194781617) 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) 1194781617
Entity Type Individual
Full Name WENDY S. SULLIVAN
Credential P.A.
Practice Address 6820 Hospital Dr
Suite 210
Baltimore
MD 21237-4352
Mailing Address 25 Crossroads Dr
Suite 306
Owings Mills
MD 21117-5421
Practice Telephone 4103916131
Practice Fax Number 4103916144
Mailing Telephone 4437382872
Mailing Fax Number 4437382713
Enumeration Date 2006-04-24
Last Update Date 2012-11-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant C0002516 MD Physician Assistants & Advanced Practice Nursing Providers
Y 363A00000X Physician Assistant 0110 002181 VA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA 010234085 05
VA TAS IDENTIFICATION NUMBER 541203530 01

Other Providers WENDY SULLIVAN

NPI Name Taxonomy Address Enumeration
1629497672 Wendy Sullivan Massage Therapist 505 Spokane Ave, 505 Spokane Ave., Whitefish, MT 59937-2780 2014-04-07
1205062387 Wendy Robin Sullivan Speech-Language Pathologist 275 Vaughn Hill Rd, Bolton, MA 01740-1049 2009-06-03
1033573571 Wendy Sullivan Behavioral Analyst 2702 Greystone Rd, Nashville, TN 37204-2819 2016-04-11
1407260037 Wendy Brown Sullivan Social Worker 400 Veterans Ave, Bldg 25 2 A & B, Biloxi, MS 39531-2410 2014-06-11
1427396076 Wendy Sullivan Pharmacist 8701 W Hillsborough Ave, Tampa, FL 33615-3704 2013-01-16
1669770988 Wendy L Sullivan Speech-Language Pathologist 800 Tait Ave, Rochester, NY 14616-2309 2011-03-10
1881862217 Wendy Sullivan Massage Therapist 1115 Black Lake Blvd Sw Ste A, Olympia, WA 98502-1026 2008-02-19
1205866522 Wendy Sullivan Nurse Anesthetist, Certified Registered 3510 N Causeway Blvd, Metairie, LA 70002-3531 2006-07-03

Office Location

Street Address 6820 HOSPITAL DR
SUITE 210
City BALTIMORE
State MD
Zip Code 21237-4352

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023018074 Kannan Manickam Urology 6820 Hospital Dr, Suite 210, Baltimore, MD 21237-4352 2005-07-29
1962848325 Lifebridge Sports and Rehabilitation, LLC Clinic/Center 6820 Hospital Dr, Suite 300, Baltimore, MD 21237-4352 2013-05-13
1376888792 Center for Pain Management,llc Pain Medicine 6820 Hospital Dr, Suite302, Baltimore, MD 21237-4352 2012-12-11
1619221801 Asc Development Company, LLC Clinic/Center 6820 Hospital Dr, Suite 302, Baltimore, MD 21237-4352 2012-11-09
1679871701 Summit Ambulatory Surgical Center, LLC Clinic/Center 6820 Hospital Dr, Suite 200, Baltimore, MD 21237-4352 2011-03-15
1215180328 Dontese Jamine Nicholson Anesthesiology 6820 Hospital Dr, Ste 302, Baltimore, MD 21237-4352 2008-11-03
1912176702 Jayant Uberoi Urology 6820 Hospital Dr, Suite 210, Baltimore, MD 21237-4352 2008-02-26
1386776425 Garrick Russell Smith Nurse Practitioner 6820 Hospital Dr, Suite 302, Baltimore, MD 21237-4352 2007-03-12
1851494777 Anup R Shah Urology 6820 Hospital Dr, Suite 210, Baltimore, MD 21237-4352 2006-09-06
1407808991 William T. Dowling Specialist 6820 Hospital Dr, Ste 210, Baltimore, MD 21237 2006-05-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225666977 Sheena Alisha Abraham Nurse Anesthetist, Certified Registered Medstar Franklin Square Medical Center, 9000 Franklin Square Drive, Baltimore, MD 21237 2020-03-30
1295221281 Anyelin Almanzar Student in an Organized Health Care Education/Training Program 900 Franklin Square Dr, Dept. of General Surgery, Baltimore, MD 21237 2018-07-03
1952894818 Peace Healthcare Home Health 8683 Old Philadelphia Road, Rosedale, MD 21237 2018-06-14
1134621816 Maryland Sportscare & Rehab LLC Physical Therapist 8665 Pulaski Hwy Ste 115, Rosedale, MD 21237 2018-03-08
1619480308 Valorie Elaine Colby Registered Nurse Eastern Family Resource Center, 9150 Franklin Square Drive, Rosedale, MD 21237 2017-11-16
1891205910 Gidez Nursing Services LLC Registered Nurse 8902 Lennings Lane, Baltimore, MD 21237 2017-10-03
1801258736 Riverside Treatment Services LLC Clinic/Center 8359 Pulaski Highway, Rosedale, MD 21237 2016-03-21
1457734691 Ati Holdings, LLC Occupational Therapist 8652 Pulasky Hwy Ste C-1, Rosedale, MD 21237 2015-07-07
1063802940 Melissa Pollard Pharmacy Technician 1521 Seling Ave, Baltimore, MD 21237 2015-01-29
1053733378 Thrive Behavioral Health, LLC Community/Behavioral Health 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 2014-01-07
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306447495 Naftali Zapinsky Physician Assistant 3507 Labyrinth Rd, Baltimore, MD 21215-1731 2020-11-04
1235738683 Ester Dahee Kim Physician Assistant 2400 W Belvedere Ave, Baltimore, MD 21215-5216 2020-10-17
1962014233 Julian Kang Physician Assistant 3407 Wilkens Ave Ste 250, Baltimore, MD 21229-5222 2020-08-18
1962034868 Ruth Angelica Naomi Jasienski Physician Assistant 6821 Reisterstown Rd Lowr Lvl, Baltimore, MD 21215-1431 2020-02-08
1679115463 Mark Symancyk Physician Assistant 620 W Lexington St, Baltimore, MD 21201-1508 2019-10-13
1356800353 Kara M Dragunas Physician Assistant 6701 N Charles St Rm 3808, Baltimore, MD 21204-6808 2019-03-19
1184190480 Joshua Davidoff Physician Assistant 5200 Eastern Ave Fl East2, Baltimore, MD 21224-2734 2018-10-15
1083189005 Bing Wang Physician Assistant 6701 N Charles St Rm 3641, Baltimore, MD 21204-6808 2018-10-05
1932674140 Georgia Foulds Physician Assistant 5801 Smith Ave Ste 210, Baltimore, MD 21209-3652 2018-10-04
1922582576 Catherine Kashmer Physician Assistant 600 N Wolfe St Ste 1008, Baltimore, MD 21287-0005 2018-09-19
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Competitor

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City BALTIMORE
Zip Code 21237

Improve Information

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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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