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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 010234085 | 05 | |
VA | TAS IDENTIFICATION NUMBER | 541203530 | 01 |
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 |
Street Address |
6820 HOSPITAL DR SUITE 210 |
City | BALTIMORE |
State | MD |
Zip Code | 21237-4352 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 21237 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
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. |
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 |
Find all providers in BALTIMORE |
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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.