KELLY O SULLIVAN (NPI# 1245886431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245886431 |
| Entity Type | Individual |
| Full Name | KELLY O SULLIVAN |
| Practice Address |
31330 Schoolcraft Rd Ste 200 Livonia MI 48150-2042 |
| Mailing Address |
5801 S Mcclintock Dr Ste 110 Tempe AZ 85283-6002 |
| Practice Telephone | 4804910739 |
| Mailing Telephone | 4807770607 |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2019-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 242T00000X | Perfusionist | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144832205 | Kelly E Sullivan | Nurse Practitioner | 10020 Southern Maryland Blvd Ste 202, Dunkirk, MD 20754-3055 | 2020-08-20 |
| 1124670724 | Kelly Elizabeth Sullivan | Occupational Therapy Assistant | 12 Deforest Rd, Lansdowne, PA 19050-2109 | 2019-07-12 |
| 1427549088 | Kelly Elizabeth Sullivan | Nurse Practitioner | 428 Hartford Tpke Ste 207, Vernon, CT 06066-4841 | 2018-05-19 |
| 1134642267 | Kelly Glen Sullivan | Durable Medical Equipment & Medical Supplies | 3345 Seajay Dr, Beavercreek, OH 45430-1365 | 2017-07-20 |
| 1831636778 | Kelly Sullivan | Assistant Behavior Analyst | 273 Powell Cir, Berlin, MD 21811-1185 | 2017-01-30 |
| 1396197521 | Kelly Sullivan | Speech-Language Pathologist | 82 Ridgecrest Dr, Pittsburgh, PA 15235-4548 | 2016-07-12 |
| 1548657851 | Kelly Sullivan | Speech-Language Pathologist | 1021 Wind River Pkwy, Morrisville, NC 27560-8233 | 2015-04-24 |
| 1568867877 | Kelly Sullivan | Speech-Language Pathologist | 14105 Snow Rd, Brookpark, OH 44142-2557 | 2014-10-29 |
| 1053713024 | Kelly Goodrich Sullivan | Physical Therapist | 2035 Gayle Pl, Clearwater, FL 33763-4217 | 2014-09-22 |
| 1730595752 | Kelly Sullivan | Registered Nurse | 8 Jacqueline Ct, Port Jefferson Station, NY 11776-3117 | 2014-07-10 |
| Street Address |
31330 SCHOOLCRAFT RD STE 200 |
| City | LIVONIA |
| State | MI |
| Zip Code | 48150-2042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073042834 | Maha Al-tamimi | Perfusionist | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2017-06-06 |
| 1235780727 | Tom Abraham | Perfusionist | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2019-09-25 |
| 1841840535 | Belinda Deem | Perfusionist | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2019-09-16 |
| 1962052654 | James Baruffi | Perfusionist | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2019-09-16 |
| 1316594138 | Lauren Reinaldo | Perfusionist | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2019-08-26 |
| 1285281006 | Maggie Mills | Perfusionist | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2019-08-26 |
| 1265088777 | Sean M Ross | Perfusionist | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2019-08-12 |
| 1033765540 | Carly Nichols | Specialist/Technologist, Other | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2019-08-12 |
| 1831742402 | Kimberly Josey | Specialist/Technologist, Other | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2019-07-22 |
| 1205489861 | Alexis Watanabe | Specialist/Technologist, Other | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2019-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821622416 | Alex Asa Willmarth | Behavior Technician | 31557 Schoolcraft Road Suite 200, 31557 Schoolcraft Road Suite 200, Livonia, MI 48150 | 2020-02-24 |
| 1679116396 | Carly Steen | Behavior Technician | 31557 Schoolcraft Road, Suite 200, Livonia, MI 48150 | 2019-10-25 |
| 1821652355 | Katelynn Lyon | Social Worker | 37450 Schoolcraft Road, Suite 110, Livonia, MI 48150 | 2019-04-30 |
| 1821573171 | Angela Fay | Specialist | Hegira Programs, Inc., 37450 Schoolcraft, Ste. 110, Livonia, MI 48150 | 2018-10-02 |
| 1043792989 | Bethany L Hill | Pharmacist | 32131 Industrial Road, Livonia, MI 48150 | 2018-09-06 |
| 1407337835 | Teena Hutson | Counselor | 37450 Schoolcratf, Westland, MI 48150 | 2018-08-23 |
| 1053804062 | Chandana Raveendran | Speech-Language Pathologist | 35100 Ann Arbor Trl, Livonia, MI 48150 | 2018-06-13 |
| 1518459239 | Motivated Parenting, LLC | Case Management | 9906 Shadyside St, Livonia, MI 48150 | 2018-05-30 |
| 1184138471 | Shannon Anderson | Counselor | 33231 Schoolcraft Road Suite 210, Livonia, MI 48150 | 2017-11-22 |
| 1801316724 | Stephanie Levis | Social Worker | 32945 Indiana St, Livonia, MI 48150 | 2017-06-21 |
| Find all providers in zip 48150 | ||||
| Taxonomy Code | 242T00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Perfusionist |
| A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient’s circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. |
| Notes: Source: Health Professions Career and Education Directory, American Medical Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760902514 | Ronald Lambert | Perfusionist | 31330 Schoolcraft Rd Ste 110, Livonia, MI 48150-2042 | 2017-06-22 |
| 1073042834 | Maha Al-tamimi | Perfusionist | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2017-06-06 |
| 1104219906 | Amanda C Norman | Perfusionist | 33130 Schoolcraft Rd, Ste 200, Livonia, MI 48150-1627 | 2015-03-18 |
| 1154697902 | Antonio Vicens | Perfusionist | 30330 Schoolcraft Rd, Ste 200, Livonia, MI 48150-2000 | 2012-03-27 |
| 1023342433 | Ryan Pagnanelli | Perfusionist | 31330 Schoolcraft Rd, Suite 200, Livonia, MI 48150 | 2009-10-01 |
| 1235780727 | Tom Abraham | Perfusionist | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2019-09-25 |
| 1841840535 | Belinda Deem | Perfusionist | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2019-09-16 |
| 1962052654 | James Baruffi | Perfusionist | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2019-09-16 |
| 1316594138 | Lauren Reinaldo | Perfusionist | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2019-08-26 |
| 1285281006 | Maggie Mills | Perfusionist | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2019-08-26 |
| Find all providers in LIVONIA | ||||
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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.