DR. LEE RICHARD SULLIVAN (NPI# 1326575952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326575952 |
Entity Type | Individual |
Full Name | DR. LEE RICHARD SULLIVAN |
Credential | AGNPC-AG |
Practice Address |
1765 Old West Broad St Athens GA 30606-2853 |
Mailing Address |
1765 Old West Broad St Bldg 2-200 Athens GA 30606-2887 |
Practice Telephone | 7065491663 |
Practice Fax Number | 7065468792 |
Mailing Telephone | 7065491663 |
Mailing Fax Number | 7065468792 |
Enumeration Date | 2017-05-14 |
Last Update Date | 2018-09-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN213335 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1765 Old West Broad St, Athens, GA 306062853 | 7065491663 | 7065468792 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407261605 | Lee Sullivan | Psychiatry & Neurology | 15 Parkman St # 720, Boston, MA 02114 | 2014-06-25 |
1750733259 | Lee Sullivan | Occupational Therapy Assistant | 280 Mt Hebron Rd, Elmore, AL 36025-1526 | 2016-07-07 |
Street Address |
1765 OLD WEST BROAD ST |
City | ATHENS |
State | GA |
Zip Code | 30606-2853 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518948835 | Ormonde M Mahoney | Orthopaedic Surgery | 1765 Old West Broad St, Athens, GA 30606-2853 | 2005-11-14 |
1245858448 | Adam Schreiber | Physical Therapy Assistant | 1765 Old West Broad St, Athens, GA 30606-2853 | 2020-07-14 |
1164053229 | Quinavere Jarrells | Specialist/Technologist, Other | 1765 Old West Broad St, Athens, GA 30606-2853 | 2020-01-28 |
1558915884 | Kelli Whitfield Garrett | Specialist/Technologist, Other | 1765 Old West Broad St, Athens, GA 30606-2853 | 2019-07-25 |
1427517523 | Kayla Michele Gittens | Occupational Therapist | 1765 Old West Broad St, Athens, GA 30606-2853 | 2019-03-18 |
1568942738 | Brandon Scott Vlahos | Physician Assistant | 1765 Old West Broad St, Athens, GA 30606-2887 | 2018-08-17 |
1114404589 | Clayton O Carroll | Physical Therapist | 1765 Old West Broad St, Athens, GA 30606-2853 | 2018-07-27 |
1376039578 | Micah Lee Sales | Physical Therapist | 1765 Old West Broad St, Athens, GA 30606-2853 | 2018-07-11 |
1508356130 | Paul Michael Lally | Physical Therapist | 1765 Old West Broad St, Athens, GA 30606-2853 | 2018-05-18 |
1316450216 | Caroline B Batson | Specialist/Technologist, Other | 1765 Old West Broad St, Athens, GA 30606-2853 | 2017-11-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
Find all providers in zip 30606 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043520067 | Carrie Jackson Scruggs | Nurse Practitioner | 1500 Oglethorpe Ave Ste 3300, Athens, GA 30606-2190 | 2010-10-08 |
1487704540 | Athena Complete Care LLC | Nurse Practitioner | 727 W Market St, Suite 5, Athens, AL 35611-2456 | 2007-01-11 |
1568427169 | Ashley Bailey Pool | Nurse Practitioner | 7715 Us Highway 72, Athens, AL 35611-8979 | 2006-04-18 |
1417578360 | Isaiah Mccombs | Nurse Practitioner | 55 Hospital Dr, Athens, OH 45701-2302 | 2020-05-01 |
1114555083 | Kaelan Dawson | Nurse Practitioner | 775 Sunset Dr, Athens, GA 30606-2211 | 2020-03-27 |
1760036776 | Michael Raymond Butzen | Nurse Practitioner | 1270 Prince Ave Ste 301, Athens, GA 30606-2783 | 2019-07-29 |
1336707124 | Jake Matthew Turton | Nurse Practitioner | 3320 Old Jefferson Rd Ste 200a, Athens, GA 30607-1478 | 2019-06-05 |
1497221683 | Nina G Kennedy | Nurse Practitioner | 1199 Prince Ave, Athens, GA 30606-2797 | 2018-10-16 |
1134639347 | Susan Danielle Beitzell | Nurse Practitioner | 340 N Milledge Ave Ste B, Athens, GA 30601 | 2017-10-03 |
1558810788 | Sallie Jayne Lisle | Nurse Practitioner | 1199 Prince Ave, Athens, GA 30606-2797 | 2016-09-29 |
Find all providers in ATHENS |
Please comment or provide details below to improve the information on DR. LEE RICHARD SULLIVAN.
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.