ELIZABETH L SULLIVAN (NPI# 1356506398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356506398 |
| Entity Type | Individual |
| Full Name | ELIZABETH L SULLIVAN |
| Credential | M.D. |
| Practice Address |
235 Plain St Providence RI 02905-3240 |
| Practice Telephone | 4014211710 |
| Practice Fax Number | 4018612164 |
| Mailing Telephone | 4014211710 |
| Mailing Fax Number | 4018612164 |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2013-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD14060 | RI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255947693 | Elizabeth Sullivan | Registered Nurse | 3001 Telegraph Ave Apt 301, Berkeley, CA 94705-2164 | 2020-09-21 |
| 1528445020 | Elizabeth Sullivan | Registered Nurse | 21 Lawrence Hill Rd, Huntington, NY 11743-3113 | 2015-05-04 |
| 1518378967 | Elizabeth Anne Sullivan | Student in an Organized Health Care Education/Training Program | 615 N 4th Ave, Durant, OK 74701-3907 | 2014-05-19 |
| 1164773479 | Elizabeth Ann Sullivan | Case Manager/Care Coordinator | 14 Cat Ridge Rd, North Salem, NY 10560-3300 | 2012-09-26 |
| 1659638195 | Elizabeth Ann-claire Sullivan | Psychologist | 4701 Morris St Ne Apt 601, Albuquerque, NM 87111-7715 | 2012-04-23 |
| 1629362645 | Elizabeth Ann Sullivan | Nurse Practitioner | 3915 Sherman Ave, Saint Joseph, MO 64506-3649 | 2011-06-07 |
| 1528262748 | Elizabeth A Sullivan | Counselor | 3012 Travis Ct, Midland, MI 48642-3969 | 2007-06-12 |
| 1265581631 | Elizabeth Ann Sullivan | Social Worker | 8245 20th Ave Ne, #4, Seattle, WA 98115-4407 | 2007-01-09 |
| 1881767614 | Elizabeth W Sullivan | Physical Therapist | 229 Saluda Springs Rd, Lexington, SC 29072 | 2006-11-17 |
| 1376655837 | Elizabeth A. Sullivan | Nurse Practitioner | 16268 Bennett Road, Uva Primary Care - Locust Grove, Culpeper, VA 22701 | 2006-08-31 |
| Street Address |
235 PLAIN ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-3240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992706139 | Raymond F. Chaquette | Internal Medicine | 235 Plain St, Suite 203, Providence, RI 02905-3240 | 2005-08-10 |
| 1780299594 | Bonnie Ann Blaney | Nurse Practitioner | 235 Plain St, Providence, RI 02905-3240 | 2020-09-09 |
| 1942757208 | Gyncare Inc | Obstetrics & Gynecology | 235 Plain St, Suite 307, Providence, RI 02905 | 2016-09-04 |
| 1740666023 | Stephanie Barrena | Physician Assistant | 235 Plain St, Suite 501, Providence, RI 02905-3240 | 2015-08-10 |
| 1609133008 | Karen L Mcgoldrick, Md | Advanced Practice Midwife | 235 Plain St, 101a, Providence, RI 02905-3240 | 2012-04-23 |
| 1538425160 | Patricia A. Rompf, M.d., Inc | Pediatrics | 235 Plain St, Suite 301, Providence, RI 02905-3240 | 2012-04-09 |
| 1013219492 | Center for Plastic and Hand Surgery PC | Plastic Surgery | 235 Plain St, Suite 203, Providence, RI 02905-3240 | 2010-11-17 |
| 1275843708 | Rachel Sullivan M.d. P.C. | Plastic Surgery | 235 Plain St, Suite 203, Providence, RI 02905-3240 | 2010-10-18 |
| 1548584014 | Stephen S. Falkenberry M.d. Inc. | Obstetrics & Gynecology | 235 Plain St, Suite 204, Providence, RI 02905-3240 | 2010-03-26 |
| 1518114859 | Daniel Kwan | Plastic Surgery | 235 Plain St, Bayside Building Suite 501, Providence, RI 02905-3240 | 2008-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235638354 | Rachel Blay | Obstetrics & Gynecology | 112 Langdon St, Providence, RI 02904-1111 | 2018-02-04 |
| 1831537208 | Courtney Noonan | Obstetrics & Gynecology | 695 Eddy St Ste 21, Providence, RI 02903-4938 | 2013-06-07 |
| 1801161484 | Smgri, PC | Obstetrics & Gynecology | 10 Weybosset St, Providence, RI 02903-2818 | 2012-03-15 |
| 1134415029 | Lindsey Beffa | Obstetrics & Gynecology | 101 Dudley St Fl 4, Providence, RI 02905-2401 | 2011-06-20 |
| 1487846648 | Anh-tai Vinh Dang | Obstetrics & Gynecology | 18 Imperial Pl, Ste 2d, Providence, RI 02903-4641 | 2007-08-13 |
| 1639231673 | Cassandra Leigh Carberry | Obstetrics & Gynecology | 101 Plain St Ste 5, Providence, RI 02903-4829 | 2006-12-15 |
| 1316046063 | Michael Sisitsky | Obstetrics & Gynecology | 101 Dudley St., Women and Infants Hospital-division of Triage, Providence, RI 02905 | 2006-09-21 |
| 1326140120 | Ob-gyn Associates Inc | Obstetrics & Gynecology | 1 Randall Square, Ste 205, Providence, RI 02904 | 2006-09-02 |
| 1649290024 | Mary Catherine Derosa | Obstetrics & Gynecology | 148 West River Street, Suite 8, Providence, RI 02904-2609 | 2006-07-20 |
| 1750311528 | Sarah Fox | Obstetrics & Gynecology | 148 West River Street Suite 8, Providence, RI 02904-2615 | 2006-07-04 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02905 |
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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.