MATTHEW CONOR SULLIVAN (NPI# 1376164012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376164012 |
Entity Type | Individual |
Full Name | MATTHEW CONOR SULLIVAN |
Practice Address |
1 Bowdoin Sq Boston MA 02114-2927 |
Mailing Address |
2 Park Pl Apt 17g Hartford CT 06106-5016 |
Practice Telephone | 9788097874 |
Enumeration Date | 2020-05-05 |
Last Update Date | 2020-05-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548653256 | Matthew Austin Sullivan | Student in an Organized Health Care Education/Training Program | 1830 E Monument St Ste 7000, Baltimore, MD 21287 | 2015-03-05 |
1902228422 | Matthew D Sullivan | Naturopath | 3804 Ne 94th St, Seattle, WA 98115-3755 | 2014-01-17 |
1437279320 | Matthew Burton Sullivan | Speech-Language Pathologist | 5601 35th Ave N, St Petersburg, FL 33710-1911 | 2007-04-02 |
1053311472 | Matthew Ryan Sullivan | Optometrist | 980 Willow Creek Road, Suite 202, Prescott, AZ 86301-1610 | 2005-07-28 |
1922653179 | Matthew James Sullivan | Physician Assistant | 323 Lowell St, Andover, MA 01810-4659 | 2019-08-05 |
1871156596 | Matthew Sullivan | Counselor | 26 Parkridge Rd, Haverhill, MA 01835-8514 | 2019-04-18 |
1639650955 | Matthew Sullivan | Occupational Therapy Assistant | 500 Valle Vista Dr, Athens, TX 75751-2760 | 2018-08-24 |
1619329703 | Matthew Sullivan | Physical Therapist | 115 E Harmony Rd Ste 160, Fort Collins, CO 80525-3280 | 2016-07-12 |
1760846919 | Matthew L. Sullivan | Nurse Anesthetist, Certified Registered | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2016-04-13 |
1609240795 | Matthew Wade Sullivan | Physical Therapist | 2318 Market Place Dr, Maryville, TN 37801-8704 | 2015-11-30 |
Street Address |
1 BOWDOIN SQ |
City | BOSTON |
State | MA |
Zip Code | 02114-2927 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295737898 | Timothy J Petersen | Psychologist | 1 Bowdoin Sq, 7th Floor, Office 744, Boston, MA 02114-2927 | 2005-08-12 |
1497372759 | Jafar Bakhshaie | Student in an Organized Health Care Education/Training Program | 1 Bowdoin Sq, Boston, MA 02114-2927 | 2020-07-02 |
1144842436 | Benjamin Bellet | Student in an Organized Health Care Education/Training Program | 1 Bowdoin Sq, Boston, MA 02114-2927 | 2020-05-11 |
1558981191 | Thomas Martin Crow | Student in an Organized Health Care Education/Training Program | 1 Bowdoin Sq, Boston, MA 02114-2927 | 2020-04-23 |
1093351975 | Farahdeba Herrawi | Student in an Organized Health Care Education/Training Program | 1 Bowdoin Sq, Boston, MA 02114-2927 | 2019-11-26 |
1144861469 | Sheena I Dev | Student in an Organized Health Care Education/Training Program | 1 Bowdoin Sq, 7th Floor, Boston, MA 02114-2927 | 2019-10-08 |
1700430311 | Katelyn M Gettens | Student in an Organized Health Care Education/Training Program | 1 Bowdoin Sq, 7th Floor, Boston, MA 02114-2927 | 2019-07-31 |
1184277790 | Cara Cordeaux | Student in an Organized Health Care Education/Training Program | 1 Bowdoin Sq, 7th Floor, Boston, MA 02114-2927 | 2019-07-23 |
1093291684 | Paula A Aduen | Psychologist | 1 Bowdoin Sq, 7th Floor, Boston, MA 02114-2927 | 2018-07-17 |
1063907251 | Chelsea E Boccagno | Student in an Organized Health Care Education/Training Program | 1 Bowdoin Sq, 6th Floor, Boston, MA 02114-2927 | 2018-06-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
Find all providers in zip 02114 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306447636 | Sarah Wieman | Student in an Organized Health Care Education/Training Program | 16 Blossom St Fl 1, Boston, MA 02114-3104 | 2020-11-03 |
1932709938 | Brianna Mae Duval | Student in an Organized Health Care Education/Training Program | 58 Colborne Rd, Boston, MA 02135-4103 | 2020-10-28 |
1780281279 | Sarah Hamad Alsaggabi | Student in an Organized Health Care Education/Training Program | 55 Traveler St Apt 1310, Boston, MA 02118-2973 | 2020-10-07 |
1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
1558978957 | Tien-hsin Chang | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 | 2020-09-29 |
1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
1962018069 | Cara Connors | Student in an Organized Health Care Education/Training Program | 18 Wiget St Apt 1, Boston, MA 02113-2363 | 2020-09-23 |
1023624608 | Bernadette Avila | Student in an Organized Health Care Education/Training Program | 19 Peterborough St Apt 5, Boston, MA 02215-4409 | 2020-09-19 |
1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
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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.