JOHN SULLIVAN (NPI# 1417031220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417031220 |
| Entity Type | Individual |
| Full Name | JOHN SULLIVAN |
| Practice Address |
Community Care Schodack 77 Miller Road, Suite 1 Castleton NY 12033 |
| Mailing Address |
711 Troy Schenectady Rd Suite 201 Latham NY 12110-2442 |
| Practice Telephone | 5184772167 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
001517 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639789027 | John Sullivan | Counselor | 1104 Cavalier Dr, Waukesha, WI 53186-6883 | 2020-07-31 |
| 1659820454 | John Christopher Sullivan | Counselor | 413 N Bridge St, Dewitt, MI 48820-8907 | 2016-09-22 |
| 1538576764 | John Michael Sullivan | Psychologist | One Old Oyster Point Road, Newport News, VA 23602 | 2014-07-21 |
| 1962827808 | John Sullivan | Emergency Medicine | 92 Wood Cove Dr, Coventry, RI 02816-6614 | 2014-03-02 |
| 1225368145 | John Patrick Sullivan Jr. | Psychologist | 8 Bradford Ave, Newport, RI 02840-2202 | 2009-12-29 |
| 1679703425 | John Michael Sullivan | Dentist | 9770 Old Baymeadows Rd Ste 113, Jacksonville, FL 32256-7986 | 2009-07-14 |
| 1649484726 | John F Sullivan | Pharmacist | 44 Timber Ln, Methuen, MA 01844-4644 | 2007-05-09 |
| 1881812410 | John Michael Sullivan | Social Worker | 735 Requa St, Peekskill, NY 10566-4615 | 2007-04-20 |
| 1114049228 | John M Sullivan | Chiropractor | 3945 Us Highway 77, Corpus Christi, TX 78410-4531 | 2007-04-06 |
| 1457412306 | John J Sullivan | Dentist | 325 W White Mountain Blvd, Lakeside, AZ 85929-6875 | 2006-12-13 |
| Street Address |
COMMUNITY CARE SCHODACK 77 MILLER ROAD, SUITE 1 |
| City | CASTLETON |
| State | NY |
| Zip Code | 12033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174607972 | Donna Schaefer | Physician Assistant | Community Care Schodack, 81 Miller Road, Suite 800, Castleton, NY 12033 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598263428 | Taylor M Lanoue | Physical Therapist | 81 Miller Road, Suite 400, Castleton, NY 12033 | 2018-01-25 |
| 1033586631 | Shannon Horan | Licensed Practical Nurse | 2 Anderson Avenue, Castleton, NY 12033 | 2015-08-31 |
| 1528335510 | Anne Valerio Goff | Social Worker | 10 Empire State Blvd., Questar IIi, Castleton, NY 12033 | 2011-11-19 |
| 1740566611 | Dana Garber | Local Education Agency (LEA) | 10 Empire Blvd, Castleton, NY 12033 | 2011-10-24 |
| 1487937769 | Frances F Owen | Social Worker | 1477 So. Schodack Road, Maple Hill Middle School, Castleton, NY 12033 | 2011-09-23 |
| 1083902530 | Stacy Marie Herron | Speech-Language Pathologist | 80 Scott Avenue, Castleton, NY 12033 | 2011-07-19 |
| 1578681425 | Phillip S Weisburgh | Pharmacist | 1645 Columbia Tpk, Castleton, NY 12033 | 2007-03-27 |
| 1831244698 | Schodack Central School District | Local Education Agency (LEA) | 1216 Maple Hill Road, Castleton, NY 12033 | 2007-01-24 |
| 1184675142 | Marcella Barbour Fiacco | Dietitian, Registered | 1523 Columbia Turnpike, Serenity Day Spa, Castleton, NY 12033 | 2006-05-15 |
| 1285694620 | Marilyn W Caramore | Pediatrics | 77 Miller Rd, Suite 1, Castleton, NY 12033 | 2006-03-27 |
| Find all providers in zip 12033 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252581 | North Shore Medical Group Pllc | Physician Assistant | 311 Skyview Ter, Syracuse, NY 13219-2835 | 2020-10-12 |
| 1477169654 | Kristen Ariel O'connell | Physician Assistant | 85 John St Apt 7a, New York, NY 10038-2844 | 2020-09-22 |
| 1699381616 | David Nmn Kao | Physician Assistant | 737 Pleasant Avenue, Westbury, NY 11590-6407 | 2020-09-16 |
| 1043824816 | Elizabeth Keane | Physician Assistant | 25 Hollis Dr, Sound Beach, NY 11789-1629 | 2020-08-31 |
| 1497364111 | Tianna Stephens | Physician Assistant | 165 N Village Ave Ste 5, Rockville Centre, NY 11570-3701 | 2020-07-28 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1841818895 | Yanick Dugue | Physician Assistant | 4 Lincoln Ave, New Hyde Park, NY 11040-3125 | 2020-07-07 |
| 1194340505 | Kayleigh Marie Tourt | Physician Assistant | 222 Alexander St Fl 4, Rochester, NY 14607-4039 | 2020-06-11 |
| 1023638509 | Kristina Rajic | Physician Assistant | 7237 66th Dr, Flushing, NY 11379-2111 | 2020-04-24 |
| 1114547791 | Michele Hein | Physician Assistant | 700 Veterans Memorial Hwy, Hauppauge, NY 11788-2952 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
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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.