JAMES SULLIVAN (NPI# 1437523958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437523958 |
Entity Type | Individual |
Full Name | JAMES SULLIVAN |
Practice Address |
4500 13th St Gulfport MS 39501-2515 |
Mailing Address |
6051 U S Highway 49 Hattiesburg MS 39401-7200 |
Practice Telephone | 2288675000 |
Enumeration Date | 2015-11-20 |
Last Update Date | 2020-08-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
R882067 | MS | Nursing Service Providers |
Y | 367500000X | Nurse Anesthetist, Certified Registered | 901358 | MS | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518524404 | James Connor Sullivan | Audiologist | 1977 Butler Blvd Ste E5100, Houston, TX 77030-4101 | 2019-05-26 |
1255808705 | James Woodfin Sullivan | Dentist | 121 Kaneohe Ln, Bastrop, TX 78602-7252 | 2018-11-01 |
1003299777 | James Sullivan | Physical Therapy Assistant | 10821 Bouldercrest Drive, South Lyon, MI 48178 | 2015-06-30 |
1871863522 | James P Sullivan | Physical Therapy Assistant | 507 Benmosche Rd, Monticello, NY 12701 | 2012-01-11 |
1780974378 | James William Sullivan | Acupuncturist | 2745 High Ridge Blvd Ste 7, High Ridge, MO 63049-2200 | 2011-04-15 |
1730343666 | James Edward Sullivan | Counselor | 2076 Wallum Lake Rd, Pascoag, RI 02859 | 2008-07-10 |
1508076829 | James Michael Sullivan | Chiropractor | 702 S Rancho Santa Fe Rd, San Marcos, CA 92078-3935 | 2007-05-23 |
1275698524 | James J Sullivan | Dentist | 933 Broadwater Sq, Billings, MT 59101 | 2006-12-27 |
1932279155 | James F. Sullivan | Occupational Therapist | 184 E Chestnut St, Suite 2, Asheville, NC 28801-2377 | 2006-11-08 |
1689753378 | James Lowery Sullivan | Dentist | 210 South Montclair Street, Bakersfield, CA 93309 | 2006-11-03 |
Street Address |
4500 13TH ST |
City | GULFPORT |
State | MS |
Zip Code | 39501-2515 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790777142 | Jack Q Causey II | Specialist | 4500 13th St, Gulfport, MS 39501-2515 | 2005-08-20 |
1255940110 | Brittany Threatt | Specialist/Technologist, Other | 4500 13th St, Gulfport, MS 39501-2515 | 2020-07-27 |
1881217792 | Dawn M Waters | Technician, Other | 4500 13th St, Gulfport, MS 39501-2569 | 2020-05-26 |
1356963953 | Jamie Rea Morris | Family Medicine | 4500 13th St, Gulfport, MS 39501-2515 | 2020-05-18 |
1497374490 | Alicia Lee Ellsberry | Nurse Practitioner | 4500 13th St, Gulfport, MS 39501-2515 | 2020-04-10 |
1578192035 | Lauren Martino | Pharmacist | 4500 13th St, Gulfport, MS 39501-2515 | 2020-04-06 |
1942840368 | Addie Holleman Holcomb | Registered Nurse | 4500 13th St, Gulfport, MS 39501-2515 | 2020-01-14 |
1477190114 | Shannon Vallee Canzoneri | Pharmacist | 4500 13th St, Gulfport, MS 39501-2515 | 2019-12-02 |
1629614003 | Kanieshia M Mitchell | Nurse Practitioner | 4500 13th St, Gulfport, MS 39501-2569 | 2019-11-21 |
1346882339 | Molly H Weir | Nurse Practitioner | 4500 13th St, Gulfport, MS 39501-2515 | 2019-10-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598301632 | Daniel Edward Bloom | Physician Assistant | Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2019-11-25 |
1730721374 | Affinity Healthcare LLC | Non-emergency Medical Transport (VAN) | 1822 15th St, Suite 8, Gulfport, MS 39501 | 2019-10-15 |
1093361156 | Gulf Coast Companion Care, LLC | Home Health | 1314 Pass Road, Ste B, Gulfport, MS 39501 | 2019-08-14 |
1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
1225681216 | Murphy Chiropractic Gulfport, LLC | Clinic/Center | 2700 25th Ave., Gulfport, MS 39501 | 2019-07-19 |
1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
1902294093 | Tangular Barnes | Nurse Practitioner | Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 | 2014-12-25 |
1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
Find all providers in zip 39501 |
Taxonomy Code | 367500000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Anesthetist, Certified Registered |
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548696925 | Gulf Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 12504 Windance Dr, Gulfport, MS 39503-7780 | 2013-09-17 |
1043288541 | Glen Michael Cavalier | Nurse Anesthetist, Certified Registered | 15200 Community Rd, Gulfport, MS 39503-3085 | 2006-03-09 |
1427047497 | Karla Marie Atchley | Nurse Anesthetist, Certified Registered | 15124 Haven Cv, Gulfport, MS 39503-3877 | 2005-10-20 |
1083265185 | Trinh Thu Weatherly | Nurse Anesthetist, Certified Registered | 4500 13th St, Gulfport, MS 39501-2569 | 2019-09-20 |
1417400896 | David N Johnston Jr. | Nurse Anesthetist, Certified Registered | 15190 Community Rd, Gulfport, MS 39503-3485 | 2016-08-02 |
1356747422 | Shelly Meiners | Nurse Anesthetist, Certified Registered | 4500 13th St, Gulfport, MS 39501-2515 | 2014-11-17 |
1972936219 | Jenna Plaisance Marciante | Nurse Anesthetist, Certified Registered | 15200 Community Rd, Gulfport, MS 39503 | 2013-08-09 |
1528300324 | Stephanie Parks | Nurse Anesthetist, Certified Registered | 4500 13th St, Gulfport, MS 39501-2515 | 2013-03-20 |
1215217013 | Jonathan Blake Benefield | Nurse Anesthetist, Certified Registered | 4500 13th St, Gulfport, MS 39501-2515 | 2011-08-24 |
1043522444 | Julie K Klester | Nurse Anesthetist, Certified Registered | 15190 Community Rd, Suite 230a, Gulfport, MS 39503-3485 | 2010-07-14 |
Find all providers in GULFPORT |
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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.