ROBERT D SULLIVAN (NPI# 1447347190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447347190 |
| Entity Type | Individual |
| Full Name | ROBERT D SULLIVAN |
| Credential | M.D. |
| Practice Address |
1195 N Casaloma Dr Appleton WI 54913-9295 |
| Practice Telephone | 9207340400 |
| Practice Fax Number | 9207349054 |
| Mailing Telephone | 9207340400 |
| Mailing Fax Number | 9207349054 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2008-02-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 18799 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30125300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972131027 | Robert Sullivan | Nurse Practitioner | 8821 Mallory Ct, Waxahachie, TX 75167-6007 | 2020-04-01 |
| 1043799844 | Robert D. Sullivan | Optometrist | 2185 South Mason Rd, Town & Country, MO 63131-1640 | 2018-08-13 |
| 1346602786 | Robert Sullivan | Non-emergency Medical Transport (VAN) | 30 Belmont Rd, Hernando, MS 38632-7601 | 2016-03-24 |
| 1881941706 | Robert Sullivan | Internal Medicine | 294 Highview Dr, Chapel Hill, NC 27517-7911 | 2012-08-09 |
| 1528228871 | Robert Whalen Sullivan | Dentist | 4 Coconut Drive, Commack, NY 11725-1212 | 2008-06-11 |
| 1720207459 | Robert E Sullivan | General Practice | 2116 Harpers Mill Rd, Williamsburg, VA 23185-7521 | 2007-04-24 |
| 1235266115 | Robert L Sullivan | Anesthesiology | 1486 Bay Rd, Stoughton, MA 02072-3801 | 2007-02-27 |
| 1679609911 | Robert Dennis Sullivan | Counselor | 102 Carlanna Lake Road, Ketchikan, AK 99901 | 2007-02-23 |
| 1609931781 | Robert Emmett Sullivan | Family Medicine | 115 N Central Avenue, Adairsville, GA 30103-2467 | 2006-12-27 |
| 1598823049 | Robert Sullivan | Psychiatry & Neurology | 3900 Eubank Boulevard Ne, Suite 9a, Albuquerque, NM 87111-3465 | 2006-12-05 |
| Street Address |
1195 N CASALOMA DR |
| City | APPLETON |
| State | WI |
| Zip Code | 54913-9295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104919869 | Sullivan Eye Center, S.c. | Optometrist | 1195 N Casaloma Dr, Appleton, WI 54913-9295 | 2006-10-02 |
| 1770612269 | Herslof's, Inc | Technician/Technologist | 1195 N Casaloma Dr, Appleton, WI 54913-9295 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994584 | Pamela J Andersen | Music Therapist | 245 N. Metro Drive, Appleton, WI 54913 | 2019-10-22 |
| 1396387510 | Nancy Sibley | Technician | N4423 County Road Ee, Appleton, WI 54913 | 2019-10-09 |
| 1659872240 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3801 N. Richmond Street, Grand Chute, WI 54913 | 2018-02-28 |
| 1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
| 1316311905 | Lucy Bouressa | Specialist/Technologist | 2105 E. Enterprise Ave, 113, Appleton, WI 54913 | 2015-11-19 |
| 1992189989 | Brittany Reinke | Physical Therapist | Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 | 2015-07-20 |
| 1902280092 | Costco Wholesale Corporation | Pharmacy | 5401 W Integrity Way, Grand Chute, WI 54913 | 2015-07-17 |
| 1942646849 | Richard Anthony Mauthe | Pharmacist | 5401 W. Integrity Way, Neenah, WI 54913 | 2013-05-17 |
| 1750622163 | Tonya Janelle Wilderman | Pharmacist | 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 | 2013-03-10 |
| 1295938777 | Jenna Marie Kadlec | Physical Therapist | 3916 N. Intertech Court, Appleton, WI 54913 | 2007-06-11 |
| Find all providers in zip 54913 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982788030 | Avery Delvin Alexander | Ophthalmology | 250 N Metro Drive, Alexander Eye Institute, Appleton, WI 54913 | 2006-10-25 |
| 1316969363 | Fox Cities Eye Clinic, Sc | Ophthalmology | 1301 E Northland Ave Ste A, Appleton, WI 54911-8582 | 2006-07-25 |
| 1285674655 | Marvin L Hall | Ophthalmology | 21 Park Pl, Appleton, WI 54914-8872 | 2006-06-07 |
| 1164416160 | Kathy A Vogel | Ophthalmology | 1411 N Briarcliff Dr, Appleton, WI 54915-2842 | 2005-09-06 |
| 1033373600 | Douglas Francis Salm | Ophthalmology | 21 Park Pl, Appleton, WI 54914-8872 | 2008-07-14 |
| 1740317841 | Alexander Eye Institute, Sc | Ophthalmology | 250 N Metro Drive, Appleton, WI 54913-8571 | 2007-02-27 |
| 1528078011 | Colleen Corbett | Ophthalmology | 21 Park Pl, Appleton, WI 54914-8872 | 2006-08-08 |
| 1699789032 | Valley Eye Associates | Ophthalmology | 21 Park Pl, Appleton, WI 54914-8872 | 2006-07-29 |
| 1750319448 | James Carter Syverud | Ophthalmology | 21 Park Pl, Appleton, WI 54914-8872 | 2006-06-29 |
| 1407883838 | Micheal Paul Vrabec | Ophthalmology | 21 Park Pl, Appleton, WI 54914-8872 | 2006-06-28 |
| Find all providers in APPLETON | ||||
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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.