RYAN SEAN SULLIVAN


Address: 205 N East Ave, Jackson, MI 49201-1753
Phone: 5172053964

RYAN SEAN SULLIVAN (NPI# 1447743232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447743232
Entity Type Individual
Full Name RYAN SEAN SULLIVAN
Credential DO
Practice Address 205 N East Ave
Jackson
MI 49201-1753
Practice Telephone 5172053964
Practice Fax Number 5172057050
Mailing Telephone 5172053964
Mailing Fax Number 5172057050
Enumeration Date 2018-06-07
Last Update Date 2018-06-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program 510102407 MI Student, Health Care

Other Providers RYAN SULLIVAN

NPI Name Taxonomy Address Enumeration
1871022418 Ryan Daniel Sullivan Counselor 480 Vision Way, Bayfield, CO 81122 2017-06-07
1396149944 Ryan Esley Sullivan Mechanotherapist 325 John Knox Rd Bldg T Ste 1, Tallahassee, FL 32303-4166 2014-10-10
1063701241 Ryan Ridgway Sullivan Orthopaedic Surgery 120 Spalding Dr Ste 307, Naperville, IL 60540 2011-03-28
1174605653 Ryan A Sullivan Internal Medicine 2198 Us Highway 31 S, Manistee, MI 49660-9618 2006-10-20
1366078495 Ryan John Sullivan Student in an Organized Health Care Education/Training Program 300 Community Dr, Manhasset, NY 11030-3816 2020-03-20
1104387869 Ryan Michael Sullivan Student in an Organized Health Care Education/Training Program 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 2019-03-26
1548738982 Ryan Christopher Sullivan Social Worker 7309 Lazy Creek Dr, Austin, TX 78724-3211 2018-11-04
1760972285 Ryan Sullivan Student in an Organized Health Care Education/Training Program 2698 Patterson Rd, Grand Junction, CO 81506-8818 2018-05-10
1679099170 Ryan Edward Sullivan Social Worker 285 Main Street, Cshhc-west Haven Health Center Counseling Services, West Haven, CT 06516-7307 2017-08-16
1124554571 Ryan Sullivan Student in an Organized Health Care Education/Training Program 3400 Spruce St, Philadelphia, PA 19104-4238 2017-05-04

Office Location

Street Address 205 N EAST AVE
City JACKSON
State MI
Zip Code 49201-1753

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295736015 Jackson Radiology Consultants, P.C. Radiology 205 N East Ave, Imaging Department, Jackson, MI 49201-1753 2005-08-02
1053910356 Stephanie Galczyk Physician Assistant 205 N East Ave, Jackson, MI 49201-1753 2020-10-19
1467050948 Nicole Elizabeth Knoth Pharmacist 205 N East Ave, Jackson, MI 49201-1753 2020-10-15
1952918849 Jaclyn Nicole Donovan Nurse Practitioner 205 N East Ave, Jackson, MI 49201-1753 2020-09-25
1518573732 Taylor Petersen Physician Assistant 205 N East Ave, Jackson, MI 49201-1753 2020-09-22
1790391092 Ashley Voss Clinical Nurse Specialist 205 N East Ave, Jackson, MI 49201-1753 2020-09-22
1902411788 Owen Jeffrey Wood Physician Assistant 205 N East Ave, Jackson, MI 49201-1753 2020-09-09
1669083721 Holly Jenski Viaches Occupational Therapist 205 N East Ave, Jackson, MI 49201-1753 2020-08-12
1205446739 Sondos Al Khatib Student in an Organized Health Care Education/Training Program 205 N East Ave, Jackson, MI 49201-1753 2020-08-10
1003433459 Kory Ashton Strong Student in an Organized Health Care Education/Training Program 205 N East Ave, Jackson, MI 49201-1753 2020-07-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174137863 Sally Ann Shaw Behavior Technician 3699 Miles Rd., Jackson, MI 49201 2020-09-01
1780293043 Alyn Kristin Kay Technician Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 2020-07-23
1841827946 Maverick Jubane Student in an Organized Health Care Education/Training Program Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 2020-03-26
1306486584 Cody Williams Technician, Other 1001 Laurence Avenue St E, Jackson, MI 49201 2020-01-15
1720632292 Krystie Lynn Adorjan Speech-Language Pathologist 1175 W Parnall Rd, Jackson, MI 49201 2019-08-01
1407412653 Howard Franklin Tanner II Speech-Language Pathologist 102 East Michigan Avenue, Jackson, MI 49201 2019-05-14
1356863740 Rima Zarar Qayyum Speech-Language Pathologist 4800 Firethorn Dr., Jackson, MI 49201 2017-07-07
1306384383 Briana Nesmith Speech-Language Pathologist 2025 Ann Arbor Road, Jackson, MI 49201 2017-02-09
1255878062 W.a. Foote Memorial Hospital, Inc Otolaryngology 205 N.east Ave, Jackson, MI 49201 2017-01-31
1306212881 Aisha Henderson Social Worker 729 West Michigan Avenue, Jackson, MI 49201 2015-08-19
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447851407 Rebecca Lynn Collimore Student in an Organized Health Care Education/Training Program 5 Twin Oaks Ct, Jackson, NJ 08527-5359 2020-11-05
1578176053 Breanna Christina Wade Student in an Organized Health Care Education/Training Program 1647 Robinson St Apt B, Jackson, MS 39209-6424 2020-08-25
1730798240 Taylor Michael Smith Student in an Organized Health Care Education/Training Program 21 Windfield Cv, Jackson, TN 38305-9778 2020-07-30
1639797442 Walk By Faith Not By Sight Homecare Student in an Organized Health Care Education/Training Program 2310 Us-80 West, Suite F 1154, Jackson, MS 39204 2020-07-08
1922620855 Madison K Heine Student in an Organized Health Care Education/Training Program Univ. of Mississippi Medical Center, School of Dentistry, Jackson, MS 39216-3921 2020-05-14
1083236210 Juvell Nicole Burris Student in an Organized Health Care Education/Training Program 802 Lakeland Dr Apt 104, Jackson, MS 39216-4613 2020-05-11
1316569742 Monieca Michelle Mcnair Student in an Organized Health Care Education/Training Program 635 Nakoma Dr, Jackson, MS 39206-3335 2020-05-07
1760011480 Kandice Bailey Student in an Organized Health Care Education/Training Program 915 Bellevue Pl, Jackson, MS 39202-2702 2020-04-04
1194353391 Brianna Arrington Student in an Organized Health Care Education/Training Program Med/ Peds, 2500 N. State St., Jackson, MS 39216 2020-04-01
1720616485 Roshina Khalid Khan Student in an Organized Health Care Education/Training Program Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 2020-03-30
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 49201

Improve Information

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Dataset Information

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.

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