THOMAS S. SULLIVAN (NPI# 1477547933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477547933 |
| Entity Type | Individual |
| Full Name | THOMAS S. SULLIVAN |
| Credential | M.S., R.PH., BCNSP |
| Practice Address |
159 Kercheval Ave Grosse Pointe Farms MI 48236-3610 |
| Mailing Address |
1234 Harvard Rd Grosse Pointe Park MI 48230-1132 |
| Practice Telephone | 3136402385 |
| Practice Fax Number | 3133438657 |
| Mailing Telephone | 3133431646 |
| Mailing Fax Number | 3133431184 |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835N1003X |
Pharmacist Specialization: Nutrition Support |
5302025761 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487203386 | Thomas Carson Bruyer Sullivan | Physical Therapist | Bst Granite Falls, 345 10th Avenue, Granite Falls, MN 56241 | 2019-09-04 |
| 1992156426 | Thomas Patrick Sullivan | Counselor | 5 Prentiss Pl, Medfield, MA 02052-1652 | 2016-06-27 |
| 1437565488 | Thomas Barrett Sullivan | Orthopaedic Surgery | 1611 W Harrison St Ste 201, Chicago, IL 60612-4861 | 2014-07-09 |
| 1508104373 | Thomas Sullivan | Psychiatry & Neurology | 16321 Mack Ave, Detroit, MI 48224-2756 | 2013-01-29 |
| 1003033283 | Thomas Edward Sullivan | Dentist | 1200 High Ridge Parkway, Westchester, IL 60154 | 2007-04-19 |
| 1215064050 | Thomas Edward Sullivan | Pharmacist | 1010 S. Ponce Deleon Blvd, Winn-dixie Pharmacy, St Augustine, FL 32084 | 2007-02-28 |
| 1447391222 | Thomas Paul Sullivan | Counselor | 6 Cedarview Rd, Ipswich, MA 01938-1604 | 2007-02-12 |
| 1871630111 | Thomas E Sullivan | Internal Medicine | 6 Brackenbury Ln, Beverly, MA 01915-3822 | 2007-01-30 |
| 1548379233 | Thomas S Sullivan | Chiropractor | 481 Ferry St, Malden, MA 02148-7851 | 2006-08-29 |
| 1780691253 | Thomas Ryan Sullivan | Chiropractor | 7106 Pippin Rd, Cincinnati, OH 45239 | 2006-08-01 |
| Street Address |
159 KERCHEVAL AVE |
| City | GROSSE POINTE FARMS |
| State | MI |
| Zip Code | 48236-3610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851383921 | John M Hartzell | Surgery | 159 Kercheval Ave, 2nd Floor, Grosse Pointe Farms, MI 48236-3610 | 2005-08-16 |
| 1205462553 | Kristen Robertson | Physical Therapist | 159 Kercheval Ave, Grosse Pointe Farms, MI 48236-3610 | 2020-03-19 |
| 1194351577 | Samantha Powell | Physical Therapist | 159 Kercheval Ave, Grosse Pointe Farms, MI 48236-3610 | 2020-03-18 |
| 1851864185 | Sarah Elizabeth Porter | Behavioral Analyst | 159 Kercheval Ave, Grosse Pointe Farms, MI 48236-3610 | 2019-01-09 |
| 1235607078 | Lauren Renee Sawyer | Nurse Practitioner | 159 Kercheval Ave, Grosse Pointe Farms, MI 48236-3610 | 2018-11-09 |
| 1164911434 | Dianna Vanderpool | Physical Therapist | 159 Kercheval Ave, Grosse Pointe Farms, MI 48236-3610 | 2018-05-02 |
| 1811492135 | Sarah Grace Bowering | Physical Therapist | 159 Kercheval Ave, Grosse Pointe Farms, MI 48236-3610 | 2018-03-28 |
| 1306349790 | Christy Ann Schweitzer | Speech-Language Pathologist | 159 Kercheval Ave, Grosse Pointe Farms, MI 48236-3610 | 2018-03-13 |
| 1902308158 | Kelli Roskelly | Physical Therapist | 159 Kercheval Ave, Grosse Pointe Farms, MI 48236-3610 | 2018-03-05 |
| 1134621212 | Julie A.m. Nardone | Physical Therapist | 159 Kercheval Ave, Grosse Pointe Farms, MI 48236-3610 | 2018-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323966 | Khairya Fatouh | Pathology | 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 | 2020-07-16 |
| 1134744998 | Harish Harry Gidda | Internal Medicine | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-08 |
| 1770107443 | Arshan Ali Khan | Internal Medicine | 22101 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-05-29 |
| 1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
| 1801449483 | Ishaq Azeem Asghar | Student in an Organized Health Care Education/Training Program | 22101 Moross Road, Pathology Department, Detroit, MI 48236 | 2019-07-22 |
| 1295290443 | Ascension St. John Hospital | Dietitian, Registered | 22201 Moross, Ste. 270, Detriot, MI 48236 | 2019-02-01 |
| 1548747413 | Abiodun Adenuga Adefarasin | Pharmacist | 20746 Mack Avenue, Gross Pointe Woods, MI 48236 | 2018-07-24 |
| 1629564042 | Hamza H Khan | Student in an Organized Health Care Education/Training Program | 22201 Moross, Professional Building 2, Suite 70, Detroit, MI 48236 | 2018-07-09 |
| 1235631664 | David Lee Williams | Physical Therapist | 159 Kercheval Avenue, Grosse Pointe Farms, MI 48236 | 2018-03-01 |
| 1164979720 | Memphie Morgan | Licensed Practical Nurse | 91527 Cheshire St., Grosse Pointe, MI 48236 | 2016-09-01 |
| Find all providers in zip 48236 | ||||
| Taxonomy Code | 1835N1003X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Nutrition Support |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881062883 | Wessam Yousef | Pharmacist | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2015-09-08 |
| 1205110376 | Tina K Melonakos | Pharmacist | 718 N Macomb St, Monroe, MI 48162-7815 | 2011-10-06 |
| 1447416193 | Benjamin Jacob Demongey | Pharmacist | 1105 Sixth St, Traverse City, MI 49684-2345 | 2008-08-01 |
| 1861571564 | Susan M Pennell | Pharmacist | G3320 Beecher Rd, Flint, MI 48532-3614 | 2006-11-03 |
| City | GROSSE POINTE FARMS |
| Zip Code | 48236 |
Please comment or provide details below to improve the information on THOMAS S. SULLIVAN.
| 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.