KATHRYN SULLIVAN (NPI# 1487700167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487700167 |
| Entity Type | Individual |
| Full Name | KATHRYN SULLIVAN |
| Credential | MD |
| Practice Address |
60 Mdg 101 Bodin Circle Travis Afb CA 94535-1800 |
| Practice Telephone | 7074237401 |
| Mailing Telephone | 7202204403 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2012-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 0101249048 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942852645 | Kathryn Ann Sullivan | Occupational Therapist | 6789 Elm Valley Dr, Kalamazoo, MI 49009-7476 | 2019-07-12 |
| 1346778305 | Kathryn E Sullivan | Behavior Technician | 359 Reeves Ct, Lincoln, CA 95648-1690 | 2017-06-02 |
| 1225007230 | Kathryn K Sullivan | Nurse Practitioner | 246 Mill St, Leominster, MA 01453-3310 | 2006-03-14 |
| 1225016744 | Kathryn Ann Sullivan | Audiologist | 200 Ucla Medical Plz Ste 540, Los Angeles, CA 90095-8344 | 2006-01-04 |
| 1831733799 | Kathryn Sullivan | Physician Assistant | 1825 Eastchester Rd, Bronx, NY 10461-2301 | 2019-11-04 |
| 1972082857 | Kathryn Sullivan | Case Manager/Care Coordinator | 25 Old Dover Rd, Rochester, NH 03867-3464 | 2018-08-10 |
| 1972966083 | Kathryn Sullivan | Student in an Organized Health Care Education/Training Program | 505 Parnassus Ave, Rm. 987, San Francisco, CA 94143-2204 | 2016-04-05 |
| 1801270350 | Kathryn E. Sullivan | Nurse Practitioner | 100 Campus Dr Ste 12, Portsmouth, NH 03801 | 2015-07-15 |
| 1205179066 | Kathryn Sullivan | Nurse Practitioner | 2510 El Camino Real, Carlsbad, CA 92008-1273 | 2013-03-30 |
| 1902149842 | Kathryn Ann Sullivan | Veterinarian | 247 Chickering Rd, North Andover, MA 01845-4535 | 2013-03-28 |
| Street Address |
60 MDG 101 BODIN CIRCLE |
| City | TRAVIS AFB |
| State | CA |
| Zip Code | 94535-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871948208 | Jennifer Fielding | Nurse Anesthetist, Certified Registered | 60 Mdg, 101 Bodin Cir, Travis Afb, CA 94535 | 2016-05-04 |
| 1295114577 | Kevin Reece | Emergency Medicine | 60 Mdg, 101 Bodin Cir, Travis Afb, CA 94535-1800 | 2015-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487711 | Sheila C Flood | Student in an Organized Health Care Education/Training Program | 101 Biden Circle, Fairfield, CA 94535 | 2020-04-28 |
| 1568081255 | Miguel Julian Moreno | Student in an Organized Health Care Education/Training Program | 690 Airmen Drive, Travis Afb, CA 94535 | 2020-04-13 |
| 1174096101 | Zlatoslava Karga | Nurse Practitioner | 60mdg / Sgow, 101 Bodin Circle, Travis Afb, CA 94535 | 2019-01-02 |
| 1437648292 | Luke C Vera | Dentist | David Grant Medical Center 101 Bodin Circle, Travis Air Force Base, CA 94535 | 2018-05-08 |
| 1588163430 | Sanaz Ziad | Pharmacist | 60mdg/mdts, 101 Bodin Circle, Travis Afb, CA 94535 | 2018-02-06 |
| 1194265686 | Geoffrey Johnston | Dentist | 60 Mdg/sgdd, 101 Bodin Circle, Travis Afb, CA 94535 | 2017-03-02 |
| 1336693407 | Hannah Isla Nordwall | Social Worker | 60 Mdg/mdos 101 Bodin Cir, Travis Afb, CA 94535 | 2016-08-06 |
| 1184177149 | Taylor Murrie-robinson | Social Worker | 60mdg / Sgow Mental Health Clinic, 101 Bodin Circle, Travis Afb, CA 94535 | 2016-07-26 |
| 1952759607 | Eric Kincaid-sharp | General Practice | 60 Mdg/amds, 101 Bodin Cir, Travis Afb, CA 94535 | 2016-06-02 |
| 1023472040 | Genieve Marie Martinez-hernandez | Internal Medicine | 60 Mdg/sgomi, 101 Bodin Circle, Fairfield, CA 94535 | 2016-04-06 |
| Find all providers in zip 94535 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225455157 | Miriam Locke | Urology | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2014-03-28 |
| 1275605834 | Joseph William Pugh | Urology | 101 Bodin Cir, 60 Mdg/ Sgcxu, Travis Afb, CA 94535-1809 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033096 | Urology Surgical Partners | Urology | 15944 Los Serranos Country Club Dr Ste 200, Chino Hills, CA 91709-3991 | 2020-11-06 |
| 1891301487 | Fadl Hamouche | Urology | 400 Parnassus Ave # A632, San Francisco, CA 94143-2202 | 2020-09-18 |
| 1083233902 | Elite Medical Group PC | Urology | 2083 Compton Ave Ste 202, Corona, CA 92881-3416 | 2020-04-10 |
| 1659919660 | Thrive Medical, Inc. | Urology | 18740 Ventura Blvd Ste 101, Tarzana, CA 91356-3366 | 2019-12-20 |
| 1457997645 | David G Song Md Inc | Urology | 5365 Walnut Avenue Ste A, Chino, CA 91710-9171 | 2019-11-21 |
| 1699316273 | Golden Gate Urology Inc | Urology | 929 Clay St Ste 505, San Francisco, CA 94108-1500 | 2019-10-04 |
| 1598318461 | Khoddami Medical Group Inc | Urology | 2705 Loma Vista Rd Ste 206, Ventura, CA 93003-1584 | 2019-07-19 |
| 1942760293 | Adventist Health Physicians Network | Urology | 2701 Chester Ave # 102, Bakersfield, CA 93301-2016 | 2019-03-22 |
| 1699233361 | Orange Coast Medical, A Medical Corporation | Urology | 10900 Warner Ave Ste 121, Fountain Valley, CA 92708-3846 | 2019-03-12 |
| 1891268389 | John Joseph Granato Jr. | Urology | 333 Cumberland Rd, Glendale, CA 91202-1256 | 2019-01-07 |
| Find all providers with the same taxonomy | ||||
| City | TRAVIS AFB |
| Zip Code | 94535 |
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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.