CARY PATRICK SULLIVAN (NPI# 1497701130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497701130 |
| Entity Type | Individual |
| Full Name | CARY PATRICK SULLIVAN |
| Credential | D.O. |
| Practice Address |
300 N Thornton St. Vian OK 74962-0446 |
| Mailing Address |
Po Box 446 Vian OK 74962-0446 |
| Practice Telephone | 9187735228 |
| Practice Fax Number | 9187738482 |
| Mailing Telephone | 9187735228 |
| Mailing Fax Number | 9187738482 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2013-03-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2148 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100254810E | 05 | |
| OK | 100254810G | 05 | |
| OK | BLUE CROSS BLUE SHIELD | 731153208003 | 01 |
| Street Address |
300 N THORNTON ST. |
| City | VIAN |
| State | OK |
| Zip Code | 74962-0446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649821893 | Belinda Scoggins-kokendoffer | Technician | 451692 E 1010 Rd, Vian, OK 74962 | 2019-09-27 |
| 1275945974 | Triton Health Pllc | Clinic/Center | 128 W. Main Street, Vian, OK 74962 | 2014-05-29 |
| 1942627112 | Heather Summerlin | Social Worker | 97955 S. 4489 Drive, Vian, OK 74962 | 2014-03-25 |
| 1932482783 | Chelsie Andrea Vanek | Psychologist | Route 1 Evening Shade Road, Vian, OK 74962 | 2011-09-27 |
| 1548589294 | Tammy Faye Watts | Counselor | Hcr 68 Box 1510, Vian, OK 74962 | 2010-05-20 |
| 1770802456 | Tenkiller Family Chiropracitc | Chiropractor | 512 S. Thornton Street, Vian, OK 74962 | 2010-05-20 |
| 1740507714 | Kenneth Pack Jr. | Chiropractor | 512 S. Thorton Street, Vian, OK 74962 | 2010-04-29 |
| 1538396478 | Tela Marie Brown | Registered Nurse | 4401 S. Western Avenue, Oklahoma City, OK 74962 | 2009-06-18 |
| 1689704686 | Osu Center for Health Sciences | Clinic/Center | 200 N Thornton Street, Vian, OK 74962 | 2007-03-07 |
| 1356487912 | Michael C Dodd and Wilman C | Pharmacy | 10 Thorton St, Vian, OK 74962 | 2007-01-30 |
| Find all providers in zip 74962 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003862673 | C. Patrick Sullivan,do | Family Medicine | 200 North Thornton, Vian, OK 74962-0446 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1346841673 | Nugenex Plus Aprn-cnp Pllc | Family Medicine | 13425 Deer Spring Dr, Piedmont, OK 73078-3001 | 2020-11-03 |
| 1235739764 | Pinnacle Family Health Care | Family Medicine | 2781 Washington Drive, Suite 101, Norman, OK 73069 | 2020-10-26 |
| 1548868573 | Kayla Lynn Birchfield | Family Medicine | 220 W Jackson St, Crescent, OK 73028-8908 | 2020-10-12 |
| 1164039632 | Axiom Medical Solutions, LLC | Family Medicine | 14132 Se 134th St, Oklahoma City, OK 73165-7669 | 2020-09-28 |
| 1174139554 | Crestcare Family Medicine,pllc | Family Medicine | 817 S Elm Pl Ste 104, Broken Arrow, OK 74012-5369 | 2020-09-21 |
| 1346855640 | Charger Health Group Pllc | Family Medicine | 511 N Aspen Ave, Broken Arrow, OK 74012-2220 | 2020-09-14 |
| 1952916645 | Brandi Suzanne Shell | Family Medicine | 26471 E 141st St S, Coweta, OK 74429-5517 | 2020-09-10 |
| 1730793696 | Osumc Professional Services LLC | Family Medicine | 112 W 5th Street, Okmulgee, OK 74447-0000 | 2020-09-08 |
| 1104437219 | L and M Investments LLC | Family Medicine | 6001 Nw 139th St, Oklahoma City, OK 73142-1919 | 2020-08-12 |
| Find all providers with the same taxonomy | ||||
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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.