DR. DENNIS J SULLIVAN (NPI# 1497770853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497770853 |
| Entity Type | Individual |
| Full Name | DR. DENNIS J SULLIVAN |
| Credential | M.D. |
| Practice Address |
7 Portland Farms Rd Suite 2 Scarborough ME 04074 |
| Mailing Address |
7 Portland Frams Rd Suite 2 Scarborough ME 04074 |
| Practice Telephone | 2077744523 |
| Practice Fax Number | 2077746501 |
| Mailing Telephone | (207) 774-4523 |
| Mailing Fax Number | 2077746501 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2017-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
011964 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 105900000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124365812 | Dennis Patrick Sullivan | Licensed Practical Nurse | 4975 Reservoir Rd, Morrisville, NY 13408-1415 | 2013-01-15 |
| 1225354004 | Dennis Michael Sullivan | General Practice | 308 Melanie Ct, Beavercreek, OH 45434-6220 | 2010-04-19 |
| 1447332952 | Dennis James Sullivan Jr. | Surgery | 72718 Maple Street, Odanah, WI 54861-0250 | 2006-10-20 |
| 1932204542 | Dennis J. Sullivan | Dentist | 416 E River St, Grand Ledge, MI 48837-1754 | 2006-09-14 |
| 1861421265 | Dennis Michael Sullivan | Emergency Medicine | 703 Comanche Trl, West Monroe, LA 71291-8117 | 2006-06-30 |
| 1992795686 | Dennis M Sullivan | Family Medicine | Ctmc, Us Army Meddac, Fort Drum, NY 13602 | 2005-10-25 |
| 1528247038 | Dennis Robert Sullivan | Chiropractor | 3318 Se 156th Ave, Portland, OR 97236-2119 | 2007-10-31 |
| 1982612842 | Dennis Henry Sullivan | Internal Medicine | 4300 W 7th St, Grecc (3j/nlr), Little Rock, AR 72205-5446 | 2006-08-04 |
| 1992749964 | Dennis J Sullivan | Specialist | 1201 Alhambra Blvd, #410, Sacramento, CA 95816-5238 | 2006-06-16 |
| 1073552873 | Dennis Michael Sullivan | Chiropractor | 2305 Se Washington St, Suite 109, Milwaukie, OR 97222-7647 | 2006-06-06 |
| Street Address |
7 PORTLAND FARMS RD SUITE 2 |
| City | SCARBOROUGH |
| State | ME |
| Zip Code | 04074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275522948 | Sian E Liem | Optometrist | 7 Portland Farms Rd, Scarborough, ME 04074-5301 | 2005-10-17 |
| 1912156811 | Kyle Stephen Benner | Optometrist | 7 Portland Farms Rd, Scarborough, ME 04074-5301 | 2008-09-16 |
| 1609818970 | Nathan E Goff | Dentist | 7 Portland Farms Rd, Scarborough, ME 04074-8305 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462443 | Jennifer Marlowe | Counselor | Crossroads Maine 71-us-1, Scarborough, ME 04074 | 2020-09-16 |
| 1508475724 | Whole Medicine LLC | Family Medicine | 2o Mussey Road, Suite 2, Scarborough, ME 04074 | 2020-07-23 |
| 1154957793 | Maria Robin Libby | Occupational Therapist | 144 Us-1 #4, Scarborough, ME 04074 | 2020-03-16 |
| 1558902932 | Daphne Berta Counseling P.C. | Counselor | 636 Route 1, Scarborough, ME 04074 | 2019-10-07 |
| 1619450574 | Louise Valati | Physical Therapist | Piper Shores, 15 Piper Road, Scarborough, ME 04074 | 2018-09-07 |
| 1770001315 | Emily Dunuwila | Massage Therapist | 51 Us Route One Suite R2, Scarborough, ME 04074 | 2017-09-04 |
| 1750808788 | Jill Daicey Hutchison | Physical Therapy Assistant | 67 Pine Point Road, Scarborough, ME 04074 | 2017-08-30 |
| 1457887580 | Rebecca Shaw | Social Worker | 119 Ash Swamp Road, Scarborough, ME 04074 | 2017-05-10 |
| 1184168767 | Jessica Ann Kaake | Occupational Therapist | 308 Us Route 1 Ste E1, Scarborough, ME 04074 | 2016-12-15 |
| 1356895056 | Nancy Gaudet | Counselor | 6 Catherine Drive, Scarborough, ME 04074 | 2016-08-10 |
| Find all providers in zip 04074 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750380838 | Fred Lincoln Avery | Orthopaedic Surgery | 85 Bruce Hill Rd, Cumberland, ME 04021-3525 | 2005-07-20 |
| 1780846675 | Dennis J Sullivan, M.d., P.a. | Orthopaedic Surgery | 100 Foden Rd, Suite West 307, South Portland, ME 04106-2327 | 2008-07-01 |
| 1467638312 | Advanced Orthopaedics and Sports Medicine, LLC | Orthopaedic Surgery | 100 Foden Rd, Suite 307, South Portland, ME 04106-2327 | 2008-01-10 |
| 1275757650 | Stephen R Thompson | Orthopaedic Surgery | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2007-04-13 |
| 1609885219 | Kenneth Russell Morse | Orthopaedic Surgery | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2006-08-05 |
| 1295752657 | Jean Pierre Michaud | Orthopaedic Surgery | 163 Van Buren Rd, Orthopedic Services, Caribou, ME 04736-3567 | 2006-07-15 |
| 1790785632 | Douglas W Brown | Orthopaedic Surgery | 33 Sewall St, Portland, ME 04102-2603 | 2005-07-21 |
| City | SCARBOROUGH |
| Zip Code | 04074 |
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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.