DR. DONALD J SULLIVAN (NPI# 1508814484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508814484 |
| Entity Type | Individual |
| Full Name | DR. DONALD J SULLIVAN |
| Credential | MD |
| Practice Address |
4100 Austin Peay Hwy Memphis TN 38128-2502 |
| Mailing Address |
Po Box 1000 Dept 0194 Memphis TN 38148-2246 |
| Practice Telephone | 9012135460 |
| Practice Fax Number | 9012135439 |
| Mailing Telephone | 9012135400 |
| Mailing Fax Number | 9012135439 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2019-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
26078 | TN | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 26078 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | RAIL ROAD MEDICARE PIN | P00219690 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083133326 | Donald Sullivan | Licensed Practical Nurse | 210 Oehman Blvd, Cheektowaga, NY 14225-1643 | 2017-09-19 |
| 1154511517 | Donald Nicholas Sullivan | Orthopaedic Surgery | 104 Ashland, Mt Zion, IL 62549 | 2007-07-31 |
| 1144343245 | Donald Richard Sullivan | Physician Assistant | 119140 Rick Jones Way, Butte, MT 59750-9722 | 2007-04-06 |
| 1639213986 | Donald Chad Sullivan | Occupational Therapist | 1650 Kensington Pl, Springdale, AR 72764-1159 | 2007-02-19 |
| 1174514145 | Donald Lawrence Sullivan | Pharmacist | Ohio Northern University, College of Pharmacy, Ada, OH 45810 | 2005-10-31 |
| 1003019621 | Donald Richard Sullivan | Internal Medicine | 3181 Sw Sam Jackson Park Rd, Uhn67, Portland, OR 97239-3011 | 2007-06-10 |
| Street Address |
4100 AUSTIN PEAY HWY |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38128-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659378040 | Matthew Joseph Allman | Physician Assistant | 4100 Austin Peay Hwy, Memphis, TN 38128-2502 | 2005-06-30 |
| 1013400852 | Jerry M Holley Md Pllc | Internal Medicine | 4100 Austin Peay Hwy, Memphis, TN 38128-2502 | 2018-06-06 |
| 1831584622 | Barbara Dennis | Nurse Practitioner | 4100 Austin Peay Hwy, Memphis, TN 38128-2502 | 2015-03-30 |
| 1669884425 | Nanette Mcclure | Nurse Practitioner | 4100 Austin Peay Hwy, Memphis, TN 38128-2502 | 2014-05-28 |
| 1598075558 | Dorinda Jones | Nurse Practitioner | 4100 Austin Peay Hwy, Memphis, TN 38128-2502 | 2010-10-08 |
| 1124268297 | Donald J Sullivan Md | Pain Medicine | 4100 Austin Peay Hwy, Memphis, TN 38128-2502 | 2009-03-02 |
| 1568583532 | Danielle H Hassel | Physical Medicine & Rehabilitation | 4100 Austin Peay Hwy, Memphis, TN 38128-2502 | 2007-04-03 |
| 1487628145 | Encompass Health Methodist Rehabilitation Hospital, Lp | Rehabilitation Hospital | 4100 Austin Peay Hwy, Memphis, TN 38128-2502 | 2006-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518505775 | Available Home Care Service | Home Health | 3133 Kirkcaldy Rd, Memphis, TN 38128 | 2019-12-18 |
| 1912545690 | Sherry L. Russell | Technician | 4687 Priscilla Ave, Mmphis, TN 38128 | 2019-12-13 |
| 1518442318 | Genevieve Tempy Thomas | Counselor | 3900 Covington Pike, Suite 107, Memphis, TN 38128 | 2018-09-27 |
| 1487172037 | Right Care Home Health Agency | Home Health | 5116 Raleigh Lagrange Suite 5, Memphis, TN 38128 | 2017-09-05 |
| 1659744555 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 5020 English Towne Drive, Memphis, TN 38128 | 2015-11-02 |
| 1184009649 | Linda Fay Williams | Nurse Practitioner | 3655 Haughton Lane #2, Memphis, TN 38128 | 2015-07-27 |
| 1194153528 | Jessica Rene Bush | Social Worker | 2922 Covington Pike, Memphis, TN 38128 | 2013-10-22 |
| 1013345685 | Frank Earl Madden Sr. | Non-emergency Medical Transport (VAN) | 4416 E. Hunters Glen St, Memphis, TN 38128 | 2013-10-17 |
| 1902230915 | Jonathan Jeu | Pharmacist | 3500 Ramill Road, Memphis, TN 38128 | 2013-08-27 |
| 1245662238 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 3131 James Road, Memphis, TN 38128 | 2013-08-01 |
| Find all providers in zip 38128 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043387624 | Moacir Schnapp | Physical Medicine & Rehabilitation | 55 Humphreys Center Drive Suite 200, Pain Clinic Associates PC, Memphis, TN 38120-2366 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720616915 | Isaac Spine, Joint & Pain Institute | Physical Medicine & Rehabilitation | 2004 Hayes St Ste 655, Nashville, TN 37203-2646 | 2020-04-01 |
| 1558880286 | Healthcare Resources Management LLC | Physical Medicine & Rehabilitation | 74 Lebanon Hwy, Carthage, TN 37030-2954 | 2017-09-13 |
| 1245606110 | Lauren Frommert | Physical Medicine & Rehabilitation | 419 Steam Plant Rd, Gallatin, TN 37066-3027 | 2015-08-14 |
| 1073855573 | Southern Pain Institute Pllc | Physical Medicine & Rehabilitation | 1608 Williams Dr Ste 300, Murfreesboro, TN 37129-3195 | 2013-03-22 |
| 1033386941 | Southern Pain Institute Pllc | Physical Medicine & Rehabilitation | 393 Wallace Rd Ste A204, Nashville, TN 37211-4983 | 2008-05-09 |
| 1225214307 | Elmer G. Pinzon | Physical Medicine & Rehabilitation | 110 Center Park Dr, Ste 102 & 103, Knoxville, TN 37922-2114 | 2008-01-18 |
| 1104837327 | Thomas Scott Baker | Physical Medicine & Rehabilitation | 1423 W Baddour Pkwy, Lebanon, TN 37087-3061 | 2006-08-11 |
| 1174504294 | Sheng Tchou | Physical Medicine & Rehabilitation | 411 Princeton Rd, Suite 101, Johnson City, TN 37601-2049 | 2005-11-07 |
| 1720541402 | Tennessee Integrative Pain Institute Plc | Physical Medicine & Rehabilitation | 5073 Main St Ste 200, Spring Hill, TN 37174-2738 | 2019-04-10 |
| 1083154819 | Interventional Pain Center, Pllc | Physical Medicine & Rehabilitation | 3443 Dickerson Pike, Suite 730, Nashville, TN 37207-2519 | 2017-02-27 |
| 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.