THOMAS C. SULLIVAN (NPI# 1508895988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508895988 |
| Entity Type | Individual |
| Full Name | THOMAS C. SULLIVAN |
| Credential | M.D. |
| Practice Address |
400 Crestwood Cir Suite L Mena AR 71953-5511 |
| Mailing Address |
311 Morrow St N Mena AR 71953-2516 |
| Practice Telephone | 4793941414 |
| Practice Fax Number | 4793942612 |
| Mailing Telephone | 4793946100 |
| Mailing Fax Number | 4793944577 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2012-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | A41748 | CA | Allopathic & Osteopathic Physicians |
| 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 |
400 CRESTWOOD CIR SUITE L |
| City | MENA |
| State | AR |
| Zip Code | 71953-5511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881682235 | Robert Manis | Family Medicine | 400 Crestwood Cir, Mena, AR 71953-5512 | 2005-10-10 |
| 1760429666 | Ouachita Surgical Services Inc | Specialist | 400 Crestwood Cir, Suite P, Mena, AR 71953-5512 | 2006-05-31 |
| 1033176375 | Anthony R. Burton | Surgery | 400 Crestwood Cir, Suite L, Mena, AR 71953-5511 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174166623 | Joshua Daniel Sirkis | Physical Therapist | 500 Crestwood Circle Suite G, Mena, AR 71953 | 2019-10-28 |
| 1841639960 | Village Apothecary, Inc. | Durable Medical Equipment & Medical Supplies | 134 S George, Mt Ida, AR 71953 | 2013-06-21 |
| 1922326586 | Boone Home Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 803-a Highway 71 North, Mena, AR 71953 | 2010-05-06 |
| 1841529112 | Chad Hill | Hearing Instrument Specialist | 601 W Hwy 71 N, Mena, AR 71953 | 2009-12-16 |
| 1467612085 | Kent Allen Schnetzler | Orthopaedic Surgery | 400 Crestwood Circle, Suite L, Mena, AR 71953 | 2008-06-17 |
| 1710101548 | Family Dentistry | Dentist | 701 C 7th Street, Mena, AR 71953 | 2007-04-12 |
| 1629291455 | Jennifer Rowland | Occupational Therapist | 1801 Hamilton Avenue, Mena, AR 71953 | 2007-04-10 |
| 1093886822 | Alina Mielnick | Urology | 601 Bd Hwy 71 N, Mena, AR 71953 | 2006-11-13 |
| 1821195256 | Robert Martin Cohen | Psychiatry & Neurology | 311 North Morrow Street, Mena, AR 71953 | 2006-09-20 |
| 1730284357 | Sidney H Simpson | Chiropractor | 1402-b Hwy 71 S, Mena, AR 71953 | 2006-09-14 |
| Find all providers in zip 71953 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477004109 | Washington Regional Medical System | Colon & Rectal Surgery | 203 S Bloomington St, Lowell, AR 72745-9490 | 2016-10-18 |
| 1336462332 | Arkansas Health Group | Colon & Rectal Surgery | 500 S University Ave Ste 321, Little Rock, AR 72205-5305 | 2010-03-04 |
| 1801826037 | David K.a. Magee | Colon & Rectal Surgery | 203 South Bloomington Street, Lowell, AR 72745 | 2006-07-04 |
| 1538125638 | Hollis T Rogers IIi | Colon & Rectal Surgery | 3352 N Futrall Dr, Fayetteville, AR 72703-4057 | 2006-04-26 |
| 1093782815 | William B Nowlin | Colon & Rectal Surgery | 3000 N Market Ave, Suite D, Fayetteville, AR 72703-3514 | 2006-03-01 |
| 1386070027 | Irlna Ingrid Tantchou | Colon & Rectal Surgery | 3352 N Futrall Dr, Fayetteville, AR 72703-4057 | 2013-09-25 |
| 1023286051 | Lance Kyle Burns | Colon & Rectal Surgery | 701 N University Ave, Suite 203, Little Rock, AR 72205-2936 | 2008-02-12 |
| 1730297979 | Lee Cecil Raley | Colon & Rectal Surgery | 701 N University Ave, Suite 203, Little Rock, AR 72205-2936 | 2006-08-28 |
| 1306855457 | Charles Hawkins Crocker | Colon & Rectal Surgery | 500 S University, #321, Little Rock, AR 72205 | 2006-08-07 |
| 1740219997 | Colon & Rectal Surgical Associates | Colon & Rectal Surgery | 3000 N Market Ave, Suite D, Fayetteville, AR 72703-3514 | 2006-07-01 |
| 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.