DR. JOHN S SULLIVAN (NPI# 1568466324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568466324 |
| Entity Type | Individual |
| Full Name | DR. JOHN S SULLIVAN |
| Credential | MD |
| Practice Address |
100 Mlk Jr Blvd 2nd Floor Worcester MA 01608-1209 |
| Practice Telephone | 5087571589 |
| Practice Fax Number | 5087565633 |
| Mailing Telephone | 5087571589 |
| Mailing Fax Number | 5087565633 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2008-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
57446 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TAX ID GROUP NUMBER | 042923137 | 01 |
| MA | TUFTS HEALTHPLAN | 057446 | 01 |
| MA | NEIGHBORHOOD HEALTH PLAN | 0029830 | 01 |
| MA | AETNA HEALTHCARE | 2376607 | 01 |
| MA | 6189768 | 05 | |
| MA | FALLON HEALTH PLAN | 63777 | 01 |
| MA | CHILDREN'S MEDICAL SECURI | 26920 | 01 |
| MA | HARVARD PILGRIM | 645387 | 01 |
| MA | UNITED HEALTH CARE | 0200248 | 01 |
| MA | CIGNA HEALTHCARE | 326051 | 01 |
| MA | NETWORK HEALTH | 985163 | 01 |
| MA | BLUE CROSS BLUE SHIELD | J30252 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639789027 | John Sullivan | Counselor | 1104 Cavalier Dr, Waukesha, WI 53186-6883 | 2020-07-31 |
| 1659820454 | John Christopher Sullivan | Counselor | 413 N Bridge St, Dewitt, MI 48820-8907 | 2016-09-22 |
| 1538576764 | John Michael Sullivan | Psychologist | One Old Oyster Point Road, Newport News, VA 23602 | 2014-07-21 |
| 1962827808 | John Sullivan | Emergency Medicine | 92 Wood Cove Dr, Coventry, RI 02816-6614 | 2014-03-02 |
| 1225368145 | John Patrick Sullivan Jr. | Psychologist | 8 Bradford Ave, Newport, RI 02840-2202 | 2009-12-29 |
| 1679703425 | John Michael Sullivan | Dentist | 9770 Old Baymeadows Rd Ste 113, Jacksonville, FL 32256-7986 | 2009-07-14 |
| 1649484726 | John F Sullivan | Pharmacist | 44 Timber Ln, Methuen, MA 01844-4644 | 2007-05-09 |
| 1881812410 | John Michael Sullivan | Social Worker | 735 Requa St, Peekskill, NY 10566-4615 | 2007-04-20 |
| 1114049228 | John M Sullivan | Chiropractor | 3945 Us Highway 77, Corpus Christi, TX 78410-4531 | 2007-04-06 |
| 1457412306 | John J Sullivan | Dentist | 325 W White Mountain Blvd, Lakeside, AZ 85929-6875 | 2006-12-13 |
| Street Address |
100 MLK JR BLVD 2ND FLOOR |
| City | WORCESTER |
| State | MA |
| Zip Code | 01608-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720082662 | Lawrence G Pincus | Allergy & Immunology | 100 Mlk Jr Blvd, 2nd Fl, Worcester, MA 01608-1209 | 2005-06-09 |
| 1790242204 | Evershine Dental LLC | Dentist | 100 Mlk Jr Blvd, Worcester, MA 01608 | 2019-02-21 |
| 1235662040 | Monique S Burchard | Nurse Practitioner | 100 Mlk Jr Blvd, Suite 200 (central Mass Allergy and Asthma Care), Worcester, MA 01608-1209 | 2017-04-07 |
| 1417315045 | Gina Castiglioni | Physician Assistant | 100 Mlk Jr Blvd, 2nd Floor, Worcester, MA 01608-1209 | 2016-02-10 |
| 1225471220 | Patricia Elise Siano | Nurse Practitioner | 100 Mlk Jr Blvd, Worcester, MA 01608-1209 | 2013-04-10 |
| 1619201654 | Yelena G Kisel | Nurse Practitioner | 100 Mlk Jr Blvd, Worcester, MA 01608-1209 | 2009-09-23 |
| 1144324716 | Robert K Gedachian | Specialist | 100 Mlk Jr Blvd, 2nd Fl, Worcester, MA 01608-1220 | 2006-09-12 |
| 1245282417 | Elizabeth A Kopin | Obstetrics & Gynecology | 100 Mlk Jr Blvd, Suite 300, Worcester, MA 01608-1209 | 2006-05-16 |
| 1629029574 | Diane Pingeton | Obstetrics & Gynecology | 100 Mlk Jr Blvd, Ste 300, Worcester, MA 01608-1209 | 2006-05-15 |
| 1093708927 | Central Mass Allergy & Asthma Care | Allergy & Immunology | 100 Mlk Jr Blvd, 2nd Floor, Worcester, MA 01608-1209 | 2005-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721733 | Rebecca Smith Morgan | Physical Therapist | Easter Seals Massachusetts, 484 Main St, Worcester, MA 01608 | 2020-08-24 |
| 1083244057 | Marc Labb | Counselor | 25 Union St 3rd Floor, Worcester, MA 01608 | 2020-01-18 |
| 1154974145 | Shanil Shah | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, Department of Internal Medicine, 123 Summer Street, Worcester, MA 01608 | 2019-07-19 |
| 1194377069 | Varun Kommalapati | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, 123 Summer Street, Worcester, MA 01608 | 2019-07-11 |
| 1992361182 | Jenna Recko | Physical Therapy Assistant | Easter Seals of Massachusetts, 484 Main St, Worcester, MA 01608 | 2019-05-14 |
| 1619452646 | Kara Thompson | Registered Nurse | 100 Martin Luther King Jr Blvd, Worcester, MA 01608 | 2018-09-25 |
| 1427555325 | Baran Umut Vardar | Student in an Organized Health Care Education/Training Program | 123 Summer Street, Saint Vincent Hospital Radiology Dep, Worcester, MA 01608 | 2018-04-09 |
| 1609380765 | Mary Elizabeth O'donnell | Occupational Therapist | Easter Seals Ma, 484 Main Street, Worcester, MA 01608 | 2017-11-28 |
| 1093227316 | Oasis Home Care, LLC | Home Health | 340 Main St Ste 803, Worcester, MA 01608 | 2017-10-26 |
| 1912437500 | Peter A Rondon | Social Worker | 11 Sycamore Street, Worcester, MA 01608 | 2017-06-15 |
| Find all providers in zip 01608 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720082662 | Lawrence G Pincus | Allergy & Immunology | 100 Mlk Jr Blvd, 2nd Fl, Worcester, MA 01608-1209 | 2005-06-09 |
| 1093708927 | Central Mass Allergy & Asthma Care | Allergy & Immunology | 100 Mlk Jr Blvd, 2nd Floor, Worcester, MA 01608-1209 | 2005-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114484953 | New England Food Allergy Treatment Center- Boston | Allergy & Immunology | 700 Congress St Ste 305, Quincy, MA 02169-0909 | 2019-02-28 |
| 1376876565 | Lakiea Wright | Allergy & Immunology | 33 Cohasset Ave. Unit #2, Allergy & Asthma Associates - South, Buzzards Bay, MA 02532-3270 | 2009-09-07 |
| 1447456090 | Allergy Medical Associates of North Shore Inc. | Allergy & Immunology | 214 Ocean St, Lynn, MA 01902-3150 | 2007-06-21 |
| 1699870089 | Stanley R Sakowitz | Allergy & Immunology | 154 East Main St, Suite 203, Westboro, MA 01581 | 2006-09-13 |
| 1750491320 | Frederick William Lowe | Allergy & Immunology | 314 Gifford Str, Falmouth, MA 02540 | 2006-08-30 |
| 1043256043 | Baystate Affiliated Practice Organization | Allergy & Immunology | 280 Chestnut St, 2nd Floor, Springfield, MA 01199-1000 | 2006-06-20 |
| 1942245659 | G David K Hopper | Allergy & Immunology | 114 R Highland Ave, Salem, MA 01970 | 2006-06-17 |
| 1376586354 | Asthma & Allergy Physicians LLC | Allergy & Immunology | 35 Pearl Street, Suite 300, Brockton, MA 02301 | 2006-06-14 |
| 1215984471 | Niranjan Dudani | Allergy & Immunology | 214 Ocean Street, Allergy Med Assoc of . N.s. Inc.., Lynn, MA 01902 | 2006-05-30 |
| 1366499154 | Curtis T Moody | Allergy & Immunology | 86 Baker Avenue Ext Ste 304, Concord, MA 01742-2132 | 2006-05-27 |
| 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.