ZACHARY PAUL SULLIVAN (NPI# 1568966596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568966596 |
| Entity Type | Individual |
| Full Name | ZACHARY PAUL SULLIVAN |
| Practice Address |
2200 Jefferson Ave Toledo OH 43604-7101 |
| Practice Telephone | 4192511400 |
| Practice Fax Number | 4192514159 |
| Mailing Telephone | 4192511400 |
| Mailing Fax Number | 4192514159 |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467950782 | Zachary Adam Sullivan | Physician Assistant | 9230 Sky Island Dr E, Bonney Lake, WA 98391-7385 | 2018-02-01 |
| 1568880094 | Zachary Joel Sullivan | Psychiatry & Neurology | 3601 4th St Stop 8103, Lubbock, TX 79430-8103 | 2014-04-02 |
| Street Address |
2200 JEFFERSON AVE |
| City | TOLEDO |
| State | OH |
| Zip Code | 43604-7101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641827 | Imran A. Andrabi | Family Medicine | 2200 Jefferson Ave, Toledo, OH 43604-7101 | 2005-06-30 |
| 1891314340 | Arvind Datt | Student in an Organized Health Care Education/Training Program | 2200 Jefferson Ave, Toledo, OH 43604-7101 | 2020-04-14 |
| 1932738325 | Ali Choudhry | Student in an Organized Health Care Education/Training Program | 2200 Jefferson Ave, Toledo, OH 43604-7101 | 2020-04-07 |
| 1265060404 | John Robert Edminister | Student in an Organized Health Care Education/Training Program | 2200 Jefferson Ave, Toledo, OH 43604-7101 | 2020-04-01 |
| 1396373403 | Linda Cai | Student in an Organized Health Care Education/Training Program | 2200 Jefferson Ave, Toledo, OH 43604-7101 | 2020-04-01 |
| 1952939233 | Sanah Parvez | Student in an Organized Health Care Education/Training Program | 2200 Jefferson Ave, Toledo, OH 43604-7101 | 2020-03-31 |
| 1851957708 | Rebecca D Fisk | Pharmacist | 2200 Jefferson Ave, Toledo, OH 43604-7101 | 2019-05-16 |
| 1346805199 | Tarnjit Kaur Khakh | Student in an Organized Health Care Education/Training Program | 2200 Jefferson Ave, Toledo, OH 43604 | 2019-05-07 |
| 1659834778 | Ahmad Abdel-wahhab Alawneh | Student in an Organized Health Care Education/Training Program | 2200 Jefferson Ave, Toledo, OH 43604-7101 | 2019-04-08 |
| 1730642802 | Danielle Ann Bly | Student in an Organized Health Care Education/Training Program | 2200 Jefferson Ave, Toledo, OH 43604-7101 | 2019-04-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346879590 | Kaushal B Jani | Student in an Organized Health Care Education/Training Program | Saint Vincent Medical Center, 2200 Jefferson Ave, Toledo, OH 43604 | 2020-04-08 |
| 1548807316 | Jennifer Marie Bismack | Peer Specialist | 142 23rd St, Suite 911, Toledo, OH 43604 | 2019-11-29 |
| 1841849064 | Keith Allen Vore | Student in an Organized Health Care Education/Training Program | 1117 Jefferson #214, Toledo, OH 43604 | 2019-09-10 |
| 1740846765 | Mohammad Shahrukh Tanweer | Student in an Organized Health Care Education/Training Program | Mercy Health-st. Vincent Medical Center, 2200 Jefferson Avenue, Toledo, OH 43604 | 2019-05-15 |
| 1740846229 | Sami Al-rahman Syed | Student in an Organized Health Care Education/Training Program | Mercy Health - St. Vincent, 2200 Jefferson Ave., Toledo, OH 43604 | 2019-05-10 |
| 1306402870 | Poojitha Kolluri | Student in an Organized Health Care Education/Training Program | 2200 Jefferson Avenue - Mercy Family Physician, Toledo, OH 43604 | 2019-05-10 |
| 1407375090 | Keyana Renee Galloway | Social Worker | 500 Madison Ave Ste 300, Toledo, OH 43604 | 2017-09-14 |
| 1467979302 | Courtney Lorraine Wilson | Physical Therapy Assistant | 1609 N. Summit St, Toledo, OH 43604 | 2017-08-22 |
| 1811426208 | Rosamaria Sanchez | Counselor | 701 Jefferson Ave Suite 101, Toledo, OH 43604 | 2017-06-08 |
| 1306373014 | Salwa Beydoun | Social Worker | 701 Jefferson, Toledo, OH 43604 | 2017-05-12 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339168 | Chao Chun George Chang | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave. Mail Stop 1068, Department of Pathology, Toledo, OH 43614 | 2020-09-07 |
| 1578172359 | Hebah Al Absi | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr. Conrad Jobst Tower, Floor E, Toledo, OH 43606 | 2020-07-28 |
| 1699390617 | Morgan Cheyenne Cutting | Student in an Organized Health Care Education/Training Program | 1177 Treetop Ct, Toledo, OH 43615-6787 | 2020-06-15 |
| 1487278594 | Daniel Mark Barnett | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr., Jobst Tower, Floor E, Toledo, OH 43606 | 2020-06-04 |
| 1972126167 | Gunbir Singh | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc Building, 1st Floor, Mercy St., Toledo, OH 43608 | 2020-05-21 |
| 1285257600 | Srikanth Popuri | Student in an Organized Health Care Education/Training Program | 2213 Cherry St Acc Building 1st Floor, Mercy St Vincent Medical Center, Toledo, OH 43608 | 2020-05-20 |
| 1003438961 | Krishna Chaudhary | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc Building, 1st Floor, Mercy St. Vincent Medical Center, Toledo, OH 43608 | 2020-05-14 |
| 1538780440 | Abdul Baqi | Student in an Organized Health Care Education/Training Program | Mercy Health-st. Vincent's Medical Center, 2213 Cherry Street, Toledo, OH 43608 | 2020-05-01 |
| 1538780556 | Abid Nawaz Khan Adil | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street 1st Floor Acc, Mercy Health St Vincent Medical Center, Toledo, OH 43608 | 2020-04-30 |
| 1578184750 | E Chin Mak | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, 1st Floor, Mercy St Vincent Medical Center, Ambulatory Care Center, Toledo, OH 43608 | 2020-04-29 |
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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.