JULIE GAIL SULLIVAN


Address: 1615 S Eucalyptus Ave, Suite 210, Broken Arrow, OK 74012-6159
Phone: 9182546822

JULIE GAIL SULLIVAN (NPI# 1578568010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578568010
Entity Type Individual
Full Name JULIE GAIL SULLIVAN
Credential M.D.
Practice Address 1615 S Eucalyptus Ave
Suite 210
Broken Arrow
OK 74012-6159
Practice Telephone 9182546822
Practice Fax Number 9182546823
Mailing Telephone 9182546822
Mailing Fax Number 9182546823
Enumeration Date 2005-06-20
Last Update Date 2017-01-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
23824 OK Allopathic & Osteopathic Physicians

Other Providers JULIE SULLIVAN

NPI Name Taxonomy Address Enumeration
1063889509 Julie Dianne Sullivan Physician Assistant 216 Linda Dr, Ocean Springs, MS 39564-4114 2015-09-01
1194017814 Julie A Sullivan Developmental Therapist 10535 S Campbell Ave, Chicago, IL 60655-1138 2011-05-13
1376748970 Julie Marie Sullivan Emergency Medicine 3460 Marron Rd, 103-482, Oceanside, CA 92056-4675 2007-06-15
1588166672 Julie Armstrong Sullivan Speech-Language Pathologist 25 Stonehaven Dr, Weymouth, MA 02190-3951 2018-03-05
1285980417 Julie L. Sullivan Social Worker 1135 Morton St, Mattapan, MA 02126-2834 2012-07-25
1538436399 Julie Sullivan Physical Therapist 1049 N Edge Trl, Verona, WI 53593-1942 2011-11-22
1487930194 Julie Ann Sullivan Pharmacist 3300 Brown Rd, Saint Louis, MO 63114-4328 2011-10-26
1629203930 Julie Sullivan Radiology 9200 W Wisconsin Ave, Dept of Radiology, Milwaukee, WI 53226-3522 2009-05-16
1083822175 Julie Hardesty Sullivan Marriage & Family Therapist 4101 W 54th Ter, Suite A, Shawnee Mission, KS 66205-2416 2007-05-20
1104955350 Julie Sullivan Counselor 165 Lancaster St, Portland, ME 04101-2406 2007-03-05

Office Location

Street Address 1615 S EUCALYPTUS AVE
SUITE 210
City BROKEN ARROW
State OK
Zip Code 74012-6159

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437530789 Strive Medical LLC Durable Medical Equipment & Medical Supplies 1615 S Eucalyptus Ave, Ste 203, Broken Arrow, OK 74012-6159 2015-06-12
1598165086 Ashley Efaw Occupational Therapist 1615 S Eucalyptus Ave, Suite 208, Broken Arrow, OK 74012-6159 2014-09-03
1235399122 South Pointe Pediatrics, Pllc Pediatrics 1615 S Eucalyptus Ave, Suite 210, Broken Arrow, OK 74012-6159 2008-06-13
1114125911 Mariolga Mercado Do PC Family Medicine 1615 S Eucalyptus Ave, Suite 211, Broken Arrow, OK 74012-5990 2007-07-03
1184797813 Sarah Von Muller, Md, Pllc Internal Medicine 1615 S Eucalyptus Ave, Suite 103, Broken Arrow, OK 74012-5990 2006-11-17
1558471490 Vip Endoscopy Inc Clinic/Center 1615 S Eucalyptus Ave, Suite 101, Broken Arrow, OK 74012 2006-08-30
1710094925 Sarah Bell Von Muller Internal Medicine 1615 S Eucalyptus Ave, Suite 103, Broken Arrow, OK 74012 2006-08-24
1861413510 Michelle L Fugitt Do Pllc Internal Medicine 1615 S Eucalyptus Ave, Suite 210, Broken Arrow, OK 74012-5990 2006-07-21
1700845005 Michelle Fugitt Internal Medicine 1615 S Eucalyptus Ave, Suite 210, Broken Arrow, OK 74012-5990 2006-03-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154949139 Bonnie Jordan James Pharmacist 915 E Kenosha St, Broken Arrow, OK 74012 2020-07-07
1548814874 Flawless Smile Dentistry of Ba Pllc Dentist 2319 N. 9th Street, Broken Arrow, OK 74012 2019-07-25
1780236653 Carefirst Pharmacy Inc. Pharmacy 2530 N. Elm Pl., Broken Arrow, OK 74012 2019-07-11
1043871213 Stacy Lynn Mitchell Counselor 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 2019-06-27
1497319297 Sara Hart Internal Medicine 420 W. Stone Wood Drive, Broken Arrow, OK 74012 2019-04-26
1699262386 Fulps Family Eye Care, LLC Optometrist 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 2018-04-18
1598284358 Stephanie Sue Mcquarters Clinical Medical Laboratory 1840 South Lion Avenue, Broken Arrow, OK 74012 2017-09-13
1477072460 Kama Rae Gettings Nurse Practitioner 4623 W. Kenosha St, Broken Arrow, OK 74012 2017-09-12
1689196727 Kristen Sherie' Snyder Case Manager/Care Coordinator 1324 North Umbrella Avenue, Broken Arrow, OK 74012 2017-07-11
1699216754 Hillside Wellness Plllp Chiropractor 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 2017-03-09
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Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235399122 South Pointe Pediatrics, Pllc Pediatrics 1615 S Eucalyptus Ave, Suite 210, Broken Arrow, OK 74012-6159 2008-06-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356544951 Kristin Diane Conkling Pediatrics 5125 E 107th Pl, Tulsa, OK 74137-7236 2007-06-09
1780789362 Children & Adolescent Medical Services Inc. Pediatrics 8803 S. 101st E. Ave., Suite 200, Tulsa, OK 74133 2006-09-14
1770504037 Miguel Antonio Camacho-garrido Pediatrics 1104 Walnut Dr, Ardmore, OK 73401-2353 2006-07-22
1497788624 Shelley Ann Bohn Pediatrics 937 Sw 89th St, Suite A, Oklahoma City, OK 73139-9231 2006-07-09
1922038348 Paul Andrew Scott Benson Pediatrics 4444 E. 41st Street, 2nd Floor, Ou Physicians -- Pediatrics, Tulsa, OK 74135 2006-07-03
1235128430 Elizabeth Gail Lewis Pediatrics 2701 Sw Cornell Ave, Lawton, OK 73505-7121 2005-10-19
1871581470 Charles R Mettry Pediatrics 201 N Monte Vista St, Suite B, Ada, OK 74820-7200 2005-10-10
1902446917 Chelsea Ryan Walker Pediatrics 12455 E 100th St N Ste 300, Owasso, OK 74055-4678 2020-01-08
1609005842 Ahmad Pediatrics Pediatrics 302 E Downing St, Tahlequah, OK 74464-3014 2009-07-09
1285891945 Kids Pediatric and Adolescent Care Pediatrics 7711 E 111th St, Suite 111, Tulsa, OK 74133-2570 2008-05-20
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Competitor

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City BROKEN ARROW
Zip Code 74012

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Dataset Information

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.

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