ROBERT W SULLIVAN (NPI# 1669445300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669445300 |
Entity Type | Individual |
Full Name | ROBERT W SULLIVAN |
Credential | DPM |
Practice Address |
1700 Pleasure House Rd Suite 101-102 Virginia Beach VA 23455-4053 |
Practice Telephone | 7573633338 |
Practice Fax Number | 7573633453 |
Mailing Telephone | 7573633338 |
Mailing Fax Number | 7573633453 |
Enumeration Date | 2006-02-13 |
Last Update Date | 2008-07-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0103000735 | VA | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | RR MEDICARE | 480026957 | 01 |
VA | ANTHEM | 305079 | 01 |
VA | 009303669 | 05 | |
VA | OPTIMA | 15443 | 01 |
VA | MDIPA | 412179 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972131027 | Robert Sullivan | Nurse Practitioner | 8821 Mallory Ct, Waxahachie, TX 75167-6007 | 2020-04-01 |
1043799844 | Robert D. Sullivan | Optometrist | 2185 South Mason Rd, Town & Country, MO 63131-1640 | 2018-08-13 |
1346602786 | Robert Sullivan | Non-emergency Medical Transport (VAN) | 30 Belmont Rd, Hernando, MS 38632-7601 | 2016-03-24 |
1881941706 | Robert Sullivan | Internal Medicine | 294 Highview Dr, Chapel Hill, NC 27517-7911 | 2012-08-09 |
1528228871 | Robert Whalen Sullivan | Dentist | 4 Coconut Drive, Commack, NY 11725-1212 | 2008-06-11 |
1720207459 | Robert E Sullivan | General Practice | 2116 Harpers Mill Rd, Williamsburg, VA 23185-7521 | 2007-04-24 |
1235266115 | Robert L Sullivan | Anesthesiology | 1486 Bay Rd, Stoughton, MA 02072-3801 | 2007-02-27 |
1679609911 | Robert Dennis Sullivan | Counselor | 102 Carlanna Lake Road, Ketchikan, AK 99901 | 2007-02-23 |
1609931781 | Robert Emmett Sullivan | Family Medicine | 115 N Central Avenue, Adairsville, GA 30103-2467 | 2006-12-27 |
1598823049 | Robert Sullivan | Psychiatry & Neurology | 3900 Eubank Boulevard Ne, Suite 9a, Albuquerque, NM 87111-3465 | 2006-12-05 |
Street Address |
1700 PLEASURE HOUSE RD SUITE 101-102 |
City | VIRGINIA BEACH |
State | VA |
Zip Code | 23455-4053 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073524088 | Robert W Sullivan Dpm PC | Podiatrist | 1700 Pleasure House Rd, Suite 101-102, Virginia Beach, VA 23455-4053 | 2006-08-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093324162 | Evoscient Gynecology Center for Pelvic Health and Surgery, PC | Obstetrics & Gynecology | 108 Independence Blvd, Suite 162, Virginia Beach, VA 23455 | 2020-07-24 |
1942728571 | Delois L Dillard | Occupational Therapy Assistant | 4225 Shore Drive, Virginia Beach, VA 23455 | 2017-09-04 |
1295255404 | Unobs Medical Transportation Services LLC | Non-emergency Medical Transport (VAN) | 5812 Tajo Avenue, Virginia Beach, VA 23455 | 2017-06-20 |
1831640812 | Wearefit | Dietitian, Registered | 4752 Hollis Road, Virginia Beach, VA 23455 | 2016-10-14 |
1629496633 | Jamie Lauren Dermatis | Podiatrist | 1700 Pleasure Road, #101, Virginia Beach, VA 23455 | 2014-04-07 |
1619304664 | Syed A Absar | Pharmacist | 4828 Lake Bradford Lane, Virginia Beach, VA 23455 | 2013-10-07 |
1851734958 | Cara K Richardson | Occupational Therapist | 2364 Madison Ave., Virginia Beach, VA 23455 | 2013-04-09 |
1811249287 | Chl & Associates | Nurse Practitioner | 1367 Sir Richard Rd, Virginia Beach, VA 23455 | 2012-10-10 |
1588915425 | Edward S Wilson | Physician Assistant | 604 Bishop Dr, Virginia Beach, VA 23455 | 2012-10-01 |
1073886842 | April Gilbrech | Registered Nurse | 1103 Canopy Ct, Virginia Beach, VA 23455 | 2012-02-09 |
Find all providers in zip 23455 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629496633 | Jamie Lauren Dermatis | Podiatrist | 1700 Pleasure Road, #101, Virginia Beach, VA 23455 | 2014-04-07 |
1295006575 | Bradley Adam Levitt | Podiatrist | 1788 Republic Rd Ste 300, Virginia Beach, VA 23454-4552 | 2012-01-19 |
1649248071 | John P D'amelio | Podiatrist | 3720 Holland Rd, Ste 100, Virginia Beach, VA 23452-2859 | 2006-03-10 |
1700854130 | Robert D Tupper | Podiatrist | 4224 Holland Rd, Suite # 106, Virginia Beach, VA 23452-1900 | 2006-03-10 |
1235123019 | Michael Holtz | Podiatrist | 5253 Providence Rd, Suite 100, Virginia Beach, VA 23464-4201 | 2005-09-07 |
1295729663 | Steven M Taubman | Podiatrist | 996 First Colonial Rd, Virginia Beach, VA 23454-3175 | 2005-08-31 |
1003809112 | Jay I Tischler | Podiatrist | 1080 First Colonial Rd, Ste 400, Virginia Beach, VA 23454-2406 | 2005-08-24 |
1447259031 | David J Cho | Podiatrist | 1232 Perimeter Pkwy, Suite 102, Virginia Beach, VA 23454-5689 | 2005-07-18 |
1366885485 | Scott Collins Carrington | Podiatrist | 1788 Republic Rd Ste 300, Virginia Beach, VA 23454-4552 | 2013-04-08 |
1053602540 | Adam Bills | Podiatrist | 4224 Holland Rd, Suite 106, Virginia Beach, VA 23452-1900 | 2011-05-02 |
Find all providers in VIRGINIA BEACH |
City | VIRGINIA BEACH |
Zip Code | 23455 |
Please comment or provide details below to improve the information on ROBERT W SULLIVAN.
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.