DR. MARK PHILIP SULLIVAN (NPI# 1689006520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689006520 |
| Entity Type | Individual |
| Full Name | DR. MARK PHILIP SULLIVAN |
| Credential | DDS |
| Practice Address |
801 Newton Road W341 Dental Science Building Iowa City IA 52242-1001 |
| Practice Telephone | 5152271930 |
| Mailing Telephone | 5152271930 |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2013-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DDS-09031 | IA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689730863 | Mark Allan Sullivan | Chiropractor | 4196 Avery Rd, Hilliard, OH 43026-1004 | 2006-12-29 |
| 1356456297 | Mark Tighe Sullivan | Social Worker | 1011 Bond St, Asbury Park, NJ 07712-5939 | 2006-08-20 |
| 1306874227 | Mark Allen Sullivan | Physical Therapist | 133 Mountain Rd, Suite 2b., Suffield, CT 06078-2084 | 2006-06-29 |
| 1497722615 | Mark F Sullivan Sr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11236 Robinwood Dr, # 7, Hagerstown, MD 21742-6708 | 2006-03-07 |
| 1710983432 | Mark P. Sullivan | Dentist | 1440 South Pottstown Pike, West Chester, PA 19380-1271 | 2005-06-27 |
| 1134752371 | Mark Sullivan | Nurse Anesthetist, Certified Registered | 2500 N State St, Jackson, MS 39216-4500 | 2020-02-17 |
| 1295260347 | Mark Sullivan | Case Manager/Care Coordinator | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2017-04-26 |
| 1841724754 | Mark Sullivan | Social Worker | 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 | 2017-04-18 |
| 1386098762 | Mark Sullivan | Psychiatry & Neurology | 525 E 68th St, New York, NY 10065-4870 | 2016-04-21 |
| 1346614641 | Mark Sullivan | Social Worker | 5225 Connecticut Ave Nw, #616, Washington, DC 20015-1813 | 2015-11-24 |
| Street Address |
801 NEWTON ROAD W341 DENTAL SCIENCE BUILDING |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52242-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396953642 | Paul Cashman | Dentist | 801 Newton Road, Iowa City, IA 52242-1001 | 2007-05-18 |
| 1841805694 | Ala Al Al Saffer | Student in an Organized Health Care Education/Training Program | 801 Newton Road, Iowa City, IA 52242 | 2020-09-09 |
| 1508474073 | Amit Unnadkat | Student in an Organized Health Care Education/Training Program | 801 Newton Road, Iowa City, IA 52242-1001 | 2020-07-21 |
| 1467081265 | Regine Victoria Torres | Student in an Organized Health Care Education/Training Program | 801 Newton Road, Iowa City, IA 52242 | 2020-04-03 |
| 1255969499 | Andrew Teduits | Student in an Organized Health Care Education/Training Program | 801 Newton Road, Iowa City, IA 52242 | 2020-04-01 |
| 1770111908 | Olivia Zeitner | Student in an Organized Health Care Education/Training Program | 801 Newton Road, Iowa City, IA 52242-1001 | 2020-04-01 |
| 1801351598 | Sally Rose Hays | Dentist | 801 Newton Road, Iowa City, IA 52242 | 2019-02-06 |
| 1447737671 | Andrew Richter | Student in an Organized Health Care Education/Training Program | 801 Newton Road, Iowa City, IA 52242 | 2018-07-20 |
| 1982192373 | Audrey Isabella Uridil | Dental Laboratory Technician | 801 Newton Road, W423, Iowa City, IA 52242 | 2018-05-01 |
| 1073029591 | Sally M Roushdy | Dentist | 801 Newton Road, University of Iowa College of Dentistry, Iowa City, IA 52242 | 2017-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033738679 | Shannon Louise Miers | Physical Therapist | Ui Sports Medicine (iosmr), 2701 Prairie Meadow Drive, Iowa City, IA 52242 | 2020-04-14 |
| 1821624230 | Victoria Troesch | Student in an Organized Health Care Education/Training Program | 375 Newton Rd, Iowa City, IA 52242 | 2020-03-17 |
| 1891338539 | Kira Ann Hennes Blum | Dietitian, Registered | 930 Evashevski Dr., Jacobson Building, Iowa City, IA 52242 | 2019-10-25 |
| 1407330483 | Kristin L Heider | Psychologist | 616 E Bloomington Street, Iowa City, IA 52242 | 2018-09-17 |
| 1447738398 | Allison Kral | Dietitian, Registered | 200 Hawkins Dr. W146 Gh, Iowa City, IA 52242 | 2018-08-02 |
| 1528544780 | Abigail Lynne Schiltz | Physician Assistant | 200 Hawkins Dr 01290a Pfp, Iowa City, IA 52242 | 2018-07-11 |
| 1710474259 | Bashar H. H. Abuqayas | Hospitalist | 200 Hawkins Dr, Se 636 Gh, Uihc-internal Medicine, Iowa City, IA 52242 | 2018-04-19 |
| 1023547395 | Tyler Quist | Internal Medicine | 200 Hawkins Dr Dept of Ophthalmology, Iowa City, IA 52242 | 2017-06-08 |
| 1972962371 | Angeleah Korin Whitlatch | Social Worker | 100 Hawking Drive, Iowa City, IA 52242 | 2016-02-15 |
| 1649667734 | Jennie Sertterh | Specialist/Technologist | 1 Elliot Drive, S181 Carver Hawkeye Arena, Iowa City, IA 52242 | 2015-04-16 |
| Find all providers in zip 52242 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568813780 | Carolina Cucco | Dentist | 322 Dental Science Building South, Iowa City, IA 52242-1001 | 2016-06-29 |
| 1407130420 | Rene Chu | Dentist | 341 Dental Science S, Iowa City, IA 52242-1001 | 2011-10-10 |
| 1124275490 | Jose David Vela | Dentist | Department of Endodontics, 435 Dental Science Building S., Iowa City, IA 52242 | 2008-08-19 |
| 1134317845 | Tobin Norman Drake | Dentist | 435 Dsb South, University of Iowa - College of Dentistry, Iowa City, IA 52242 | 2007-10-09 |
| 1588788756 | Fabricio Teixeira | Dentist | 341 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2007-03-16 |
| 1326191149 | Lanny V Kampfe | Dentist | 1321 Sunset Street, Iowa City, IA 52246 | 2007-01-18 |
| 1427505056 | Zachary Goettsche | Dentist | 801 Newton Rd., Department of Endodontics, Iowa City, IA 52242-1010 | 2016-09-01 |
| 1629484613 | Lauren Elizabeth Jensen | Dentist | 322 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2014-07-10 |
| 1427360015 | T L Green | Dentist | 322 Dental Science S, Iowa City, IA 52242-1001 | 2010-07-12 |
| 1992967400 | Dr Lanny V Kampfe Dds Ms Ma PC | Dentist | 1321 Sunset Street, Iowa City, IA 52246 | 2008-06-26 |
| Find all providers in IOWA CITY | ||||
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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.