MICHAEL D SULLIVAN (NPI# 1689707515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689707515 |
| Entity Type | Individual |
| Full Name | MICHAEL D SULLIVAN |
| Credential | PA |
| Practice Address |
6500 Sierra Dr Ste 150 Irving TX 75039-2480 |
| Mailing Address |
939 W Greenbriar Ln Dallas TX 75208-2623 |
| Practice Telephone | 9724435300 |
| Practice Fax Number | 9724320498 |
| Mailing Telephone | 2149425768 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2014-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA00024 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366918617 | Michael David Sullivan | Social Worker | 403 1/2 Hector St, Ithaca, NY 14850-2025 | 2018-10-15 |
| 1376923292 | Michael Sullivan | Student in an Organized Health Care Education/Training Program | Walter Reed 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2015-06-05 |
| 1881074896 | Michael Gregory Sullivan | Intermediate Care Facility, Mentally Retarded | 30 Hobomack Rd, Quincy, MA 02169-2508 | 2015-06-04 |
| 1104215136 | Michael Sullivan | Perfusionist | 137 Founders Way Ct, Cape Girardeau, MO 63701-9442 | 2015-01-14 |
| 1689927915 | Michael Robert Sullivan | Pharmacist | 41 Buena Vista St, Stamford, CT 06907-2402 | 2012-10-24 |
| 1154672038 | Michael James Sullivan | Dentist | 1882 Hard Rd, Columbus, OH 43235-1996 | 2012-10-02 |
| 1063791747 | Michael Gruer Sullivan | Counselor | 2024 N. Crystal Lake Dr., Suite 200 Room 205, Lakeland, FL 33801-6015 | 2011-08-11 |
| 1457647083 | Michael Patrick Sullivan | Dentist | 1008 G Sreet, Geneva, NE 68361 | 2011-06-22 |
| 1841528585 | Michael Andrew Sullivan | Counselor | 974 73rd St Ste 9, Windsor Heights, IA 50324-1026 | 2009-11-18 |
| 1508191388 | Michael Joseph Sullivan | Audiologist | 6644 Penn Ave S, Richfield, MN 55423-2026 | 2009-10-12 |
| Street Address |
6500 SIERRA DR STE 150 |
| City | IRVING |
| State | TX |
| Zip Code | 75039-2480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033527163 | Shruti Shah | Physician Assistant | 6500 Sierra Dr Ste 150, Irving, TX 75039-2480 | 2014-08-01 |
| 1467891143 | Jon-michael Cook | Family Medicine | 6500 Sierra Dr Ste 150, Irving, TX 75039 | 2013-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457976714 | Blue Light Therapies LLC | Clinic/Center | 421 E Royal Ln Suite 100, Irving, TN 75039 | 2020-06-12 |
| 1912537127 | Family Pharmacy @ Las Colinas LLC | Pharmacy | 6555 North State Hwy 161, Suite B, Irving, TX 75039 | 2020-01-16 |
| 1669011581 | Thrive House Therapy Pllc | Counselor | 5000 Riverside Drive, Bldg 6, Ste 100, Irving, TX 75039 | 2019-12-23 |
| 1265075048 | Juliana Dubey | Technician, Other | 400 E. Royal Ln, Building 3, Suite 290, Irving, TX 75039 | 2019-10-23 |
| 1932753894 | Jane Spagnoletti Niemtschk | Pharmacist | 750 West John Carpenter Freeway, Mc500, Irving, TX 75039 | 2019-07-30 |
| 1235796640 | Daniel Puig | Massage Therapist | 5000 Riverside Dr. Bldg 6 Ste. 100e, Irving, TX 75039 | 2019-05-21 |
| 1104301738 | Charity Maashe | Technician, Other | 400 E. Royal Lane, Bld 3, Ste 290, Irving, TX 75039 | 2018-09-28 |
| 1225545460 | Kuriachan Eye Institute, Pllc | Ophthalmology | 6750 N Macarthur Blvd Ste 331, Irving, TX 75039 | 2018-01-09 |
| 1619489978 | Eric Reaves | Assistant Behavior Analyst | 400 E. Royal Lane Bldg. 3, Suite 290, Irving, TX 75039 | 2017-10-26 |
| 1194247023 | Michael Do | Optometrist | 6445 Love Dr Apt 3035, Irving, TX 75039 | 2017-07-12 |
| Find all providers in zip 75039 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063078491 | Mahnura Khatoon Siddika | Physician Assistant | 2443 Newcastle Bnd, Irving, TX 75063-8120 | 2019-05-10 |
| 1639649189 | Andrea Lee Kwan | Physician Assistant | 1050 Lake Carolyn Pkwy Apt 3348, Irving, TX 75039-4800 | 2018-11-27 |
| 1356864722 | Candace Leann Mullens | Physician Assistant | 2005 West Park Dr., Ste. 100, Irving, TX 75061 | 2017-07-18 |
| 1588069892 | Olga Jigovskaia | Physician Assistant | 3626 N Macarthur Blvd Ste 200, Irving, TX 75062-3643 | 2014-10-29 |
| 1982030722 | Kristen Diane Bachus | Physician Assistant | 440 W Ih 635 Fwy Ste 405, Irving, TX 75063 | 2013-09-25 |
| 1174661599 | Juan Augustine Galindo Jr. | Physician Assistant | 6909 Sonoma, Irving, TX 75039-3071 | 2007-02-01 |
| 1396808333 | Lori Schomberg | Physician Assistant | 212 Santa Fe Trl, Apt. # 2042, Irving, TX 75063-4719 | 2006-12-19 |
| 1558384396 | Cynthia Ann Goff | Physician Assistant | 909 Lake Carolyn Pkwy, Irving, TX 75039-3908 | 2006-07-25 |
| 1275563637 | Michael Ernest Nicholas Jr. | Physician Assistant | 3014 N. O Connor, Suite 110, Irving, TX 75062-4415 | 2006-07-03 |
| 1154363265 | Lisa Ann Hester Miller | Physician Assistant | 2300 Valley View Ln Ste 330, Irving, TX 75062-1736 | 2006-06-12 |
| Find all providers in IRVING | ||||
Please comment or provide details below to improve the information on MICHAEL D 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.