MICHAEL L SULLIVAN (NPI# 1740205863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740205863 |
| Entity Type | Individual |
| Full Name | MICHAEL L SULLIVAN |
| Credential | PA |
| Practice Address |
1540 S Tamiami Trl Suite 303 Sarasota FL 34239-2930 |
| Mailing Address |
Po Box 863407 Orlando FL 32886-3407 |
| Practice Telephone | 9419178791 |
| Practice Fax Number | 9419178793 |
| Mailing Telephone | 9419172600 |
| Mailing Fax Number | 9419177884 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2016-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA3485 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 1154PA | 05 | |
| FL | 261645900 | 05 | |
| FL | BCBS | Y00N0 | 01 |
| 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 |
1540 S TAMIAMI TRL SUITE 303 |
| City | SARASOTA |
| State | FL |
| Zip Code | 34239-2930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831194026 | Sarasota Cardiovascular & Thoracic Surgical Associates Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1540 S Tamiami Trl, Ste 301, Sarasota, FL 34239-2921 | 2005-06-15 |
| 1184175499 | Jason L. Gursky | Nurse Practitioner | 1540 S Tamiami Trl, Suite 401, Sarasota, FL 34239-2930 | 2016-10-21 |
| 1437515657 | Kelly Kane | Physician Assistant | 1540 S Tamiami Trl, Suite 303, Sarasota, FL 34239-2921 | 2016-01-04 |
| 1659737955 | Mallory Holm | Physician Assistant | 1540 S Tamiami Trl, Suite 300, Sarasota, FL 34239-2930 | 2016-01-04 |
| 1124410121 | Christopher Alan Maier | Physician Assistant | 1540 S Tamiami Trl, Suite 305, Sarasota, FL 34239-2930 | 2015-02-27 |
| 1609270487 | Smh Physician Services Inc | Surgery | 1540 S Tamiami Trl, Suite 305, Sarasota, FL 34239-2930 | 2014-10-22 |
| 1992137665 | Jeremy Donald Howarth | Physician Assistant | 1540 S Tamiami Trl, Suite 303, Sarasota, FL 34239-2930 | 2013-08-05 |
| 1811337744 | Caitlin E. Mccune | Physician Assistant | 1540 S Tamiami Trl, Suite 401, Sarasota, FL 34239-2930 | 2013-06-25 |
| 1568715746 | Christine Jacinta Allen | Nurse Practitioner | 1540 S Tamiami Trl, Suite 303, Sarasota, FL 34239-2930 | 2012-10-24 |
| 1205182565 | Robert J. Pohl | Physician Assistant | 1540 S Tamiami Trl, Suite 401, Sarasota, FL 34239-2930 | 2012-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588203327 | All-in-one Medical Clinic | Chiropractor | 3436 Bee Ridge Road, Sarasota, FL 34239 | 2019-12-26 |
| 1134782295 | Kafayat Adebukola Busari | Student in an Organized Health Care Education/Training Program | Florida State University/ Sarasota Memorial Hospital, 1700 South Tamiami Trail, Sarasota, FL 34239 | 2019-04-15 |
| 1235600495 | Karen Andrea Gonzalez | Speech-Language Pathologist | 1524 East Ave South, Sarasota, FL 34239 | 2018-12-16 |
| 1659852101 | Tori Alexandra Phelps | Behavioral Analyst | 2324 Prospect Street, Sarasota, FL 34239 | 2018-08-23 |
| 1518450519 | Love To Care4u Homecare | Adult Companion | 3800 Tamiami Trail Ste 105, Sarasota, FL 34239 | 2018-06-13 |
| 1881119691 | Life Awaits Acupuncture | Acupuncturist | 3030 S Tamiami Trail, Sarasota, FL 34239 | 2017-08-14 |
| 1275084600 | Srq Acupuncture & Massage | Acupuncturist | 1810 South Tuttle Ave, Sarasota, FL 34239 | 2016-10-20 |
| 1609253178 | Sumeet Bhanot Md Pa | Otolaryngology | 2038 Bee Ridge Road, Suite A, Sarasota, FL 34239 | 2015-05-04 |
| 1407246093 | Rhett Ethan Bogacz | Chiropractor | 3400 Bee Ridge Rd Ste 100, Sarasota, FL 34239 | 2015-02-03 |
| 1023436136 | Sarah J. Somer | Obstetrics & Gynecology | 1921 Waldemere St Ste 307, Sarasota, FL 34239 | 2014-04-04 |
| Find all providers in zip 34239 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619286481 | Nicole H Brumenschenkel | Physician Assistant | 1921 Waldemere St Ste 609, Sarasota, FL 34239-2913 | 2010-09-28 |
| 1235378191 | Karim Ghazli | Physician Assistant | 1756 Oak St, Sarasota, FL 34236-7537 | 2009-02-16 |
| 1669638904 | Rdr Services, LLC | Physician Assistant | 4316 Pasadena Cir, Sarasota, FL 34233-3623 | 2008-08-06 |
| 1356520407 | Gsp Surgical Assistants, Inc | Physician Assistant | 5682 Bentgrass Dr, Unit 212, Sarasota, FL 34235-7643 | 2007-10-25 |
| 1932163144 | Chasie L. Haupt | Physician Assistant | 2426 S. Tamiami Trail, Sarasota, FL 34239 | 2006-04-14 |
| 1023092913 | Alexis Taqwan Sockwell | Physician Assistant | 6050 Cattleridge Blvd, Ste 201, Sarasota, FL 34232-6014 | 2005-12-03 |
| 1811519317 | Alexandra Rodman | Physician Assistant | 6050 Cattleridge Blvd Ste 201, Sarasota, FL 34232-6028 | 2020-05-07 |
| 1831652759 | Jose Norberto Yengle | Physician Assistant | 1950 Arlington St Ste 101, Sarasota, FL 34239-3508 | 2019-04-08 |
| 1821569823 | Brendan Andrew Mccarron | Physician Assistant | 1540 S Tamiami Trl Ste 303, Sarasota, FL 34239-2921 | 2018-12-17 |
| 1316450190 | Aaron Carlton | Physician Assistant | 1950 Arlington St Ste 310, Sarasota, FL 34239 | 2017-11-15 |
| Find all providers in SARASOTA | ||||
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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.