DR. VINCENT E. SULLIVAN (NPI# 1750361036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750361036 |
| Entity Type | Individual |
| Full Name | DR. VINCENT E. SULLIVAN |
| Credential | M.D. |
| Practice Address |
19878 Saint Joseph Dr Centerville IA 52544-8850 |
| Mailing Address |
19878 Saint Joseph Dr Post Office Box 160 Centerville IA 52544-8850 |
| Practice Telephone | 6414371576 |
| Practice Fax Number | 6414374205 |
| Mailing Telephone | 6414371576 |
| Mailing Fax Number | 6414374205 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2007-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 18213 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0186270 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790839868 | Vincent P Sullivan | Pediatrics | 39 Cobblestone Ln, Hanover, MA 02339-1940 | 2007-01-23 |
| Street Address |
19878 SAINT JOSEPH DR |
| City | CENTERVILLE |
| State | IA |
| Zip Code | 52544-8850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174705628 | Vincent E. Sullivan Md PC | Surgery | 19878 Saint Joseph Dr, Centerville, IA 52544-8850 | 2007-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053651166 | Amy Spencer | Pharmacist | 609 N. 18th Street, Centerville, IA 52544 | 2013-02-26 |
| 1710253497 | Caregivers Home Health, LLC | Home Health | 19999 Saint Josephs Drive, Centerville, IA 52544 | 2012-03-28 |
| 1558529206 | Mercy Medical Center-centerville | Clinic/Center | 19876 St. Joseph's Drive, Centerville, IA 52544 | 2008-05-29 |
| 1205023868 | Mercy Medical Center-centerville | Home Health | 1 St. Joseph's Drive, Centerville, IA 52544 | 2007-09-27 |
| 1043414394 | Appanoose Community Care Services | Home Health | 19890 St. Joseph's Drive, Centerville, IA 52544 | 2007-06-12 |
| 1659591816 | The Continental At St. Joseph's | Assisted Living Facility | 19999 St. Joseph's Drive, Centerville, IA 52544 | 2007-04-27 |
| 1255456315 | Kirk & Gordy Associates, LLC | Clinic/Center | 415 and A Half North Haynes, Centerville, IA 52544 | 2007-03-20 |
| 1114087574 | New Focus Inc | Clinic/Center | 102 W Washington, New Focus Inc, Centerville, IA 52544 | 2006-12-08 |
| 1134169030 | Ron Michael Harshman | Dentist | 501 W Jackson St, Centerville, IA 52544 | 2006-06-08 |
| 1700835865 | State University of Iowa | Family Medicine | 19876 St. Joseph Drive, Centerville, IA 52544 | 2006-05-08 |
| Find all providers in zip 52544 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336142603 | Andrew L Archer | Surgery | 7700 Washington Village Dr Ste 130, Centerville, OH 45459-4094 | 2005-05-31 |
| 1851706691 | Joshua J Morgan | Surgery | 7700 Washington Village Dr Ste 130, Centerville, OH 45459-4094 | 2014-06-30 |
| 1518305945 | Jordan David Brown | Surgery | 7700 Washington Village Dr Ste 130, Centerville, OH 45459-4094 | 2013-06-07 |
| 1487936795 | Alliance Physician Inc | Surgery | 2717 Miamisburg Centerville Rd, Suite 201, Centerville, OH 45459-3797 | 2011-09-13 |
| 1760779458 | Blake Bailey Anderson | Surgery | 2350 Miami Valley Dr Ste 500, Centerville, OH 45459 | 2011-07-01 |
| 1316232606 | Matthew P Doepker | Surgery | 2300 Miami Valley Dr Ste 350, Centerville, OH 45459-1294 | 2011-06-14 |
| 1306157078 | Angela Beth Echeverria | Surgery | 2350 Miami Valley Dr, Centerville, OH 45459-4778 | 2010-06-28 |
| 1750528337 | Kamran Adil Jafree | Surgery | 2300 Miami Valley Dr, Centerville, OH 45459 | 2009-01-19 |
| 1760639884 | Paul Michael Levy | Surgery | 7700 Washington Village Dr, Suite 130, Centerville, OH 45459 | 2008-08-20 |
| 1881853307 | Laura Alice Peterson | Surgery | 2300 Miami Valley Dr Ste 350, Centerville, OH 45459 | 2008-06-09 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 52544 |
Please comment or provide details below to improve the information on DR. VINCENT E. 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.