DENNIS J SULLIVAN, M.D., P.A.


Address: 100 Foden Rd, Suite West 307, South Portland, ME 04106-2327
Phone: 2077744523

DENNIS J SULLIVAN, M.D., P.A. (NPI# 1780846675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780846675
Entity Type Organization
Organization Name DENNIS J SULLIVAN, M.D., P.A.
Practice Address 100 Foden Rd
Suite West 307
South Portland
ME 04106-2327
Practice Telephone 2077744523
Mailing Telephone 2077744523
Enumeration Date 2008-07-01
Last Update Date 2008-07-01
Authorized Official Name DENNIS J SULLIVAN (PRESIDENT)
Authorized Official Telephone 2077744523
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
011964 ME Allopathic & Osteopathic Physicians

Office Location

Street Address 100 FODEN RD
SUITE WEST 307
City SOUTH PORTLAND
State ME
Zip Code 04106-2327

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215937040 Lenora L Dolewa Physical Therapist 100 Foden Rd, Suite 103w, South Portland, ME 04106-2319 2005-07-22
1154967206 Dalani Roy Specialist/Technologist 100 Foden Rd, South Portland, ME 04106-2327 2019-11-25
1619359007 Margaret Libby Nurse Practitioner 100 Foden Rd, Suite 203, South Portland, ME 04106-2327 2015-06-23
1598189565 Jean Smail Clinic/Center 100 Foden Rd, Suite 200, South Portland, ME 04106-2327 2014-02-12
1275954620 Liana Hobgood Specialist/Technologist 100 Foden Rd, Suite 205, South Portland, ME 04106-2327 2014-01-01
1811246010 Hannah Taylor Psychologist 100 Foden Rd, #103, South Portland, ME 04106-2327 2012-09-04
1275813933 Cindy Asbjornsen Do LLC Family Medicine 100 Foden Rd, Suite 307 W, South Portland, ME 04106-2327 2011-08-25
1033367982 Intermed Pa Clinical Medical Laboratory 100 Foden Rd, Suite 203, South Portland, ME 04106-2327 2008-09-04
1922268168 Teresa L May Internal Medicine 100 Foden Rd, Suite 103, West Building, South Portland, ME 04106-2327 2008-06-11
1467638312 Advanced Orthopaedics and Sports Medicine, LLC Orthopaedic Surgery 100 Foden Rd, Suite 307, South Portland, ME 04106-2327 2008-01-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912513748 Rayna Louise Sage Behavior Technician 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 2020-09-17
1972127330 Scott M Davis Md LLC Internal Medicine 89 Cannon Road, South Portland, ME 04106 2020-06-02
1568013936 Clara Cassidy Behavior Technician 50 Donald Bean Dr, Ste B, South Portland, ME 04106 2019-09-26
1336614346 Kari Whitney Nurse Practitioner Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 2018-10-05
1588152193 Kristen F. Pierce Counselor 100 Waterman Drive, Suite 201, South Portland, ME 04106 2018-04-30
1649779224 Jennifer Rene Johnson Social Worker 135 Westbrook St, South Portland, ME 04106 2018-02-08
1154847721 Integral Nutrition, LLC Dietitian, Registered 59 Baltimore Avenue, South Portland, ME 04106 2017-08-16
1730619610 John Preston Powell Psychiatry & Neurology 68 B Street Apt 4, South Portland, ME 04106 2017-06-14
1649706268 Gisselle Mani Student in an Organized Health Care Education/Training Program 30 Lydia Ln Apt 2115, South Portland, ME 04106 2017-05-02
1245786987 Jonathan Frank Olmes Optometrist 335 Maine Mall Rd., South Portland, ME 04106 2016-09-01
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Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467638312 Advanced Orthopaedics and Sports Medicine, LLC Orthopaedic Surgery 100 Foden Rd, Suite 307, South Portland, ME 04106-2327 2008-01-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750380838 Fred Lincoln Avery Orthopaedic Surgery 85 Bruce Hill Rd, Cumberland, ME 04021-3525 2005-07-20
1275757650 Stephen R Thompson Orthopaedic Surgery 925 Union St Ste 3, Bangor, ME 04401-3051 2007-04-13
1609885219 Kenneth Russell Morse Orthopaedic Surgery 78 Ridgewood Dr, Bangor, ME 04401-2652 2006-08-05
1295752657 Jean Pierre Michaud Orthopaedic Surgery 163 Van Buren Rd, Orthopedic Services, Caribou, ME 04736-3567 2006-07-15
1497770853 Dennis J Sullivan Orthopaedic Surgery 7 Portland Farms Rd, Suite 2, Scarborough, ME 04074 2006-07-13
1790785632 Douglas W Brown Orthopaedic Surgery 33 Sewall St, Portland, ME 04102-2603 2005-07-21

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City SOUTH PORTLAND
Zip Code 04106

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Dataset Information

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.

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