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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
011964 | ME | Allopathic & Osteopathic Physicians |
Street Address |
100 FODEN RD SUITE WEST 307 |
City | SOUTH PORTLAND |
State | ME |
Zip Code | 04106-2327 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 04106 |
Taxonomy Code | 207XX0005X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Sports Medicine |
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 |
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 |
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 |
City | SOUTH PORTLAND |
Zip Code | 04106 |
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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.