DAVID WAYNE SULLIVAN


Address: 6029 Walnut Grove Rd Ste 301, Memphis, TN 38120-2112
Phone: 9017479081

DAVID WAYNE SULLIVAN (NPI# 1851399638) 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) 1851399638
Entity Type Individual
Full Name DAVID WAYNE SULLIVAN
Credential M.D.
Practice Address 6029 Walnut Grove Rd Ste 301
Memphis
TN 38120-2112
Mailing Address Po Box 405827
Atlanta
GA 30384-5800
Practice Telephone 9017479081
Practice Fax Number 9017479087
Enumeration Date 2005-07-14
Last Update Date 2016-10-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
20920 TN Allopathic & Osteopathic Physicians
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
11785 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS 00125865 05
MS RAILROAD MEDIARE P00272099 01

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1467670026 David Dell Sullivan Physical Therapist 499 Casey Way, Grand Junction, CO 81504-6281 2007-04-20
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Office Location

Street Address 6029 WALNUT GROVE RD STE 301
City MEMPHIS
State TN
Zip Code 38120-2112

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902459555 Megan Marie Crosier Nurse Practitioner 6029 Walnut Grove Rd Ste 301, Memphis, TN 38120-2112 2019-07-23
1558640458 Baptist Cancer Center Physicians Foundation, Inc. Specialist 6029 Walnut Grove Rd Ste 301, Memphis, TN 38120-2112 2011-08-09
1265428676 Peter Whitney Carter Internal Medicine 6029 Walnut Grove Rd Ste 301, Memphis, TN 38120-2112 2005-09-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093285637 Cobblestone Midwifery Midwife 5617 Ashley Square South, Memphis, TN 38120 2018-11-27
1649768870 River City Neuropsychology, Pllc Psychologist 1661 International Dr., Suite 400, Memphis, TN 38120 2018-04-24
1841676152 Jody Lavaun Clements Dentist 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 2015-08-10
1578957122 Christina Lumpkin Nurse Practitioner 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 2015-03-21
1316352099 Daniel Poor Emergency Medicine Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 2014-06-21
1245643246 Kysha Saleem Nurse Practitioner 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 2014-06-06
1376962613 John Christopher Swearingen Dentist 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 2014-04-15
1275884645 Rebecca Leigh Goedecke Nurse Practitioner 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 2012-09-26
1730475179 Sarah Elizabeth Hammond Surgery Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 2011-06-23
1922302785 Daniel L Hester Nurse Anesthetist, Certified Registered 1755 Kirby Parkway Suite 330, Memphis, TN 38120 2011-01-07
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558436337 David Neil Hayes Internal Medicine 1211 Union Ave Ste 300, Memphis, TN 38104-6655 2006-11-21
1396852273 Sandeep Kumar Rajan Internal Medicine 6401 Poplar Ave Ste 195, Memphis, TN 38119 2006-08-24
1215943675 Family Cancer Center, Pllc Internal Medicine 6029 Walnut Grove, Suite 301, Memphis, TN 38120-2112 2006-07-31
1326070277 Jarvis D Reed Internal Medicine 1588 Union Ave, Memphis, TN 38104-3729 2006-07-07
1306886825 Kenneth I Ataga Internal Medicine 1325 Eastmoreland Ave Ste 101, Memphis, TN 38104 2006-06-07
1265424659 Donna Przepiorka Internal Medicine 1331 Union Ave, Suite 800, Memphis, TN 38104-3513 2005-08-22
1659375392 Stephen A Besh Internal Medicine 100 N Humphreys Blvd, Memphis, TN 38120-2146 2005-06-10
1003819269 Aleksandar Jankov Internal Medicine 6029 Walnut Grove Rd, Suite 301, Memphis, TN 38120-2112 2005-05-23
1144223298 Kirby L Smith Internal Medicine 80 Humphreys Center Dr Ste 330, Memphis, TN 38120-2363 2005-05-23
1881212132 Muhammad Hamid Internal Medicine 880 Madison Ave, Memphis, TN 38103-3409 2020-07-13
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Competitor

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City MEMPHIS
Zip Code 38120

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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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