DENNIS MICHAEL SULLIVAN (NPI# 1861421265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861421265 |
| Entity Type | Individual |
| Full Name | DENNIS MICHAEL SULLIVAN |
| Credential | M.D. |
| Practice Address |
703 Comanche Trl West Monroe LA 71291-8117 |
| Practice Telephone | 3183964828 |
| Mailing Telephone | 3183964828 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 017356 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1941549 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124365812 | Dennis Patrick Sullivan | Licensed Practical Nurse | 4975 Reservoir Rd, Morrisville, NY 13408-1415 | 2013-01-15 |
| 1225354004 | Dennis Michael Sullivan | General Practice | 308 Melanie Ct, Beavercreek, OH 45434-6220 | 2010-04-19 |
| 1447332952 | Dennis James Sullivan Jr. | Surgery | 72718 Maple Street, Odanah, WI 54861-0250 | 2006-10-20 |
| 1932204542 | Dennis J. Sullivan | Dentist | 416 E River St, Grand Ledge, MI 48837-1754 | 2006-09-14 |
| 1992795686 | Dennis M Sullivan | Family Medicine | Ctmc, Us Army Meddac, Fort Drum, NY 13602 | 2005-10-25 |
| 1528247038 | Dennis Robert Sullivan | Chiropractor | 3318 Se 156th Ave, Portland, OR 97236-2119 | 2007-10-31 |
| 1982612842 | Dennis Henry Sullivan | Internal Medicine | 4300 W 7th St, Grecc (3j/nlr), Little Rock, AR 72205-5446 | 2006-08-04 |
| 1497770853 | Dennis J Sullivan | Orthopaedic Surgery | 7 Portland Farms Rd, Suite 2, Scarborough, ME 04074 | 2006-07-13 |
| 1992749964 | Dennis J Sullivan | Specialist | 1201 Alhambra Blvd, #410, Sacramento, CA 95816-5238 | 2006-06-16 |
| 1073552873 | Dennis Michael Sullivan | Chiropractor | 2305 Se Washington St, Suite 109, Milwaukie, OR 97222-7647 | 2006-06-06 |
| Street Address |
703 COMANCHE TRL |
| City | WEST MONROE |
| State | LA |
| Zip Code | 71291-8117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518515279 | Bayou Belle Wellness | Chiropractor | 108 Zephyr St, West Monroe, LA 71291 | 2019-08-27 |
| 1710546593 | Stroolamb, LLC | Technician | 201 Trenton Street, Suite 1, West Monroe, LA 71291 | 2019-06-06 |
| 1588190714 | Varnado Delmore | Case Manager/Care Coordinator | 100 Patton Dr., West Monroe, LA 71291 | 2017-05-09 |
| 1518419373 | Kristana Haynes | Counselor | 241 Blanchard Street, Apt #3202, West Monroe, LA 71291 | 2016-10-27 |
| 1295190841 | Charles A Hudson | Counselor | 307 North 6th, West Monroe, LA 71291 | 2015-12-28 |
| 1790157329 | Catherine Yearby | Counselor | 1912 N 7th St, Apt 137, West Monroe, LA 71291 | 2015-10-22 |
| 1447628235 | Julia Wroten Terral | Dental Hygienist | 5454 Cypress St., West Monroe, LA 71291 | 2015-09-10 |
| 1528474954 | Nastosha Allen Griffin | Student in an Organized Health Care Education/Training Program | 2500 N. 7th Street #500, West Monroe, LA 71291 | 2014-07-07 |
| 1891109351 | Russell Roark | Pharmacist | 5251 Cypress Street, West Monroe, LA 71291 | 2014-06-12 |
| 1013328996 | The Foot and Ankle Clinic of West Monroe, LLC | Podiatrist | 2269 Arkansas Road, West Monroe, LA 71291 | 2014-05-14 |
| Find all providers in zip 71291 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649423658 | Dustin Wayne Howell | Emergency Medicine | 503 Mcmillan Rd, West Monroe, LA 71291-5327 | 2008-11-04 |
| 1073556502 | Melissa Anne Traxler | Emergency Medicine | 503 Mcmillan Rd, West Monroe, LA 71291-5327 | 2006-06-13 |
| 1154369726 | Edward Hoben Calvert | Emergency Medicine | 503 Mcmillan Rd, West Monroe, LA 71291-5327 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346848538 | Samire Almeida De Oliveira | Emergency Medicine | 701 Poydras St Suite 104, New Orleans, LA 70139 | 2020-10-11 |
| 1467094268 | Executive Medicine, LLC | Emergency Medicine | 701 Poydras St Ste 104, New Orleans, LA 70139-7761 | 2019-10-13 |
| 1750858387 | Prairieville General Hospital, LLC | Emergency Medicine | 37358 Market Place Drive, Prairieville, LA 70769 | 2018-11-01 |
| 1164956827 | Occucare International Lafayette | Emergency Medicine | 1028 Forum Dr, Broussard, LA 70518-8060 | 2017-04-19 |
| 1831544535 | Joseph Gallien | Emergency Medicine | 3418 Truman St, Lake Charles, LA 70607-2114 | 2016-04-30 |
| 1639533755 | Elizabeth Hays Boyle Cassels | Emergency Medicine | 4256 Brittany Drive, Baton Rouge, LA 70808 | 2016-04-06 |
| 1194119289 | Ryan Christopher Jupiter | Emergency Medicine | 1441 N Miro St, New Orleans, LA 70119-2618 | 2015-03-26 |
| 1528452802 | Julia Terle | Emergency Medicine | 5025 S Prieur St, New Orleans, LA 70125-4946 | 2015-03-24 |
| 1134549322 | Marc Fernandez | Emergency Medicine | 121 Rue Louis Xiv Bldg 5, Lafayette, LA 70508-5786 | 2014-04-26 |
| 1235559055 | Bridgette Celeste Egan | Emergency Medicine | 2331 Lapeyrouse St, New Orleans, LA 70119-2521 | 2014-04-19 |
| Find all providers with the same taxonomy | ||||
| City | WEST MONROE |
| Zip Code | 71291 |
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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.