DR. MARK S SULLIVAN (NPI# 1871673723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871673723 |
| Entity Type | Individual |
| Full Name | DR. MARK S SULLIVAN |
| Credential | M.D. |
| Practice Address |
1234 Empire St Fairfield CA 94533-5711 |
| Mailing Address |
10470 Old Placerville Rd Suite 100 Sacramento CA 95827-2539 |
| Practice Telephone | 7074263911 |
| Practice Fax Number | 7074362511 |
| Mailing Telephone | 8004700071 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2015-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A49206 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A492060 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689730863 | Mark Allan Sullivan | Chiropractor | 4196 Avery Rd, Hilliard, OH 43026-1004 | 2006-12-29 |
| 1356456297 | Mark Tighe Sullivan | Social Worker | 1011 Bond St, Asbury Park, NJ 07712-5939 | 2006-08-20 |
| 1306874227 | Mark Allen Sullivan | Physical Therapist | 133 Mountain Rd, Suite 2b., Suffield, CT 06078-2084 | 2006-06-29 |
| 1497722615 | Mark F Sullivan Sr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11236 Robinwood Dr, # 7, Hagerstown, MD 21742-6708 | 2006-03-07 |
| 1710983432 | Mark P. Sullivan | Dentist | 1440 South Pottstown Pike, West Chester, PA 19380-1271 | 2005-06-27 |
| 1134752371 | Mark Sullivan | Nurse Anesthetist, Certified Registered | 2500 N State St, Jackson, MS 39216-4500 | 2020-02-17 |
| 1295260347 | Mark Sullivan | Case Manager/Care Coordinator | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2017-04-26 |
| 1841724754 | Mark Sullivan | Social Worker | 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 | 2017-04-18 |
| 1386098762 | Mark Sullivan | Psychiatry & Neurology | 525 E 68th St, New York, NY 10065-4870 | 2016-04-21 |
| 1346614641 | Mark Sullivan | Social Worker | 5225 Connecticut Ave Nw, #616, Washington, DC 20015-1813 | 2015-11-24 |
| Street Address |
1234 EMPIRE ST |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-5711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215024591 | Henry H Collins | Pediatrics | 1234 Empire St, Fairfield, CA 94533-5711 | 2006-10-06 |
| 1144870304 | Diandria Aliysha Donaldson | Counselor | 1234 Empire St, Fairfield, CA 94533-5711 | 2019-09-18 |
| 1790265833 | Yasmina Ehab Bazaraa | Counselor | 1234 Empire St, Fairfield, CA 94533-5711 | 2018-08-17 |
| 1730686171 | Miarah Jones | Counselor | 1234 Empire St, Fairfield, CA 94533 | 2018-04-11 |
| 1609376920 | Roxanne Michelle Rodeznomedearis | Counselor | 1234 Empire St, Fairfield, CA 94533-5711 | 2018-02-13 |
| 1255882577 | Amanda Raquel Portillo | Marriage & Family Therapist | 1234 Empire St, Suite 2300, Fairfield, CA 94533-5711 | 2016-10-21 |
| 1699224659 | Melissa Mae Torrez | Counselor | 1234 Empire St, Fairfield, CA 94533-5711 | 2016-09-30 |
| 1144680513 | Kevin Anderson | Marriage & Family Therapist | 1234 Empire St, Fairfield, CA 94533-5711 | 2016-02-29 |
| 1194198580 | Camilia Kaye Shoulders | Counselor | 1234 Empire St, Fairfield, CA 94533-5711 | 2015-11-05 |
| 1770959181 | Rosemary O'leary | Counselor | 1234 Empire St, Fairfield, CA 94533-5711 | 2015-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275147647 | Rebecca Diane Yeater | Family Medicine | Wellspan Family Medicine - Fairfield, 4910 Fairfield Rd, Fairfield, PA 17320 | 2020-09-03 |
| 1366822199 | House Calls and Virtual Visits, LLC | Family Medicine | 36 Sanford St, Fairfield, CT 06824-5917 | 2015-06-06 |
| 1093133746 | Simone Alicia Douge | Family Medicine | 700 Route 46 E Ste 450, Fairfield, NJ 07004 | 2014-03-31 |
| 1629499801 | Joseph John Sciarrillo | Family Medicine | 20 Paisley Ln, Fairfield, CT 06825-1158 | 2013-12-14 |
| 1568894731 | Mary Helen Gartin | Family Medicine | 2000c South Main, Fairfield, IA 52556 | 2013-07-30 |
| 1689013195 | Marikit B Parker | Family Medicine | 1101 B Gale Wilson Blvd Ste 101c, Fairfield, CA 94533-3771 | 2013-06-18 |
| 1538459821 | Samuel C. Docena, Md.,inc | Family Medicine | 1244 Nilles Rd Ste 10, Fairfield, OH 45014-2788 | 2011-04-08 |
| 1467759746 | Richard Marie Valeriote | Family Medicine | 3350 Blackhawk Place, Fairfield, CA 94534 | 2011-02-22 |
| 1861655466 | Antonela Barbu | Family Medicine | 2238 Black Rock Tpke, Fairfield, CT 06825-3219 | 2008-07-03 |
| 1477744290 | Ahmad Shariff Vonschlegell | Family Medicine | 541 Cement Hill Rd, Fairfield, CA 94533-1329 | 2007-08-06 |
| Find all providers in FAIRFIELD | ||||
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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.