DR. RENEE MARIE SULLIVAN (NPI# 1922214493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922214493 |
| Entity Type | Individual |
| Full Name | DR. RENEE MARIE SULLIVAN |
| Credential | MD |
| Practice Address |
One Hospital Drive Columbia MO 65201-0001 |
| Mailing Address |
Po Box 7687 Columbia MO 65205-7687 |
| Practice Telephone | 5738822296 |
| Practice Fax Number | 5738847743 |
| Mailing Telephone | 5738822259 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2012-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 37329 | IA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | R-7363 | IA | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
2012016543 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK BCBS | 70404 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710321419 | Renee Michelle Sullivan | Clinical Nurse Specialist | 1506 W 46th Ave, Kennewick, WA 99337-3935 | 2013-04-24 |
| 1205042850 | Renee L Sullivan | Marriage & Family Therapist | 153 Marcar Rd, Macon, GA 31216-5929 | 2007-05-14 |
| 1831602317 | Renee Sullivan | Counselor | 1401 W 2nd St Unit 1, Gillette, WY 82716-3334 | 2017-11-07 |
| 1750562070 | Renee R Sullivan | Developmental Therapist | 375 Fortune Blvd, Milford, MA 01757-1723 | 2007-11-15 |
| 1366472722 | Renee R Sullivan | Nurse Practitioner | 600 E Francis St, Suite 3, North Platte, NE 69101-6796 | 2006-07-03 |
| Street Address |
ONE HOSPITAL DRIVE |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447745260 | Lawrence Xuan Zhang | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-25 |
| 1528553492 | David Win Lee | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
| 1699260562 | Ian Thomas Lynch | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
| 1992290852 | Nicholas Brian Epstein | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
| 1447745302 | Meenakshi Praharaju Giri | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
| 1982199840 | Tamar Gubeladze | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
| 1316432289 | Tyler James Maxey | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
| 1033604905 | Richard Dale Swaney | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
| 1205321171 | Ali Ahsen Syed | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
| 1700371671 | Kayci Rachele Huslig | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
| Find all providers in zip 65201 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376050534 | Khoury Cardiology, Pa | Internal Medicine | 151 Saluda Ave, Columbia, SC 29205-3080 | 2018-01-09 |
| 1669919247 | Hari Gnanasekeram, PC | Internal Medicine | 207 Zeigler St, Columbia, SC 29217-0001 | 2017-01-20 |
| 1033514120 | Palmetto Health | Internal Medicine | 6 Richland Medical Park Dr, Suite 2100, Columbia, SC 29203-6864 | 2014-10-31 |
| 1639516636 | Namit Rohant | Internal Medicine | 2 Medical Park Rd Ste 402, Columbia, SC 29203-6839 | 2013-05-30 |
| 1720358112 | William Fox | Internal Medicine | 11837 Winterlong Way, Columbia, MD 21044-4412 | 2012-01-03 |
| 1134418874 | Daniel A Kim | Internal Medicine | 10710 Charter Dr Ste 400, Columbia, MD 21044 | 2011-04-04 |
| 1730321035 | Columbia Cardiology, LLC | Internal Medicine | 130 Corporate Blvd, Columbia, SC 29204 | 2009-04-01 |
| 1447415211 | Anil Purohit | Internal Medicine | 6 Richland Medical Park Drive Suite 2100, Columbia, SC 29203 | 2008-07-22 |
| 1679740195 | Warren F Holland | Internal Medicine | 3628 Cassina Cir, Columbia, SC 29205-1854 | 2008-05-14 |
| 1386826824 | Sirisha Donekal | Internal Medicine | 11055 Little Patuxent Pkwy Ste 205, Columbia, MD 21044 | 2007-11-27 |
| Find all providers in COLUMBIA | ||||
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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.