STEPHANIE K SULLIVAN (NPI# 1952341885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952341885 |
| Entity Type | Individual |
| Full Name | STEPHANIE K SULLIVAN |
| Credential | MD |
| Practice Address |
1212 Mcconville Rd Lynchburg VA 24502-4536 |
| Practice Telephone | 4342378886 |
| Practice Fax Number | 4342396807 |
| Mailing Telephone | 4342378886 |
| Mailing Fax Number | 4342396807 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 0101055475 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255828307 | Stephanie Marie Sullivan | Marriage & Family Therapist | 415 S Main St Ste E, Rochester, MI 48307-2077 | 2018-04-15 |
| 1568901544 | Stephanie Ann Sullivan | Nurse Anesthetist, Certified Registered | Unity Point Health Methodist, 221 Ne Glen Oak Avenue, Peoria, IL 61636-0001 | 2017-02-23 |
| 1740608017 | Stephanie Sullivan | Speech-Language Pathologist | 3950 Sw 16th St, Okeechobee, FL 34974 | 2014-04-02 |
| 1619150158 | Stephanie Sue Sullivan | Licensed Practical Nurse | 5773 Golden Eagle Cir, Palm Beach Gardens, FL 33418-1518 | 2007-12-06 |
| 1063038115 | Stephanie N Sullivan | Dietitian, Registered | 100 Medical Center Way, Somers Point, NJ 08244-2300 | 2020-06-24 |
| 1871063396 | Stephanie Ashleigh Sullivan | Behavior Technician | 301 S Tubb St Ste A1, Oakland, FL 34760-8859 | 2018-11-27 |
| 1861968356 | Stephanie E Sullivan | Massage Therapist | 1301 Herr Ln, Louisville, KY 40222-4388 | 2018-10-23 |
| 1750801924 | Stephanie Leigh Sullivan | Case Manager/Care Coordinator | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2017-06-20 |
| 1750779989 | Stephanie Sullivan | Community/Behavioral Health | 145 Maple Ave, Red Bank, NJ 07701-1717 | 2014-12-22 |
| 1679987796 | Stephanie Sullivan | Speech-Language Pathologist | 501 Valley View Blvd, Altoona, PA 16602-6410 | 2014-06-17 |
| Street Address |
1212 MCCONVILLE RD |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24502-4536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376583278 | Laura M Brooks | Pediatrics | 1212 Mcconville Rd, Lynchburg, VA 24502-4536 | 2006-06-08 |
| 1497822399 | Marilyn Bumgarner | Nurse Practitioner | 1212 Mcconville Rd, Lynchburg, VA 24502-4536 | 2006-11-29 |
| 1215943030 | F Read Hopkins Pediatric Assoc Inc | Pediatrics | 1212 Mcconville Rd, Lynchburg, VA 24502 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523038 | Vivian Tran | Student in an Organized Health Care Education/Training Program | Liberty University College of Osteopathic Medicine, 306 Liberty View Ln, Lynchburg, VA 24502 | 2020-03-19 |
| 1669005468 | Beth Elaine Hammond | Nurse Practitioner | 132 Frederick Drive, Lynchburg, VA 24502 | 2020-02-20 |
| 1225672348 | Pearlren-aye Elizabeth Taylor | Case Management | 542 Leesville Rd, Apt 127, Lynchburg, VA 24502 | 2019-10-31 |
| 1821553868 | Shavonne D Joyner | Behavioral Analyst | 18697 Forest Road, Lynchburg, VA 24502 | 2019-02-04 |
| 1043794415 | Robert Patrick Thomas | Private Vehicle | 44 Point Drive, Apt 30, Lynchburg, VA 24502 | 2018-09-20 |
| 1023503521 | Ptc Wellness Centers PC | Family Medicine | 2832 Candlers Mtn Rd, Lynchburg, VA 24502 | 2018-06-27 |
| 1548750722 | Raymond W Andrews IIi | Speech-Language Pathologist | 3101 Wards Ferry Road, Lynchburg, VA 24502 | 2018-05-14 |
| 1932697596 | Barbara J Frost | Nurse Practitioner | 906 Westview Dr, Lynchburg, VA 24502 | 2018-04-28 |
| 1619476983 | Benjamin Aaron Galley | Specialist/Technologist | 1971 University Blvd., Lynchburg, VA 24502 | 2018-02-01 |
| 1477076180 | Candice Cage | Home Health | 1002 Wexford Place, Lynchburg, VA 24502 | 2017-07-25 |
| Find all providers in zip 24502 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851788202 | Kirsten Madea | Pediatrics | Community Access Network 800 5th Street, Lynchburg, VA 24502 | 2015-04-23 |
| 1962732628 | Advocates for Families | Pediatrics | 2919 Confederate Ave, Lynchburg, VA 24501-2435 | 2009-12-31 |
| 1942477005 | Olubukola Ojuola | Pediatrics | 2321 Wards Road, Lynchburg, VA 24502-2101 | 2008-05-08 |
| 1154362168 | Robert Skyler Mccurley | Pediatrics | 121 Mcconville Road, Lynchburg, VA 24502 | 2006-06-09 |
| 1376583278 | Laura M Brooks | Pediatrics | 1212 Mcconville Rd, Lynchburg, VA 24502-4536 | 2006-06-08 |
| 1023075371 | Morgan S Mandeville | Pediatrics | 105 Richeson Dr, Lynchburg, VA 24501-2911 | 2006-04-28 |
| 1871557959 | Elizabeth Mumper | Pediatrics | 2015 Tate Springs Rd, Suite 2, Lower Level, Lynchburg, VA 24501-1111 | 2006-04-14 |
| 1588632020 | Katherine Virginia Nichols | Pediatrics | 1212 Mcconville Road, Lynchburg, VA 24502-4536 | 2006-03-10 |
| 1780650143 | Debora Ann Mihaley-sobelman | Pediatrics | 2010 Atherholt Rd, Lynchburg, VA 24501-1106 | 2006-02-27 |
| 1457764649 | Alison Ullman | Pediatrics | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | 2014-06-05 |
| Find all providers in LYNCHBURG | ||||
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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.