JENNIFER LYNN SULLIVAN (NPI# 1952504938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952504938 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN SULLIVAN |
| Credential | M.D. |
| Practice Address |
1211 Union Ave Suite 300 Memphis TN 38104-6638 |
| Mailing Address |
Po Box 1000 Dept # 457 Memphis TN 38148-0001 |
| Practice Telephone | 9014482918 |
| Practice Fax Number | 9012666427 |
| Mailing Telephone | 9014482918 |
| Mailing Fax Number | 9012666427 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2016-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 51617 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS | 6021477 | 01 |
| MS | 04125350 | 05 | |
| AR | 205257001 | 05 | |
| TN | Q008106 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851907232 | Jennifer Sullivan | Massage Therapist | 82884 N Pacific Hwy, Creswell, OR 97426-9407 | 2020-09-21 |
| 1033778360 | Jennifer Sullivan | Registered Nurse | 3703 Stearns Hill Rd, Waltham, MA 02451-7134 | 2019-06-11 |
| 1558820290 | Jennifer Sullivan | Specialist/Technologist | 6799 Krenson Oaks Cir, Lakeland, FL 33810-2157 | 2019-03-12 |
| 1043780364 | Jennifer P Sullivan | Lactation Consultant, Non-RN | 33 Arlington Ave Ste 4, Poughkeepsie, NY 12603-1603 | 2018-11-29 |
| 1942750484 | Jennifer Sullivan | Physical Therapy Assistant | 518 Phillips Rd # A, Levant, ME 04456-4446 | 2016-10-07 |
| 1770953051 | Jennifer Sullivan | Occupational Therapy Assistant | 3815 W Mason Rd, Deer Park, WA 99006-9511 | 2015-09-30 |
| 1720470552 | Jennifer M Sullivan | Specialist | 88 Slocum Ave, Tappan, NY 10983-2610 | 2015-03-03 |
| 1093122475 | Jennifer Sullivan | Nurse Practitioner | 15 Gracelawn Rd Ste 203, Auburn, ME 04210-6344 | 2014-07-17 |
| 1164778635 | Jennifer Sullivan | Early Intervention Provider Agency | 51 Churchill Ln, Smithtown, NY 11787-4039 | 2012-08-02 |
| 1881956472 | Jennifer Sullivan | Specialist | 4663 189th St, Flushing, NY 11358-3834 | 2012-06-11 |
| Street Address |
1211 UNION AVE SUITE 300 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-6638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689679912 | David Kenji Mcgregor | Pathology | 1211 Union Ave, Suite 300, Memphis, TN 38104-6638 | 2005-06-14 |
| 1487008850 | Charles Theodore Fryberger IIi | Student in an Organized Health Care Education/Training Program | 1211 Union Ave, Suite 510, Memphis, TN 38104-6638 | 2016-04-21 |
| 1639537830 | Vanessa L Armenise | Nurse Practitioner | 1211 Union Ave, Suite 300, Memphis, TN 38104-6638 | 2016-02-02 |
| 1659745420 | West Clinic, P.C. | Internal Medicine | 1211 Union Ave, Memphis, TN 38104-6638 | 2015-11-17 |
| 1033595731 | Memphis Pathology Group PC | Pathology | 1211 Union Ave, Suite 875, Memphis, TN 38104-6638 | 2015-08-04 |
| 1922416361 | Aaron Greear | Physical Therapist | 1211 Union Ave, Suite 195, Memphis, TN 38104-6638 | 2014-07-29 |
| 1104234509 | Matthew Peterson | Physical Therapist | 1211 Union Ave, Suite 195, Memphis, TN 38104-6638 | 2014-07-29 |
| 1851709281 | Pritha Mony | Physical Therapist | 1211 Union Ave, Suite 195, Memphis, TN 38104-6638 | 2014-07-29 |
| 1497163257 | Melinda Laughter Carden | Physical Therapist | 1211 Union Ave, Ste 195, Memphis, TN 38104-6638 | 2014-07-24 |
| 1083045553 | Jacquelyn Mcdonald | Physical Therapist | 1211 Union Ave, Suite 195, Memphis, TN 38104-6638 | 2013-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376635888 | James Wynford Pate | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 956 Court, Suite G212, Memphis, TN 38163 | 2006-09-29 |
| 1558472043 | Darryl Seth Weiman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 956 Court Ave, Memphis, TN 38163-2116 | 2006-08-31 |
| 1922076272 | Christopher Knott-craig | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 51 N Dunlap St Fl 2, Memphis, TN 38105-4625 | 2006-03-11 |
| 1255330957 | Edward T Robbins | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6027 Walnut Grove Road, Suite 203, Memphis, TN 38120 | 2005-07-15 |
| 1821534058 | Dr. Alim Khandekar Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1264 Wesley Dr, Suite 201, Memphis, TN 38116-6400 | 2017-01-11 |
| 1316224132 | Saint Francis Cardiovascular Surgery LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6005 Park Ave, Suite 825 B, Memphis, TN 38119-5202 | 2011-11-08 |
| 1164745238 | Mid South Regional Thoracic Center, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6029 Walnut Grove Rd, Suite 100, Memphis, TN 38120-2112 | 2010-03-03 |
| 1104056555 | Rachel E. Harrison | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6029 Walnut Grove Rd, Memphis, TN 38120-2112 | 2009-07-20 |
| 1245486364 | Sandeep Sainathan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 51 N Dunlap St Fl 2, Memphis, TN 38105-4625 | 2008-08-08 |
| 1063673184 | Cardiac Surgery Associates, PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6029 Walnut Grove Rd, Suite 109, Memphis, TN 38120-2112 | 2008-06-20 |
| Find all providers in MEMPHIS | ||||
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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.