CORNELIUS JOHN SULLIVAN (NPI# 1962466219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962466219 |
| Entity Type | Individual |
| Full Name | CORNELIUS JOHN SULLIVAN |
| Credential | MD |
| Practice Address |
701 University Blvd E Suite 711 Tuscaloosa AL 35401-2086 |
| Practice Telephone | 2053452255 |
| Practice Fax Number | 2053450813 |
| Mailing Telephone | 2053452255 |
| Mailing Fax Number | 2053450813 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
11060 | AL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154558393 | Cornelius John Sullivan IIi | Dentist | 524 Ridgeview Ct, Pleasant Hill, CA 94523-1024 | 2009-06-15 |
| 1316931868 | Cornelius Joseph Sullivan | Dentist | 275 West St, Suite 100, Annapolis, MD 21401-3400 | 2005-09-09 |
| 1629074760 | Cornelius A Sullivan | Anesthesiology | 75 Francis St, Department of Anesthesiology Cwn L2, Boston, MA 02115-6110 | 2005-06-23 |
| Street Address |
701 UNIVERSITY BLVD E SUITE 711 |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35401-2086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720088834 | Donald Charles Gross | Surgery | 701 University Blvd E, Suite 606, Tuscaloosa, AL 35401-2086 | 2005-07-29 |
| 1871019943 | Haley Townsend | Nurse Practitioner | 701 University Blvd E, Tuscaloosa, AL 35401-2086 | 2017-08-20 |
| 1437505138 | Jaime Petrosky | Physician Assistant | 701 University Blvd E, Suite 606, Tuscaloosa, AL 35401-2086 | 2016-05-11 |
| 1063868966 | Aletta Susan Brewer | Nurse Practitioner | 701 University Blvd E, Suite 211, Tuscaloosa, AL 35401-2086 | 2016-05-10 |
| 1114330008 | West Alabama Physician Associates LLC | Surgery | 701 University Blvd E, Suite 604, Tuscaloosa, AL 35401-2086 | 2014-06-09 |
| 1184036865 | West Alabama Physician Associates LLC | Internal Medicine | 701 University Blvd E, Suite 809, Tuscaloosa, AL 35401-2086 | 2014-05-29 |
| 1124372867 | Tuscaloosa Breast Center PC | Specialist | 701 University Blvd E, Suite 606, Tuscaloosa, AL 35401-2086 | 2012-11-02 |
| 1770831968 | Erin Flowers Smith | Pharmacist | 701 University Blvd E, Tuscaloosa, AL 35401-2086 | 2012-08-21 |
| 1437417086 | Capstone Surgical Associates, LLC | Surgery | 701 University Blvd E, Suite 602, Tuscaloosa, AL 35401-7406 | 2012-05-01 |
| 1689903833 | Elizabeth Childress Western | Family Medicine | 701 University Blvd E, Suite 507, Tuscaloosa, AL 35401-7432 | 2009-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942768031 | Serenity and Hope LLC | Clinic/Center | 2703 7th Street, Tuscaloosa, AL 35401 | 2019-03-07 |
| 1356834428 | Heather Glenn Macleod | Social Worker | 303 Hargrove Rd E Ste A, Tuscaloosa, AL 35401 | 2018-06-12 |
| 1154832921 | Imc of Alabama | Physical Therapist | 5101 21st Street, Tuscaloosa, AL 35401 | 2017-10-19 |
| 1316466238 | Parents Resource Institute for Drug Education (pride) of Tuscaloosa | Community/Behavioral Health | 620 14th Street, Suite E, Tuscaloosa, AL 35401 | 2017-09-12 |
| 1871967075 | Jeri Zemke | Specialist/Technologist | 504 University Blvd, Tuscaloosa, AL 35401 | 2015-11-25 |
| 1356719033 | Jimmy Dean Winters | Nurse Practitioner | Five Horizons Health Services, 2720 6th Street, Tuscaloosa, AL 35401 | 2015-09-11 |
| 1831505429 | Jennifer Baggett | Speech-Language Pathologist | 603 Hackberry Lane, Tuscaloosa, AL 35401 | 2014-07-03 |
| 1184045684 | Samantha Pasteur | Massage Therapist | 2601 12 St, Tuscaloosa, AL 35401 | 2013-12-31 |
| 1386089282 | John Logan Bailey | Pharmacist | 809 University Boulevard, Dch Regional Medical Center, Tuscaloosa, AL 35401 | 2013-05-06 |
| 1104170539 | Kristin C Townsend | Technician, Other | 500 -b Paul Bryant Drive East, Tuscaloosa, AL 35401 | 2012-11-07 |
| Find all providers in zip 35401 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1033680723 | David Patton | Internal Medicine | 3340 E Briarcliff Rd, Mountain Brk, AL 35223-1307 | 2018-12-06 |
| 1245780972 | Victoria Rusanov | Internal Medicine | 1720 2nd Ave S # Tht-422, Birmingham, AL 35294-0004 | 2016-10-05 |
| 1396086914 | Alex David Russakoff | Internal Medicine | 4220 Gaines Mill Cir, Mountain Brk, AL 35213-1822 | 2013-03-06 |
| 1447518105 | Adrian Alton Cargill Jr. | Internal Medicine | 3368 Highway 280 Ste 209, Alexander City, AL 35010-3375 | 2012-05-01 |
| 1750552543 | Baldwin County Pulmonary and Sleep Physicians, PC | Internal Medicine | 1298 N Mckenzie St, Foley, AL 36535-3503 | 2008-03-19 |
| 1073783015 | Maria Guevara | Internal Medicine | 2016 Grove Park Way, Birmingham, AL 35242-2481 | 2008-03-05 |
| 1154524247 | Brian Dent Flanagan | Internal Medicine | 100 Pilot Medical Dr Ste 100, Birmingham, AL 35235 | 2007-06-07 |
| 1083779839 | Jean Anna Newsome | Internal Medicine | 2018 Medical Center Dr, Professional Office Bldg Suite 115, Birmingham, AL 35209 | 2006-12-22 |
| 1689738940 | Pulmonary Medicine Associates PC | Internal Medicine | 1022 1st Street No, Suite 401, Alabaster, AL 35007-8718 | 2006-12-21 |
| 1417025933 | James Edward Boyle | Internal Medicine | 1101 Somerville Rd Se, Decatur, AL 35601-3242 | 2006-12-01 |
| Find all providers with the same taxonomy | ||||
| City | TUSCALOOSA |
| Zip Code | 35401 |
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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.