SCOTT R SULLIVAN (NPI# 1972134567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972134567 |
| Entity Type | Individual |
| Full Name | SCOTT R SULLIVAN |
| Practice Address |
5200 Harry Hines Blvd Dallas TX 75235-7709 |
| Mailing Address |
4821 Horton St Mission KS 66202-1758 |
| Practice Telephone | 3166168157 |
| Mailing Telephone | 3166168157 |
| Enumeration Date | 2020-02-01 |
| Last Update Date | 2020-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265950737 | Scott Jeffrey Sullivan | Dentist | 3516 S 47th St Ste 104, Tacoma, WA 98409-4427 | 2017-09-06 |
| 1477070522 | Scott Sullivan | Physical Therapist | 5320 Mark Dabling Blvd # 100, Colorado Springs, CO 80918-3839 | 2017-08-29 |
| 1063612844 | Scott Louis Sullivan | Dentist | 76 Doctors Park Dr., Santa Rosa, CA 95405-6615 | 2007-07-20 |
| 1154344000 | Scott Keith Sullivan Jr. | Surgery | 1717 Saint Charles Ave, New Orleans, LA 70130-5223 | 2006-07-25 |
| 1770056608 | Scott Lamar Sullivan | Counselor | 7000b S Center Dr, Clearlake, CA 95422-8131 | 2019-01-03 |
| 1386143899 | Scott Sullivan | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2018-02-10 |
| 1689100471 | Scott Sullivan | Student in an Organized Health Care Education/Training Program | 2390 W Congress St, Lafayette, LA 70506-4205 | 2017-05-11 |
| 1932467123 | Scott Sullivan | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2012-04-25 |
| 1033496179 | Scott Patric Sullivan | Specialist/Technologist | 205 S Main St, Suite C, Longmont, CO 80501-1716 | 2011-11-03 |
| 1750440004 | Scott G Sullivan | Physician Assistant | 301 Andrews Avenue, (lyster Army Health Clinic), Fort Rucker, AL 36362-5000 | 2006-12-06 |
| Street Address |
5200 HARRY HINES BLVD |
| City | DALLAS |
| State | TX |
| Zip Code | 75235-7709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649278995 | Dallas County Hospital District | Psychologist | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2005-07-11 |
| 1326649237 | Christian Robert Rufus Goans | Psychologist | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2020-11-06 |
| 1174122824 | Anna Spataro | Clinical Nurse Specialist | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2020-10-23 |
| 1619576212 | Elizabeth Simon | Registered Nurse | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2020-10-23 |
| 1992318745 | Jeffrey Arnold | Occupational Therapist | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2020-08-30 |
| 1821606617 | Caroline Pinkey Kessellie | Nurse Anesthetist, Certified Registered | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2020-07-17 |
| 1235757477 | Kimberly Annalise Badresingh | Physical Therapist | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2020-07-13 |
| 1265059141 | Rebekah Schellenberg | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2020-06-26 |
| 1821614801 | Helen Halbach Smith | Nurse Practitioner | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2020-06-24 |
| 1316569544 | Sarah Ryu | Pharmacist | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2020-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058895 | Kailey Elaine Flowers | Physical Therapy Assistant | 2400 Empire Central Drive, Suite B, Dallas, TX 75235 | 2020-06-19 |
| 1265061071 | Bella Xinyi O'malley | Student in an Organized Health Care Education/Training Program | 1935 Medical Drive, Dallas, TX 75235 | 2020-04-03 |
| 1427687318 | Can Ozlu | Student in an Organized Health Care Education/Training Program | Children's Medical Center of Dallas, 1935 Medical Distr, Dallas, TX 75235 | 2020-04-03 |
| 1689137515 | Tarek Mansi | Student in an Organized Health Care Education/Training Program | 2222 Medical District Dr Apt 4325, Dallas, TX 75235 | 2019-04-08 |
| 1386117125 | Christine Elizabeth Smith | Physician Assistant | 8134 Tex Oak Avenue, Dallas, TX 75235 | 2019-01-04 |
| 1447720016 | Michelle Angelina Dye | Physician Assistant | 5959 Maple Avenue Apt 1171, Dallas, TX 75235 | 2018-11-27 |
| 1255869335 | Andrea Nicole Pennington-peace | Specialist/Technologist, Other | 1935 Medial District, Dallas, TX 75235 | 2017-06-01 |
| 1194258152 | Tricia Rood | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd., Dallas, TX 75235 | 2017-04-06 |
| 1437690971 | Robin Lee | Counselor | 8915 Hrry Hines Blvd, Dallas, TX 75235 | 2017-03-16 |
| 1871033746 | Javier Davila-lopez | Counselor | 1545 Mockingbird Lane, Suite 4000, Dallas, TX 75235 | 2017-02-27 |
| Find all providers in zip 75235 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760098271 | Danielle Mortimer | Student in an Organized Health Care Education/Training Program | 1340 Prudential Dr Ste A, Dallas, TX 75235-4115 | 2020-09-20 |
| 1114536331 | Victor Liaw | Student in an Organized Health Care Education/Training Program | 5233 Harry Hines Blvd, Dallas, TX 75390-9006 | 2020-07-23 |
| 1285243469 | Tommy Tan | Student in an Organized Health Care Education/Training Program | 5226 Fleetwood Oaks Ave Apt 114, Dallas, TX 75235-8105 | 2020-07-23 |
| 1982213138 | Sophia Cosmich | Student in an Organized Health Care Education/Training Program | Ut Southwestern Medical School 5325 Harry Hines Blvd, Dallas, TX 75390-9006 | 2020-07-23 |
| 1093323552 | Joshua D Cox | Student in an Organized Health Care Education/Training Program | 2222 Medical District Dr Apt 4315, Dallas, TX 75235-8054 | 2020-07-21 |
| 1386252997 | Johnston Bartlett Norton | Student in an Organized Health Care Education/Training Program | 4214 Rawlins St Apt 116, Dallas, TX 75219-2738 | 2020-07-20 |
| 1063020014 | Bilaal Hassan | Student in an Organized Health Care Education/Training Program | Ut Southwestern Medical Center 5323 Harry Hines Blvd D, Dallas, TX 75390-0001 | 2020-07-15 |
| 1255959805 | Richard Tanner Hardy | Student in an Organized Health Care Education/Training Program | Ut Southwestern Medical Center 5323 Harr Hines Blvd, Dallas, TX 75390-0001 | 2020-07-09 |
| 1902424534 | Paula Marie Mofor | Student in an Organized Health Care Education/Training Program | Ut Southwestern Medical School 5323 Harry Hines Blvd, Dallas, TX 75390-9006 | 2020-07-09 |
| 1912525015 | Yasmeen Jordan Alayli | Student in an Organized Health Care Education/Training Program | 4606 Cedar Springs Rd Apt 924, Dallas, TX 75219-7205 | 2020-07-06 |
| Find all providers in DALLAS | ||||
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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.