Tory P Sullivan (NPI# 1639137169, PAC ID# 0648178053) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1639137169 |
| PAC ID by PECOS | 0648178053 |
| Professional Enrollment ID | I20031223000146 |
| Full Name | Tory P Sullivan |
| Organization Legal Name | TORY SULLIVAN MD PA |
| Address |
16100 Ne 16th Ave Suite A North Miami Beach FL 33162-4708 |
| Phone Number | 3056528600 |
| Gender | M |
| Credential | MD |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 2365460599 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100022 | JACKSON HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 2500 N Federal Hwy, Suite 301, Ft Lauderdale, FL 33305-1618 | 3056528600 | TORY SULLIVAN MD PA |
| 16100 Ne 16th Ave, Suite A, North Miami Beach, FL 33162-4708 | 3056528600 | TORY SULLIVAN MD PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_337_overall | Tuberculosis (TB) Prevention for Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis Patients on a Biological Immune Response Modifier | 5% | |
| MIPS_EC_337_overall | Tuberculosis (TB) Prevention for Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis Patients on a Biological Immune Response Modifier | 5% | |
| MIPS_EC_400_overall | One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk | 2% | |
| MIPS_EC_400_overall | One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk | 2% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 94% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 94% |
| Organization Legal Name | TORY SULLIVAN MD PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Howard | Dermatology | Tory Sullivan Md Pa | 2500 N Federal Hwy, Suite 301, Ft Lauderdale, FL 33305-1618 |
| Gimol Edith Anidjar | Nurse Practitioner | Tory Sullivan Md Pa | 16100 Ne 16th Ave, Suite A, North Miami Beach, FL 33162-4708 |
| Giovanna Paredes | Nurse Practitioner | Tory Sullivan Md Pa | 16100 Ne 16th Ave, Suite A, North Miami Beach, FL 33162-4708 |
| Roderic R Rettig | Nurse Practitioner | Tory Sullivan Md Pa | 2500 N Federal Hwy, Suite 301, Ft Lauderdale, FL 33305-1618 |
| Street Address |
16100 NE 16TH AVE SUITE A |
| City | NORTH MIAMI BEACH |
| State | FL |
| Zip | 33162-4708 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc K Weinberg | Chiropractic | 16100 Ne 16th Ave, Suite B, North Miami Beach, FL 33162-4708 | |
| Gimol Edith Anidjar | Nurse Practitioner | Tory Sullivan Md Pa | 16100 Ne 16th Ave, Suite A, North Miami Beach, FL 33162-4708 |
| Giovanna Paredes | Nurse Practitioner | Tory Sullivan Md Pa | 16100 Ne 16th Ave, Suite A, North Miami Beach, FL 33162-4708 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lewis R Dan | Ophthalmology | Dan Hoffman Md Pa | 1701 Ne 164 St, Suite 200, North Miami Beach, FL 33162 |
| Ali Nayer | Nephrology | 2040 Ne 1634rd St, Suite 204, North Miami Beach, FL 33162 | |
| Carrie Landess | Neurology | 16855 Ne2nd Ave, Suite 102, North Miami Beach, FL 33162 | |
| Randolph T Borrero | Family Medicine | Nidal Radwan Md Pa | 18100 Ne 19th Ave, Suite 102, North Miami Beach, FL 33162-1606 |
| Brett R Neustater | Gastroenterology | Gastro Health, LLC | 16855 Ne2nd Ave, Suite 202, North Miami Beach, FL 33162-1744 |
| Dana C Darcy | Certified Registered Nurse Anesthetist (crna) | St Lucie Anesthesia Associates LLC | 16853 Ne 2nd Ave, Suite 400, North Miami Beach, FL 33162-1776 |
| Terri L Hoffman-menchel | Certified Registered Nurse Anesthetist (crna) | St Lucie Anesthesia Associates LLC | 16853 Ne 2nd Ave, Suite 400, North Miami Beach, FL 33162-1776 |
| Monica P Levy | Certified Registered Nurse Anesthetist (crna) | St Lucie Anesthesia Associates LLC | 16853 Ne 2nd Ave, Suite 400, North Miami Beach, FL 33162-1776 |
| Cheri Surloff | Psychologist, Clinical | 17251 Ne 19th Ave, North Miami Beach, FL 33162-2209 | |
| Neil F Furman | Internal Medicine | Soffer Heart Institute Pa | 17200 Northeast 19 Ave, North Miami Beach, FL 33162-2210 |
| Find all physicians in zip 33162 | |||
| City | NORTH MIAMI BEACH |
| Zip Code | 33162 |
| Specialty | DERMATOLOGY |
| City + Specialty | NORTH MIAMI BEACH + DERMATOLOGY |
Please comment or provide details below to improve the information on Tory P Sullivan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.