Gerald B Sullivan (NPI# 1154396927, PAC ID# 0749317188) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1154396927 |
| PAC ID by PECOS | 0749317188 |
| Professional Enrollment ID | I20100416000324 |
| Full Name | Gerald B Sullivan |
| Organization Legal Name | DAY KIMBALL MEDICAL GROUP INC |
| Address |
7 Kennedy Dr Putnam CT 06260-1939 |
| Phone Number | 8609287704 |
| Gender | M |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1557514411 |
| Number of Group Practice Members | 68 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070003 | DAY KIMBALL HOSPITAL |
| 220163 | UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 7 Kennedy Dr, Putnam, CT 06260-1939 | 8609287704 | DAY KIMBALL MEDICAL GROUP INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 21% | |
| MIPS_EC_333_overall | Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 0% |
| Organization Legal Name | DAY KIMBALL MEDICAL GROUP INC |
| Physicians | 61 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Holly Mazur | Internal Medicine | Day Kimball Medical Group Inc | 168 Route 171, Woodstock, CT 06281-3123 |
| Rebecca L Ladyka | Physician Assistant | Day Kimball Medical Group Inc | 132 Westminster Rd, Family Medicine Canterbury, Canterbury, CT 06331-1454 |
| Robert D Mccallum | General Surgery | Day Kimball Medical Group Inc | 346 Pomfret St, Putnam, CT 06260-1871 |
| Timothy Monahan | Dermatology | Day Kimball Medical Group Inc | 55 Green Hollow Rd, Danielson, CT 06239-3533 |
| Andrew Mackenzie | Obstetrics/gynecology | Day Kimball Medical Group Inc | 320 Pomfret St, Putnam, CT 06260-1836 |
| Paul J Matty | Internal Medicine | Day Kimball Medical Group Inc | 612 Hartford Pike, Dayville, CT 06241-2159 |
| Kimberly J Lane | Certified Clinical Nurse Specialist (cns) | Day Kimball Medical Group Inc | 45 Green Hollow Rd, Danielson, CT 06239-3509 |
| Alexandra Nicole Lopez | Nurse Practitioner | Day Kimball Medical Group Inc | 45 Green Hollow Rd, Danielson, CT 06239-3509 |
| Ronald J Franzino | General Surgery | Day Kimball Medical Group Inc | 320 Pomfret St, Putnam, CT 06260-1836 |
| Julie Van Saun | Physician Assistant | Day Kimball Medical Group Inc | 320 Pomfret St, Putnam, CT 06260-1836 |
| Street Address |
7 KENNEDY DR |
| City | PUTNAM |
| State | CT |
| Zip | 06260-1939 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine A Smiley | Nurse Practitioner | Day Kimball Medical Group Inc | 7 Kennedy Dr, Putnam, CT 06260-1939 |
| Stanley Lorenz Koleszar | Nurse Practitioner | Day Kimball Medical Group Inc | 7 Kennedy Dr, Putnam, CT 06260-1939 |
| Daniel W O Neill | Family Medicine | Day Kimball Medical Group Inc | 7 Kennedy Dr, Putnam, CT 06260-1939 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Noreen A Wallace | Occupational Therapy | 174 Providence St, Putnam, CT 06260-1512 | |
| Gregory Martin Haney | Physical Therapy | 82 Providence St, Putnam, CT 06260-1530 | |
| Frederick A Barks Jr. | Chiropractic | 245 School St, Putnam, CT 06260-1621 | |
| Janet Cutting | Qualified Audiologist | Ear, Nose and Throat Associates of Worcester, Inc. | 145 Pomfret St, Putnam, CT 06260-1803 |
| Lorna Kay Murdock | Nurse Practitioner | Ear, Nose and Throat Associates of Worcester, Inc. | 145 Pomfret St, Putnam, CT 06260-1803 |
| Jane P Whitehead | Qualified Audiologist | Ear, Nose and Throat Associates of Worcester, Inc. | 145 Pomfret St, Putnam, CT 06260-1803 |
| Christopher Charon | Otolaryngology | Ear, Nose and Throat Associates of Worcester, Inc. | 145 Pomfret St, Putnam, CT 06260-1803 |
| Stephen R Kurland | Otolaryngology | Ear, Nose and Throat Associates of Worcester, Inc. | 145 Pomfret St, Putnam, CT 06260-1803 |
| Michael H Ellsworth | Orthopedic Surgery | Orthopaedic Associates of Northeastern Connecticut, L.L.C. | 255 Pomfret St, Putnam, CT 06260-1835 |
| Raja Fattaleh | Family Medicine | 353 Pomfret St, Putnam, CT 06260-1835 | |
| Find all physicians in zip 06260 | |||
| City | PUTNAM |
| Zip Code | 06260 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PUTNAM + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Gerald B 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.