Mariam M Sullivan (NPI# 1184980872, PAC ID# 1557678836) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1184980872 |
| PAC ID by PECOS | 1557678836 |
| Professional Enrollment ID | I20150918001230 |
| Full Name | Mariam M Sullivan |
| Organization Legal Name | METHODIST INPATIENT PHYSICIANS LLC |
| Address |
7691 Poplar Ave Germantown TN 38138-3904 |
| Phone Number | 9015161290 |
| Gender | F |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1254241235 |
| Number of Group Practice Members | 85 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440049 | METHODIST HEALTHCARE MEMPHIS HOSPITALS |
| 250167 | METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7691 Poplar Ave, Germantown, TN 38138-3904 | 9015161290 | METHODIST INPATIENT PHYSICIANS LLC |
| 4250 Bethel Rd, Olive Branch, MS 38654-8737 | 6629329000 | METHODIST INPATIENT PHYSICIANS LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 40% |
| Organization Legal Name | METHODIST INPATIENT PHYSICIANS LLC |
| Physicians | 83 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia D Bedford | Nurse Practitioner | Methodist Inpatient Physicians LLC | 7691 Poplar Ave, Germantown, TN 38138-3904 |
| Aneel Kumar | Internal Medicine | Methodist Inpatient Physicians LLC | 1300 Wesley Dr, Memphis, TN 38116-6426 |
| Poonam L Gutt | Internal Medicine | Methodist Inpatient Physicians LLC | 7691 Poplar Ave, Germantown, TN 38138-3904 |
| Heather R Swanson | Hospitalist | Methodist Inpatient Physicians LLC | 1265 Union Ave, Memphis, TN 38104-3415 |
| Andrew S Pierce | Hospitalist | Methodist Inpatient Physicians LLC | 1265 Union Ave, Memphis, TN 38104-3415 |
| Irene N Okafor | Hospitalist | Methodist Inpatient Physicians LLC | 1265 Union Ave, Memphis, TN 38104-3415 |
| Michele K Faircloth | Hospitalist | Methodist Inpatient Physicians LLC | 7691 Poplar Ave, Germantown, TN 38138-3904 |
| Kimala L Moseby-fowler | Nurse Practitioner | Methodist Inpatient Physicians LLC | 7691 Poplar Ave, Germantown, TN 38138-3904 |
| Amy Eleanora Mauritson | Hospitalist | Methodist Inpatient Physicians LLC | 1265 Union Ave, Memphis, TN 38104-3415 |
| Margaret C Saunders | Nurse Practitioner | Methodist Inpatient Physicians LLC | 7691 Poplar Ave, Germantown, TN 38138-3904 |
| Street Address |
7691 POPLAR AVE |
| City | GERMANTOWN |
| State | TN |
| Zip | 38138-3904 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia D Bedford | Nurse Practitioner | Methodist Inpatient Physicians LLC | 7691 Poplar Ave, Germantown, TN 38138-3904 |
| Poonam L Gutt | Internal Medicine | Methodist Inpatient Physicians LLC | 7691 Poplar Ave, Germantown, TN 38138-3904 |
| Craig Blakeney | Emergency Medicine | Carr, Pllc | 7691 Poplar Ave, Germantown, TN 38138-3904 |
| Michele K Faircloth | Hospitalist | Methodist Inpatient Physicians LLC | 7691 Poplar Ave, Germantown, TN 38138-3904 |
| Christopher S Adelman | Internal Medicine | Carr, Pllc | 7691 Poplar Ave, Germantown, TN 38138-3904 |
| Amanda Box | Emergency Medicine | Carr, Pllc | 7691 Poplar Ave, Germantown, TN 38138-3904 |
| Kimala L Moseby-fowler | Nurse Practitioner | Methodist Inpatient Physicians LLC | 7691 Poplar Ave, Germantown, TN 38138-3904 |
| Benjamin D Bowman | Internal Medicine | Carr, Pllc | 7691 Poplar Ave, Germantown, TN 38138-3904 |
| Margaret C Saunders | Nurse Practitioner | Methodist Inpatient Physicians LLC | 7691 Poplar Ave, Germantown, TN 38138-3904 |
| Mary K Volner | Nurse Practitioner | Carr, Pllc | 7691 Poplar Ave, Germantown, TN 38138-3904 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynn M Foley | Dermatology | 2195 W St, Germantown, TN 38138 | |
| Jeffrey M Bishop | Nurse Practitioner | 6655 Poplar Ave, Suite 204, Germantown, TN 38138-0643 | |
| Michael A Nelson | Cardiovascular Disease (cardiology) | Proactive Heart and Vascular Pllc | 7751 Wolf River Blvd, Germantown, TN 38138-1706 |
| Tracie L. Luther | Nurse Practitioner | Proactive Heart and Vascular Pllc | 7751 Wolf River Blvd, Germantown, TN 38138-1706 |
| Lesa J Beaver | Nurse Practitioner | Proactive Heart and Vascular Pllc | 7751 Wolf River Blvd, Germantown, TN 38138-1706 |
| Kelly D Lee | Physical Therapy | Campbell Clinic PC | 7887 Wolf River Blvd, Germantown, TN 38138-1718 |
| William Kurts | Physical Therapy | Campbell Clinic PC | 7887 Wolf River Blvd, Germantown, TN 38138-1718 |
| Jeffrey Sawyer | Orthopedic Surgery | Campbell Clinic PC | 7887 Wolf River Blvd, Germantown, TN 38138-1718 |
| Walter Diggs | Physical Therapy | Campbell Clinic PC | 7887 Wolf River Blvd, Germantown, TN 38138-1718 |
| Jennifer Gourley Huffman | Physical Therapy | Campbell Clinic PC | 7887 Wolf River Blvd, Germantown, TN 38138-1718 |
| Find all physicians in zip 38138 | |||
| City | GERMANTOWN |
| Zip Code | 38138 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | GERMANTOWN + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Mariam M 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.