Michael R Sullivan (NPI# 1134290646, PAC ID# 3274511720) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1134290646 |
| PAC ID by PECOS | 3274511720 |
| Professional Enrollment ID | I20100826000770 |
| Full Name | Michael R Sullivan |
| Organization Legal Name | ROBERT CALDWELL DPM PC. |
| Address |
1700 1st Ave Ne Cedar Rapids IA 52402-5433 |
| Phone Number | 3193633543 |
| Gender | M |
| Credential | DPM |
| Graduation Year | 2000 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 2567354889 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160079 | MERCY MEDICAL CENTER - CEDAR RAPIDS |
| 160045 | ST LUKES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1700 1st Ave Ne, Cedar Rapids, IA 52402-5433 | 3193633543 | ROBERT CALDWELL DPM PC. |
| 600 7th St Se, 101 Outpatient Palliative Care Clinic, Cedar Rapids, IA 52403-1292 | 3193986860 | MERCY MEDICAL CENTER |
| 701 10th St Se, Mercy Family Counseling, Cedar Rapids, IA 52403-1251 | 3193694777 | MERCY MEDICAL CENTER |
| 701 10th St Se, Cedar Rapids, IA 52403-1292 | 3193986011 | MERCY MEDICAL CENTER |
| 701 10th St Se Hall Perrine Cancer Ctr 2nd Fl, Mercy Professional Services, Cedar Rapids, IA 52403-1292 | 3193986011 | MERCY MEDICAL CENTER |
| 701 10th St Se J Edward Lundy Pavillion 4th Fl, Mercy Pediatric Clinic, Cedar Rapids, IA 52403-1251 | 3198322328 | MERCY MEDICAL CENTER |
| Organization Legal Name | ROBERT CALDWELL DPM PC. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter E Caldwell | Podiatry | Robert Caldwell Dpm PC. | 1700 1st Ave Ne, Cedar Rapids, IA 52402-5433 |
| Street Address |
1700 1ST AVE NE |
| City | CEDAR RAPIDS |
| State | IA |
| Zip | 52402-5433 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter E Caldwell | Podiatry | Robert Caldwell Dpm PC. | 1700 1st Ave Ne, Cedar Rapids, IA 52402-5433 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Logan J Jenkins | Chiropractic | 1146 Blairs Ferry Rd Ne, Suite 5, Cedar Rapids, IA 52402-1274 | |
| Teresa R Stewart | Physician Assistant | Iowa Physicians Clinic Medical Foundation | 6911 C Ave Ne, Family Medicine Bowman Woods, Cedar Rapids, IA 52402-1349 |
| Myong J Kang | Family Medicine | Iowa Physicians Clinic Medical Foundation | 6911 C Ave Ne, Family Medicine Bowman Woods, Cedar Rapids, IA 52402-1349 |
| Susan Marie Mason | Family Medicine | Iowa Physicians Clinic Medical Foundation | 6911 C Ave Ne, Family Medicine Bowman Woods, Cedar Rapids, IA 52402-1349 |
| Brandy M Leclere | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 6911 C Ave Ne, Family Medicine Bowman Woods, Cedar Rapids, IA 52402-1349 |
| Therese B Molloy | Occupational Therapy | 6915 Wilton Ct Ne, Cedar Rapids, IA 52402-1448 | |
| Dennis J Bradley | Chiropractic | 214 Blairs Ferry Rd Ne, Suite 2, Cedar Rapids, IA 52402-1602 | |
| Chris Allan Smith | Chiropractic | 214 Blairs Ferry Rd Ne, Suite 2, Cedar Rapids, IA 52402-1602 | |
| Amanda Osullivan | Chiropractic | 214 Blairs Ferry Rd Ne, Suite 2, Cedar Rapids, IA 52402-1602 | |
| Nathan T Broghammer | Chiropractic | 214 Blairs Ferry Rd Ne, 2 Chiropractic Clinic of Iowa, Cedar Rapids, IA 52402-1602 | |
| Find all physicians in zip 52402 | |||
| City | CEDAR RAPIDS |
| Zip Code | 52402 |
| Specialty | PODIATRY |
| City + Specialty | CEDAR RAPIDS + PODIATRY |
Please comment or provide details below to improve the information on Michael R 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.