Robert Terrence Sullivan (NPI# 1124198734, PAC ID# 4880726298) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1124198734 |
| PAC ID by PECOS | 4880726298 |
| Professional Enrollment ID | I20180626000794 |
| Full Name | Robert Terrence Sullivan |
| Organization Legal Name | ROPER SAINT FRANCIS PHYSICIANS NETWORK |
| Address |
8901 University Blvd N Charleston SC 29406-9116 |
| Phone Number | 8437891850 |
| Gender | M |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 5193874824 |
| Number of Group Practice Members | 359 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420087 | ROPER HOSPITAL |
| 420065 | BON SECOURS-ST FRANCIS XAVIER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8901 University Blvd, N Charleston, SC 29406-9116 | 8437891850 | ROPER SAINT FRANCIS PHYSICIANS NETWORK |
| Organization Legal Name | ROPER SAINT FRANCIS PHYSICIANS NETWORK |
| Physicians | 396 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Colton Thomas Jayne | Family Medicine | Roper Saint Francis Physicians Network | 319 Folly Rd, Charleston, SC 29412-2518 |
| Whitney Hartman | Nurse Practitioner | Roper Saint Francis Physicians Network | 4278 Ladson Rd, Ladson, SC 29456-5452 |
| Lesley Ann Bosse | Nurse Practitioner | Roper Saint Francis Physicians Network | 1114 N Main St, Summerville, SC 29483-7326 |
| Jeanne B Lumpkin | Family Medicine | Roper Saint Francis Physicians Network | 5133 Rivers Ave, North Charleston, SC 29406-6338 |
| Mary D Edwards | Nurse Practitioner | Roper Saint Francis Physicians Network | 912 Inlet Square Dr A, Murrells Inlet, SC 29576-7812 |
| Brittain Williams Gibbs | Nurse Practitioner | Roper Saint Francis Physicians Network | 2075 Eagle Landing Blvd, N Charleston, SC 29406-4074 |
| Keely Flynn Hudgins | Registered Dietitian Or Nutrition Professional | Roper Saint Francis Physicians Network | 2093 Henry Tecklenburg Dr, Charleston, SC 29414-5783 |
| Elizabeth A Byerly | Nurse Practitioner | Roper Saint Francis Physicians Network | 1595 Central Ave, Summerville, SC 29483-5529 |
| Brett H Young | Orthopedic Surgery | Roper Saint Francis Physicians Network | 255 E Bay St, Charleston, SC 29401-2632 |
| Anthony J Yuen | Family Medicine | Roper Saint Francis Physicians Network | 1112 N Main St, Summerville, SC 29483-7315 |
| Street Address |
8901 UNIVERSITY BLVD |
| City | N CHARLESTON |
| State | SC |
| Zip | 29406-9116 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marcus A Salo | Family Medicine | Roper Saint Francis Physicians Network | 8901 University Blvd, N Charleston, SC 29406-9116 |
| Amy Beth Wilkerson | Nurse Practitioner | Roper Saint Francis Physicians Network | 8901 University Blvd, N Charleston, SC 29406-9116 |
| Elysa Dutton | Nurse Practitioner | Roper Saint Francis Physicians Network | 8901 University Blvd, N Charleston, SC 29406-9116 |
| Antionette Akia Bennett | Family Medicine | Roper Saint Francis Physicians Network | 8901 University Blvd, N Charleston, SC 29406-9116 |
| Eugene Ancrum | Physician Assistant | Roper Saint Francis Physicians Network | 8901 University Blvd, N Charleston, SC 29406-9116 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Coker | Cardiovascular Disease (cardiology) | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Mary L Bowen | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Jason B Coker | Internal Medicine | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Dana West | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Victoria M Adams | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Kirsten Lynn Paris | Physician Assistant | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, North Charleston, SC 29406 |
| Jack Stansbury | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Jennifer M Lesslie | Optometry | 1370 Remount Rd, Suite B, N Charleston, SC 29406-3322 | |
| Francis Akom | Obstetrics/gynecology | 1370 Remount Rd D, North Charleston, SC 29406-3322 | |
| Michael David Schall | Optometry | 1415 Remount Rd, N Charleston, SC 29406-3326 | |
| Find all physicians in zip 29406 | |||
| City | N CHARLESTON |
| Zip Code | 29406 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | N CHARLESTON + ORTHOPEDIC SURGERY |
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| 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.