Matthew D Sullivan (NPI# 1700884913, PAC ID# 6103078779) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1700884913 |
| PAC ID by PECOS | 6103078779 |
| Professional Enrollment ID | I20121205000235 |
| Full Name | Matthew D Sullivan |
| Organization Legal Name | RENAL MEDICAL CARE P.C. |
| Address |
830 Oak St 125e Brockton MA 02301-7304 |
| Phone Number | 5085881505 |
| Gender | M |
| Graduation Year | 1994 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3678645173 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220088 | NEW ENGLAND BAPTIST HOSPITAL |
| 220100 | SOUTH SHORE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 830 Oak St, 125e, Brockton, MA 02301-7304 | 5085881505 | RENAL MEDICAL CARE P.C. |
| Organization Legal Name | RENAL MEDICAL CARE P.C. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shreekant Chopra | Nephrology | Renal Medical Care P.C. | 830 Oak St, 125e, Brockton, MA 02301-7304 |
| Nicolaos Athienites | Nephrology | Renal Medical Care P.C. | 830 Oak St, 125e, Brockton, MA 02301-7304 |
| Street Address |
830 OAK ST 125E |
| City | BROCKTON |
| State | MA |
| Zip | 02301-7304 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zwi Hoch | Obstetrics/gynecology | 830 Oak St, Suite 102w, Brockton, MA 02301-1168 | |
| Richard P Junghans | Hematology/oncology | Steward Medical Group Inc | 830 Oak St, Brockton, MA 02301-1168 |
| Brien P Daly | Obstetrics/gynecology | Steward Medical Group Inc | 830 Oak St, 223e, Brockton, MA 02301-1191 |
| Jennifer Frangos | Oral Surgery | Oral and Maxillofacial Surgery Inc | 830 Oak St, Suite 101w, Brockton, MA 02301-1168 |
| Kathleen M Lemaitre | Obstetrics/gynecology | Steward Medical Group Inc | 830 Oak St, 223e, Brockton, MA 02301-1191 |
| Barry M Arkin | Cardiovascular Disease (cardiology) | Steward Medical Group Inc | 830 Oak St, Brockton, MA 02301-1168 |
| Benoy J Zachariah | Internal Medicine | Steward Medical Group Inc | 830 Oak St, 205w, Brockton, MA 02301-1191 |
| Diane M Paggioli | Medical Oncology | Steward Medical Group Inc | 830 Oak St, Brockton, MA 02301-1168 |
| Scott M Bortman | Internal Medicine | Steward Medical Group Inc | 830 Oak St, Brockton, MA 02301-1168 |
| Richard J Catrambone | Oral Surgery | Oral and Maxillofacial Surgery Inc | 830 Oak St, Suite 101w, Brockton, MA 02301-1168 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andris Jason Zauls | Radiation Oncology | Steward Good Samaritan Radiation Oncology Center, Inc. | 818 Oak St, Good Samaritan Radiation Oncology Center, Brockton, MA 02301-1107 |
| Jan Amorello | Nurse Practitioner | Steward Good Samaritan Radiation Oncology Center, Inc. | 818 Oak St, Good Samaritan Radiation Oncology Center, Brockton, MA 02301-1107 |
| Valentina Moirangthem | Hematology/oncology | Steward Medical Group Inc | 830 Oak St, Suite 105w, Brockton, MA 02301-1168 |
| Sajal Swaroop | Oral Surgery | Oral and Maxillofacial Surgery Inc | 830 Oak St, Suite 101w, Brockton, MA 02301-1168 |
| Ann Marie Van Hof | Nurse Practitioner | Steward Medical Group Inc | 830 Oak St, Suite 105w, Brockton, MA 02301-1168 |
| Vikas Merchia | Obstetrics/gynecology | 830 Oak St, Suite 102w, Brockton, MA 02301-1168 | |
| Scott D Dreiker | Obstetrics/gynecology | Steward Medical Group Inc | 830 Oak St, Brockton, MA 02301-1168 |
| Joseph P Kagan | Internal Medicine | Steward Medical Group Inc | 830 Oak St, Brockton, MA 02301-1168 |
| George P Sorescu | Hematology/oncology | Steward Medical Group Inc | 830 Oak St, Brockton, MA 02301-1168 |
| Clifford J Berger | Internal Medicine | Steward Medical Group Inc | 830 Oak St, Brockton, MA 02301-1168 |
| Find all physicians in zip 02301 | |||
| City | BROCKTON |
| Zip Code | 02301 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BROCKTON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Matthew D 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.