Donald J Sullivan (NPI# 1508814484, PAC ID# 6103816756) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1508814484 |
| PAC ID by PECOS | 6103816756 |
| Professional Enrollment ID | I20040514001086 |
| Full Name | Donald J Sullivan |
| Address |
4100 Austin Peay Hwy Memphis TN 38128-2502 |
| Gender | M |
| Credential | MD |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Secondary Specialties | PAIN MANAGEMENT |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440049 | METHODIST HEALTHCARE MEMPHIS HOSPITALS |
| Address | Phone | Organization |
|---|---|---|
| 4100 Austin Peay Hwy, Memphis, TN 38128-2502 |
| Street Address |
4100 AUSTIN PEAY HWY |
| City | MEMPHIS |
| State | TN |
| Zip | 38128-2502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Habib M Fanny | Physical Medicine and Rehabilitation | 4100 Austin Peay Hwy, Memphis, TN 38128-2502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher A Clarke | Optometry | Christopher Andrew Clarke | 3358 Austin Peay Hwy, Memphis, TN 38128 |
| Emmanuel C Iloh | Internal Medicine | 3950 N Covington Pike Rd, Suite 130, Memphis, TN 38128 | |
| William Whittington | Physical Medicine and Rehabilitation | Orthonow, Pllc | 4901 Raleigh Common Dr, Suite 200, Memphis, TN 38128-2478 |
| Daniel J Tucker | Podiatry | Orthonow, Pllc | 4901 Raleigh Common Dr, Suite 200, Memphis, TN 38128-2478 |
| Bret R Sokoloff | Orthopedic Surgery | Orthonow, Pllc | 4901 Raleigh Common Dr, Suite 200, Memphis, TN 38128-2478 |
| Lakshmi Krishnamurthi | Hospitalist | 4913 Raleigh Common Dr, Suite 201, Memphis, TN 38128-2485 | |
| Emmanuel M Agapos | Hospitalist | 3960 New Covington Pike, Memphis, TN 38128-2504 | |
| Nikita R Edmonds | Nurse Practitioner | Methodist Inpatient Physicians LLC | 3960 New Covington Pike, Memphis, TN 38128-2504 |
| Amanda Lee | Nurse Practitioner | Methodist Inpatient Physicians LLC | 3960 New Covington Pike, Memphis, TN 38128-2504 |
| Daniel D Zobell | Hospitalist | Methodist Inpatient Physicians LLC | 3960 New Covington Pike, Memphis, TN 38128-2504 |
| Find all physicians in zip 38128 | |||
| City | MEMPHIS |
| Zip Code | 38128 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | MEMPHIS + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Donald J 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.