Pamela A Sullivan (NPI# 1033187828, PAC ID# 6204025364) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
Nation Provider ID (NPI) | 1033187828 |
PAC ID by PECOS | 6204025364 |
Professional Enrollment ID | I20120307000351 |
Full Name | Pamela A Sullivan |
Organization Legal Name | HEARTLAND WOMEN'S HEALTHCARE MO PC |
Address |
1000 Edgewater Pt Suite 200 Lake St Louis MO 63367-2954 |
Phone Number | 6189975266 |
Gender | F |
Graduation Year | 1993 |
Primary Specialty | OBSTETRICS/GYNECOLOGY |
Group Practice PAC ID | 7618236415 |
Number of Group Practice Members | 10 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
260200 | SSM ST JOSEPH HOSPITAL WEST |
260005 | SSM ST JOSEPH HEALTH CENTER |
Address | Phone | Organization |
---|---|---|
1000 Edgewater Pt, Suite 200, Lake St Louis, MO 63367-2954 | 6189975266 | HEARTLAND WOMEN'S HEALTHCARE MO PC |
1603 Wentzville Pkwy, Heartland Women's Healthcare, Wentzville, MO 63385-3826 | 6189975266422 | HEARTLAND WOMEN'S HEALTHCARE MO PC |
Organization Legal Name | HEARTLAND WOMEN'S HEALTHCARE MO PC |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
Carrera Constance Williams | Nurse Practitioner | Heartland Women's Healthcare Mo PC | 2340 Katy Ln, Poplar Bluff, MO 63901-2300 |
Nanci J Bucy | Obstetrics/gynecology | Heartland Women's Healthcare Mo PC | 1000 Edgewater Pt, Suite 200, Lake St Louis, MO 63367-2954 |
P D Young Jr. | Obstetrics/gynecology | Heartland Women's Healthcare Mo PC | 1603 Wentzville Pkwy, Heartland Women's Healthcare, Wentzville, MO 63385-3826 |
Emily L Sammons | Obstetrics/gynecology | Heartland Women's Healthcare Mo PC | 1000 Edgewater Pt, Suite 200, Lake St Louis, MO 63367-2954 |
Carrie Lynn Carda | Obstetrics/gynecology | Heartland Women's Healthcare Mo PC | 1603 Wentzville Pkwy, Heartland Women's Healthcare, Wentzville, MO 63385-3826 |
Street Address |
1000 EDGEWATER PT SUITE 200 |
City | LAKE ST LOUIS |
State | MO |
Zip | 63367-2954 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nanci J Bucy | Obstetrics/gynecology | Heartland Women's Healthcare Mo PC | 1000 Edgewater Pt, Suite 200, Lake St Louis, MO 63367-2954 |
Emily L Sammons | Obstetrics/gynecology | Heartland Women's Healthcare Mo PC | 1000 Edgewater Pt, Suite 200, Lake St Louis, MO 63367-2954 |
Name | Specialty | Organization | Address |
---|---|---|---|
James David Sills Powell | Podiatry | 1309 Lake Saint Louis Blvd, Lake Saint Louis, MO 63367-1322 | |
Victoria Lynn Hines | Nurse Practitioner | Forest Physician Services, LLP | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
Patrick D Farrell | Family Medicine | Forest Physician Services, LLP | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
John Long | Anesthesiology | Metro-west Anesthesia Group Inc | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
Gregory Dewitt Folkert | Emergency Medicine | Lake Forest Emergency Group LLC | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
Akiko Okabe | Nurse Practitioner | Southeastern Physician Services PC | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
Kathleen H Kidd | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
Vincent Lawrence Boston | Emergency Medicine | Lake Forest Emergency Group LLC | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
Justin Rapoff | Emergency Medicine | Lake Forest Emergency Group LLC | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
Sebastian Puig | Internal Medicine | Forest Physician Services, LLP | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
Find all physicians in zip 63367 |
City | LAKE ST LOUIS |
Zip Code | 63367 |
Specialty | OBSTETRICS/GYNECOLOGY |
City + Specialty | LAKE ST LOUIS + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Pamela A 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.