David Matthew Sullivan (NPI# 1003840497, PAC ID# 6507867728) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1003840497 |
| PAC ID by PECOS | 6507867728 |
| Professional Enrollment ID | I20070130000549 |
| Full Name | David Matthew Sullivan |
| Organization Legal Name | EMERGENCY MEDICINE PHYSICIANS OF MECKLENBURG COUNTY PLLC |
| Address |
2001 Vail Ave Charlotte NC 28207-1248 |
| Phone Number | 7043045000 |
| Gender | M |
| Credential | MD |
| Medical School | HAHNEMAN MEDICAL COLLEGE OF THE PACIFIC |
| Graduation Year | 1996 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 3870635584 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340113 | CAROLINAS MEDICAL CENTER/BEHAV HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 2001 Vail Ave, Charlotte, NC 28207-1248 | 7043045000 | EMERGENCY MEDICINE PHYSICIANS OF MECKLENBURG COUNTY PLLC |
| 8800 N Tryon St, Charlotte, NC 28262-3300 | 7048636000 | EMERGENCY MEDICINE PHYSICIANS OF MECKLENBURG COUNTY PLLC |
| Organization Legal Name | EMERGENCY MEDICINE PHYSICIANS OF MECKLENBURG COUNTY PLLC |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason E Bolden | Emergency Medicine | Emergency Medicine Physicians of Mecklenburg County Pllc | 2001 Vail Ave, Charlotte, NC 28207-1248 |
| Benjamin M Morel | Emergency Medicine | Emergency Medicine Physicians of Mecklenburg County Pllc | 433 Mcalister Rd, Lincolnton, NC 28092-4147 |
| Gregory L Geers | Emergency Medicine | Emergency Medicine Physicians of Mecklenburg County Pllc | 8800 N Tryon St, Charlotte, NC 28262-3300 |
| Zachary Hamilton | Emergency Medicine | Emergency Medicine Physicians of Mecklenburg County Pllc | 10628 Park Rd, Charlotte, NC 28210-8407 |
| Christopher Scott Bewley | Emergency Medicine | Emergency Medicine Physicians of Mecklenburg County Pllc | 10628 Park Rd, Charlotte, NC 28210-8407 |
| Robert E Driver | Emergency Medicine | Emergency Medicine Physicians of Mecklenburg County Pllc | 8800 N Tryon St, Charlotte, NC 28262-3300 |
| John W Burger | Emergency Medicine | Emergency Medicine Physicians of Mecklenburg County Pllc | 2001 Vail Ave, Charlotte, NC 28207-1248 |
| Lauren C Knobeloch | Nurse Practitioner | Emergency Medicine Physicians of Mecklenburg County Pllc | 8800 N Tryon St, Charlotte, NC 28262-3300 |
| Catherine Waggy | Emergency Medicine | Emergency Medicine Physicians of Mecklenburg County Pllc | 2001 Vail Ave, Charlotte, NC 28207-1248 |
| Jaclyn L Davis | Emergency Medicine | Emergency Medicine Physicians of Mecklenburg County Pllc | 433 Mcalister Rd, Lincolnton, NC 28092-4147 |
| Street Address |
2001 VAIL AVE |
| City | CHARLOTTE |
| State | NC |
| Zip | 28207-1248 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Esther Rebecca Landis Hayes | Family Medicine | Carolinas Medical Center | 2001 Vail Ave, Charlotte, NC 28207-1248 |
| Jason E Bolden | Emergency Medicine | Emergency Medicine Physicians of Mecklenburg County Pllc | 2001 Vail Ave, Charlotte, NC 28207-1248 |
| Daniel Vincent Vargo | Orthopedic Surgery | Orthocarolina, Pa | 2001 Vail Ave, Suite 200, Charlotte, NC 28207-1219 |
| Mariann S Lipinski | Certified Registered Nurse Anesthetist (crna) | Chs Anesthesia Services Group Inc | 2001 Vail Ave, Charlotte, NC 28207-1248 |
| Tonia Ann Rouser | Certified Registered Nurse Anesthetist (crna) | Chs Anesthesia Services Group Inc | 2001 Vail Ave, Charlotte, NC 28207-1248 |
| Chelsea D Cain | Nurse Practitioner | Carolinas Medical Center | 2001 Vail Ave, Charlotte, NC 28207-1248 |
| Brittney F Mcguirt | Physician Assistant | Metrolina Nephrology Associates Pa | 2001 Vail Ave, Suite 7, Charlotte, NC 28207-1219 |
| John W Burger | Emergency Medicine | Emergency Medicine Physicians of Mecklenburg County Pllc | 2001 Vail Ave, Charlotte, NC 28207-1248 |
| Lisa M Springer | Hospitalist | Carolinas Physicians Network Inc | 2001 Vail Ave, Charlotte, NC 28207-1248 |
| John Andrew Hamel | Anesthesiology | Chs Anesthesia Services Group Inc | 2001 Vail Ave, Charlotte, NC 28207-1248 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin M Rudisel | Internal Medicine | Novant Medical Group Inc | 1901 Randolph Rd, Charlotte, NC 28207-1101 |
| Philip M Dayvault | Physician Assistant | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Tyler L Carllee | Orthopedic Surgery | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Lindsay C Collins | Physician Assistant | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Kristen L Alford | Physical Therapy | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Marcie Heslop Siebert | Occupational Therapy | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Eric C Heckman | Physician Assistant | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Shannon Mullaly | Physical Therapy | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Timothy A Boyd | Physician Assistant | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Raymond G Gaston | Hand Surgery | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Find all physicians in zip 28207 | |||
| City | CHARLOTTE |
| Zip Code | 28207 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | CHARLOTTE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on David Matthew 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.