Thomas A Sullivan (NPI# 1114004181, PAC ID# 6800971888) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1114004181 |
| PAC ID by PECOS | 6800971888 |
| Professional Enrollment ID | I20080319000039 |
| Full Name | Thomas A Sullivan |
| Organization Legal Name | ORTHOPEDIC AND SPORTS MEDICINE SPECIALISTS OF GREEN BAY SC |
| Address |
575 4th St Kewaunee WI 54216-1785 |
| Phone Number | 9203884640 |
| Gender | M |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 9739264714 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520049 | BELLIN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2223 Lime Kiln Rd, Suite 1, Green Bay, WI 54311-6213 | 9204308113 | ORTHOPEDIC AND SPORTS MEDICINE SPECIALISTS OF GREEN BAY SC |
| 575 4th St, Kewaunee, WI 54216-1785 | 9203884640 | ORTHOPEDIC AND SPORTS MEDICINE SPECIALISTS OF GREEN BAY SC |
| Organization Legal Name | ORTHOPEDIC AND SPORTS MEDICINE SPECIALISTS OF GREEN BAY SC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul V Tuttle Iv | Rheumatology | Orthopedic and Sports Medicine Specialists of Green Bay Sc | 2223 Lime Kiln Rd, Suite 1, Green Bay, WI 54311-6213 |
| William Victor Albiero | Orthopedic Surgery | Orthopedic and Sports Medicine Specialists of Green Bay Sc | 2223 Lime Kiln Rd, Suite 1, Green Bay, WI 54311-6213 |
| William J Enright | Orthopedic Surgery | Orthopedic and Sports Medicine Specialists of Green Bay Sc | 2223 Lime Kiln Rd, Suite 1, Green Bay, WI 54311-6213 |
| Karl John Henrikson | Orthopedic Surgery | Orthopedic and Sports Medicine Specialists of Green Bay Sc | 1931 Marinette Ave, Marinette, WI 54143-3801 |
| Michael Avery | Rheumatology | Orthopedic and Sports Medicine Specialists of Green Bay Sc | 2223 Lime Kiln Rd, Suite 1, Green Bay, WI 54311-6213 |
| Benjamin S Zellner | Hand Surgery | Orthopedic and Sports Medicine Specialists of Green Bay Sc | 2223 Lime Kiln Rd, Suite 1, Green Bay, WI 54311-6213 |
| Paul C Utrie | Rheumatology | Orthopedic and Sports Medicine Specialists of Green Bay Sc | 2223 Lime Kiln Rd, Suite 1, Green Bay, WI 54311-6213 |
| Debbie Lim | Rheumatology | Orthopedic and Sports Medicine Specialists of Green Bay Sc | 2223 Lime Kiln Rd, Suite 1, Green Bay, WI 54311-6213 |
| Jennifer M Marshall | Physician Assistant | Orthopedic and Sports Medicine Specialists of Green Bay Sc | 2223 Lime Kiln Rd, Suite 1, Green Bay, WI 54311-6213 |
| Joel Evan Hein | Orthopedic Surgery | Orthopedic and Sports Medicine Specialists of Green Bay Sc | 2223 Lime Kiln Rd, Suite 1, Green Bay, WI 54311-6213 |
| Street Address |
575 4TH ST |
| City | KEWAUNEE |
| State | WI |
| Zip | 54216-1785 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah C Sanchez | Family Medicine | Bellin Memorial Hospital Inc | 575 4th St, Kewaunee, WI 54216-1785 |
| Allan James Olson | Family Medicine | Bellin Memorial Hospital Inc | 575 4th St, Kewaunee, WI 54216-1785 |
| Kurt Kurowski | Family Practice | Bellin Memorial Hospital Inc | 575 4th St, Kewaunee, WI 54216-1785 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Reyne J Peters | Chiropractic | 224 Ellis St, Kewaunee, WI 54216-1006 | |
| Charles L Sivret | Chiropractic | Nelson-sivret Chiropractic, LLC | 402 Ellis St, Kewaunee, WI 54216-1329 |
| Robin S Nelson | Chiropractic | Nelson-sivret Chiropractic, LLC | 402 Ellis St, Kewaunee, WI 54216-1329 |
| Marcia Ann Hayes | Nurse Practitioner | Bellin Memorial Hospital Inc | 1308 Lincoln St, Kewaunee, WI 54216-1606 |
| Alishia L Parma | Nurse Practitioner | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1020 Marquette Dr, Kewaunee, WI 54216-1782 |
| Elizabeth D Newbury | Nurse Practitioner | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1020 Marquette Dr, Kewaunee, WI 54216-1782 |
| Laurie S Wegner-burns | Nurse Practitioner | St Vincent Hospital Hospital Sisters Third Order of St Francis | 1020 Marquette Dr, Kewaunee, WI 54216-1782 |
| Marie H Chapman | Chiropractic | Steele Chiropractic LLC | 1218 Ellis St, Kewaunee, WI 54216-1826 |
| Marcus A Steele | Chiropractic | Steele Chiropractic LLC | 1218 Ellis St, Kewaunee, WI 54216-1826 |
| Kari A Cornelissen-wied | Chiropractic | Steele Chiropractic LLC | 1218 Ellis St, Kewaunee, WI 54216-1826 |
| Find all physicians in zip 54216 | |||
| City | KEWAUNEE |
| Zip Code | 54216 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | KEWAUNEE + 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.