James K Sullivan (NPI# 1639113020, PAC ID# 8426071408) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1639113020 |
| PAC ID by PECOS | 8426071408 |
| Professional Enrollment ID | I20060104000947 |
| Full Name | James K Sullivan |
| Address |
250 Wampanoag Trail Suite 202 Riverside RI 02915-2216 |
| Phone Number | 4014350044 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | PSYCHIATRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 250 Wampanoag Trail, Suite 202, Riverside, RI 02915-2216 | 4014350044 | |
| 455 Toll Gate Rd, Warwick, RI 02886-2759 | 4017377010 | AFFINITY PHYSICIANS LLC. |
| Street Address |
250 WAMPANOAG TRAIL SUITE 202 |
| City | RIVERSIDE |
| State | RI |
| Zip | 02915-2216 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Penny Mclean-nowinski | Nurse Practitioner | Coastal Medical Inc | 1445 Wampanoag Trl, Suite 205, Riverside, RI 02915-1019 |
| James M Schwartz | Family Medicine | Coastal Medical Inc | 1445 Wampanoag Trl, Suite 205, Riverside, RI 02915-1019 |
| Kayla Whiting Barrett | Physical Therapy | Silver Fern Practice, LLC | 1235 Wampanoag Trl, Suite 5, Riverside, RI 02915-1231 |
| Erin Moss | Physical Therapy | Silver Fern Practice, LLC | 1235 Wampanoag Trl, Suite 5, Riverside, RI 02915-1231 |
| Katherine Hart | Physical Therapy | Silver Fern Practice, LLC | 1235 Wampanoag Trl, Suite 5, Riverside, RI 02915-1231 |
| Rose A Goulet | Clinical Social Worker | East Bay Community Action Program | 610 Wampanoag Trl, Riverside, RI 02915-1504 |
| Jasmine M Lucas | Clinical Social Worker | East Bay Community Action Program | 610 Wampanoag Trl, Riverside, RI 02915-1504 |
| Edward B Rush | Clinical Social Worker | East Bay Community Action Program | 610 Wampanoag Trl, Riverside, RI 02915-1504 |
| Cheryl A Delpadre | Clinical Social Worker | East Bay Community Action Program | 610 Wampanoag Trl, Riverside, RI 02915-1504 |
| Thomas L Huott | Podiatry | University Foot and Ankle Center Inc | 600 Wampanoag Trail, Suite D, East Providence, RI 02915-1511 |
| Find all physicians in zip 02915 | |||
| City | RIVERSIDE |
| Zip Code | 02915 |
| Specialty | PSYCHIATRY |
| City + Specialty | RIVERSIDE + PSYCHIATRY |
Please comment or provide details below to improve the information on James K 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.