Jeremy T Sullivan (NPI# 1053379644, PAC ID# 8729143615) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1053379644 |
| PAC ID by PECOS | 8729143615 |
| Professional Enrollment ID | I20090706000135 |
| Full Name | Jeremy T Sullivan |
| Organization Legal Name | PSYCHIATRIC MANAGEMENT SERVICES |
| Address |
2725 Enterprise Dr Anderson IN 46013-9670 |
| Phone Number | 7653746044 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7618285057 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2725 Enterprise Dr, Anderson, IN 46013-9670 | 7653746044 | PSYCHIATRIC MANAGEMENT SERVICES |
| Organization Legal Name | PSYCHIATRIC MANAGEMENT SERVICES |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Lauren Peterson-bledsoe | Nurse Practitioner | Psychiatric Management Services | 11690 Grooms Rd, Blue Ash, OH 45242-1412 |
| Leann M Sabatini | Nurse Practitioner | Psychiatric Management Services | 11690 Grooms Rd, Blue Ash, OH 45242-1412 |
| Njideka Jacintha Ejinaka | Nurse Practitioner | Psychiatric Management Services | 11690 Grooms Rd, Blue Ash, OH 45242-1412 |
| Street Address |
2725 ENTERPRISE DR |
| City | ANDERSON |
| State | IN |
| Zip | 46013-9670 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerry D Warthman | Optometry | 1923 W 53rd St, Anderson, IN 46013-1109 | |
| Brett T Krepps | Orthopedic Surgery | Community Physicians of Indiana Inc | 3125 S Scatterfield Rd, Suite 310, Anderson, IN 46013-1801 |
| Theresa R Neff | Nurse Practitioner | Community Physicians of Indiana Inc | 3125 S Scatterfield Rd, Suite 310, Anderson, IN 46013-1801 |
| Ashley Lynne Smith | Nurse Practitioner | Community Physicians of Indiana Inc | 3125 S Scatterfield Rd, Suite 300, Anderson, IN 46013-1801 |
| Yochana Gavva | Family Medicine | Community Physicians of Indiana Inc | 3125 S Scatterfield Rd, Suite 300, Anderson, IN 46013-1801 |
| Anne E Conner | Nurse Practitioner | Community Physicians of Indiana Inc | 3125 S Scatterfield Rd, Suite 300, Anderson, IN 46013-1801 |
| Richard Yomi Aina | Family Medicine | Community Physicians of Indiana Inc | 3125 S Scatterfield Rd, Suite 300, Anderson, IN 46013-1801 |
| Deena M Heller | Clinical Social Worker | Community Health Network Inc | 3125 S Scatterfield Rd, Suite 200, Anderson, IN 46013-1801 |
| Tabassum Hatimi | Family Medicine | Community Physicians of Indiana Inc | 3125 S Scatterfield Rd, Suite 300, Anderson, IN 46013-1801 |
| Margaret Malicay | Family Practice | Community Physicians of Indiana Inc | 3125 S Scatterfield Rd, Suite 300, Anderson, IN 46013-1801 |
| Find all physicians in zip 46013 | |||
| City | ANDERSON |
| Zip Code | 46013 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ANDERSON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jeremy T 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.