Jason P Sullivan (NPI# 1669638219, PAC ID# 9830331032) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1669638219 |
| PAC ID by PECOS | 9830331032 |
| Professional Enrollment ID | I20130819000599 |
| Full Name | Jason P Sullivan |
| Organization Legal Name | DES MOINES ORTHOPAEDIC SURGEONS PC |
| Address |
1600 60th St West Des Moines IA 50266-7700 |
| Phone Number | 5152245232 |
| Gender | M |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 0345141719 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160082 | IOWA METHODIST MEDICAL CENTER |
| 161342 | MONROE COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1600 60th St, West Des Moines, IA 50266-7700 | 5152245232 | DES MOINES ORTHOPAEDIC SURGEONS PC |
| 1660 60th St, West Des Moines, IA 50266-7700 | 5153431000 | DES MOINES ORTHOPAEDIC SURGEONS PC |
| 6001 Westown Pkwy, West Des Moines, IA 50266-7719 | 5152241414 | DES MOINES ORTHOPAEDIC SURGEONS PC |
| Organization Legal Name | DES MOINES ORTHOPAEDIC SURGEONS PC |
| Physicians | 83 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mollie Margaret Mortenson | Physician Assistant | Des Moines Orthopaedic Surgeons PC | 350 Ne 36th St, Ankeny, IA 50021-6728 |
| Devon D Goetz | Orthopedic Surgery | Des Moines Orthopaedic Surgeons PC | 6001 Westown Pkwy, West Des Moines, IA 50266-7719 |
| Bradley Reed Carroll | Physician Assistant | Des Moines Orthopaedic Surgeons PC | 1600 60th St, West Des Moines, IA 50266-7700 |
| Seth F Hockaday | Physician Assistant | Des Moines Orthopaedic Surgeons PC | 1600 60th St, West Des Moines, IA 50266-7700 |
| Amanda Monroy | Nurse Practitioner | Des Moines Orthopaedic Surgeons PC | 6001 Westown Pkwy, West Des Moines, IA 50266-7719 |
| Nicholas J Honkamp | Orthopedic Surgery | Des Moines Orthopaedic Surgeons PC | 6001 Westown Pkwy, West Des Moines, IA 50266-7719 |
| Lindsey J Engbers | Physician Assistant | Des Moines Orthopaedic Surgeons PC | 350 Ne 36th St, Ankeny, IA 50021-6728 |
| Barron R Bremner | Orthopedic Surgery | Des Moines Orthopaedic Surgeons PC | 6001 Westown Pkwy, West Des Moines, IA 50266-7719 |
| Elizabeth Marie Bracciano | Occupational Therapy | Des Moines Orthopaedic Surgeons PC | 1301 Pennsylvania Ave, Suite 213, Des Moines, IA 50316-2365 |
| Mark J Isaacson | Orthopedic Surgery | Des Moines Orthopaedic Surgeons PC | 6001 Westown Pkwy, West Des Moines, IA 50266-7719 |
| Street Address |
1600 60TH ST |
| City | WEST DES MOINES |
| State | IA |
| Zip | 50266-7700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott A Thompson | Anesthesiology | Associated Anesthesiologists, P.C. | 1600 60th St, West Des Moines, IA 50266-7700 |
| Bradley Reed Carroll | Physician Assistant | Des Moines Orthopaedic Surgeons PC | 1600 60th St, West Des Moines, IA 50266-7700 |
| George Lederhaas | Anesthesiology | Associated Anesthesiologists, P.C. | 1600 60th St, West Des Moines, IA 50266-7700 |
| Seth F Hockaday | Physician Assistant | Des Moines Orthopaedic Surgeons PC | 1600 60th St, West Des Moines, IA 50266-7700 |
| William Eugene Davis Jr. | Anesthesiology | Associated Anesthesiologists, P.C. | 1600 60th St, West Des Moines, IA 50266-7700 |
| William Joseph Brosnahan | Anesthesiology | Associated Anesthesiologists, P.C. | 1600 60th St, West Des Moines, IA 50266-7700 |
| Jeffrey Dean Anderson | Anesthesiology | Associated Anesthesiologists, P.C. | 1600 60th St, West Des Moines, IA 50266-7700 |
| Gautam K Reddy | Anesthesiology | Associated Anesthesiologists, P.C. | 1600 60th St, West Des Moines, IA 50266-7700 |
| Brenton E Freeman | Anesthesiology | Associated Anesthesiologists, P.C. | 1600 60th St, West Des Moines, IA 50266-7700 |
| Jillian April Reavis | Physician Assistant | Des Moines Orthopaedic Surgeons PC | 1600 60th St, West Des Moines, IA 50266-7700 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Karl Zorn | Sleep Medicine | Iowa Sleep Disorders Center, P.C. | 4060 Westown Pkwy, West Des Moines, IA 50266-1010 |
| Christie A Bosler | Physician Assistant | Iowa Sleep Disorders Center, P.C. | 4060 Westown Pkwy, West Des Moines, IA 50266-1010 |
| Carol A Smith | Physician Assistant | Iowa Sleep Disorders Center, P.C. | 4060 Westown Pkwy, West Des Moines, IA 50266-1010 |
| Diedre K Benson | Nurse Practitioner | Iowa Sleep Disorders Center, P.C. | 4060 Westown Pkwy, West Des Moines, IA 50266-1010 |
| Terry D Huseman | Optometry | Des Moines Family Eyecare LLC | 1551 Valley W Dr, 118b, West Des Moines, IA 50266-1107 |
| Todd W Christensen | Optometry | 1551 Valley W Dr, Suite 100, West Desmoines, IA 50266-1107 | |
| Robert T Brown | Optometry | Des Moines Family Eyecare LLC | 1551 Valley W Dr, 118b, West Des Moines, IA 50266-1107 |
| Katherine Kemmerer | Optometry | Terry D Huseman Od PC | 1551 Valley W Dr, 242 Huseman Eyecare Valley West, West Des Moines, IA 50266-1108 |
| Kelly J Soults | Optometry | Terry D Huseman Od PC | 1551 Valley W Dr, 242 Huseman Eyecare Valley West, West Des Moines, IA 50266-1108 |
| Allen J Blume | Optometry | Terry D Huseman Od PC | 1551 Valley W Dr, 242 Huseman Eyecare Valley West, West Des Moines, IA 50266-1108 |
| Find all physicians in zip 50266 | |||
| City | WEST DES MOINES |
| Zip Code | 50266 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | WEST DES MOINES + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Jason P 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.