Corinne Kravitz Sullivan, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

16357 Issued in NH

Practice address

7 Dunning St
Claremont, NH 03743

Phone

(603) 542-6700

Fax

(603) 542-6730

NPI assigned

May 8, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Corinne Dornbush Kravitz Former name

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: corinne.sullivan.1@16301.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Valley Regional Hospital Inc.

  • Critical Access Hospital
  • Claremont, NH
  • NPI 1306933619
  Medicare reassignment NPD
• Valley Regional Hospital Inc.

  • Family Medicine Physician
  • Newport, NH
  • NPI 1366687683
  Medicare reassignment NPD
• Bruce J Lewis M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Claremont, NH
  • NPI 1760521090
  NPD
• Valley Regional Hospital ,Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Claremont, NH
  • NPI 1922160035
  NPD
• Valley Regional Hospital, Inc

  • Family Medicine Physician
  • Claremont, NH
  • NPI 1619340163

  Pediatrics

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1376777078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 ELM ST",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "03743",
            "telephone_number": "603-543-6940",
            "fax_number": "603-543-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 DUNNING ST",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "03743",
            "telephone_number": "603-542-6700",
            "fax_number": "603-542-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "CORINNE",
        "middle_name": "KRAVITZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-08",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NH",
            "license": "16357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "16357",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3091289",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022455",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORINNE",
            "last_name": "KRAVITZ",
            "middle_name": "DORNBUSH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jaime L Stone, RN, CRNP, FNP-C
• Janet Stryker, COTA
• Sugar River Care Counseling and Consultation PLLC
• Sugar River Family Practice, P.C.
• Sullivan County Oral Health Collaborative
• Matthew R Sullivan, M.D.
• Malcolm Sutton
• Kylee Taft-Brown
• Shirley Tan, M.D.
• Robert L. Tatro Jr., D.M.D.

• Pediatrics Physician in Claremont, NH
• Providers in Claremont, NH by specialty
• Pediatrics Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.