Thomas Andrew Sullivan in Green Bay - Orthopaedic Surgery

Thomas Andrew Sullivan - NPI 1114004181

Thomas Andrew Sullivan is a Orthopaedic Surgery in Green Bay, Wisconsin. Thomas Andrew Sullivan practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Thomas Andrew Sullivan is 1114004181. The last update date is 2010-09-10.

Thomas Andrew Sullivan's current location address is 2223 Lime Kiln Rd, Green Bay, Wisconsin. You can contact this provider via phone number 9204308120 and fax number 9204308122. The mailing address for Thomas Andrew Sullivan is 2223 Lime Kiln Rd, Green Bay, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Andrew Sullivan
Address 2223 Lime Kiln Rd, Green Bay, Wisconsin
Phone Number 9204308120
Fax Number 9204308122
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1114004181
Provider Enumeration Date 2006-11-01
Last Updated Date 2010-09-10

Provider Mailing Address Detail

Address 2223 Lime Kiln Rd
City Green Bay
State Wisconsin (WI)
Post Code 543116213
Phone Number 9204308120
Fax Number 9204308122

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery
Taxonomy 207X00000X
Licence No 44603
Definition:
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
34213200 WI --

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FAQs about Thomas Andrew Sullivan

What is the unique 10-digit identification code assigned to Thomas Andrew Sullivan by the Centers for Medicare & Medicaid Services?

The Thomas Andrew Sullivan has been issued the NPI (National Provider Identifier) 1114004181, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Thomas Andrew Sullivan is physically located?

The Thomas Andrew Sullivan is physically situated at the following address: 2223 Lime Kiln Rd, Green Bay, WI, 543116213.

What is Thomas Andrew Sullivan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Thomas Andrew Sullivan is Orthopaedic Surgery, and the taxonomy code that classifies this field of practice is 207X00000X.

On what date was the 1114004181 assigned to Thomas Andrew Sullivan?

The Thomas Andrew Sullivan was issued its 1114004181 on 2006-11-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Thomas Andrew Sullivan most recently updated or revised?

The details related to Thomas Andrew Sullivan, including its address, specialty, and other relevant information, were last updated or revised on 2010-09-10.

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