Jon M. Sullivan is a Pediatrics in Gallipolis, Ohio. Jon M. Sullivan practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jon M. Sullivan is 1053341370. The last update date is 2020-12-29.
Jon M. Sullivan's current location address is 90 Jackson Pike, Gallipolis, Ohio. You can contact this provider via phone number 7404465371 and fax number 7404465711. The mailing address for Jon M. Sullivan is 90 Jackson Pike, Gallipolis, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jon M. Sullivan |
|---|---|
| Address | 90 Jackson Pike, Gallipolis, Ohio |
| Phone Number | 7404465371 |
| Fax Number | 7404465711 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1053341370 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2020-12-29 |
Provider Mailing Address Detail
| Address | 90 Jackson Pike |
|---|---|
| City | Gallipolis |
| State | Ohio (OH) |
| Post Code | 456311560 |
| Phone Number | 7404465371 |
| Fax Number | 7404465711 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 16987 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 181879 | OH | UNISON MEDICAID # | |
| 1714064 | MOUNTAIN STATE BCBS | ||
| 882719 | OH | MOLINA MEDICAID # | |
| 6810 | WV | ANTHEM BCBS | |
| 370002760 | OH | RR MEDICARE | |
| 7592 | ANTHEM BCBS | ||
| 107833000 | WV | -- | |
| 882719 | OH | -- | |
| 310917085065 | OH | CARESOURCE MEDICAID # |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jon M. Sullivan by the Centers for Medicare & Medicaid Services?
The Jon M. Sullivan has been issued the NPI (National Provider Identifier) 1053341370, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jon M. Sullivan is located?
The Jon M. Sullivan is situated at the following address: 90 Jackson Pike, Gallipolis, OH, 456311560.
What is Jon M. Sullivan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jon M. Sullivan is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.
When did the Jon M. Sullivan receive its 1053341370?
The Jon M. Sullivan was issued its 1053341370 on 2006-07-03, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Jon M. Sullivan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jon M. Sullivan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-12-29.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY