Shannon J Sullivan in Iowa City - Neonatal-perinatal Medicine
Shannon J Sullivan - NPI 1093702755
Shannon J Sullivan is a Neonatal-perinatal Medicine in Iowa City, Iowa. Shannon J Sullivan practices all healthcare services and medical treatments related to Neonatal-perinatal Medicine. The NPI Number for Shannon J Sullivan is 1093702755. The last update date is 2007-12-18.
Shannon J Sullivan's current location address is 200 Hawkins Dr, Iowa City, Iowa. You can contact this provider via phone number 3193847745 and fax number 3193846295. The mailing address for Shannon J Sullivan is 200 Hawkins Dr, Iowa City, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon J Sullivan |
|---|---|
| Address | 200 Hawkins Dr, Iowa City, Iowa |
| Phone Number | 3193847745 |
| Fax Number | 3193846295 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1093702755 |
|---|---|
| Provider Enumeration Date | 2005-09-28 |
| Last Updated Date | 2007-12-18 |
Provider Mailing Address Detail
| Address | 200 Hawkins Dr |
|---|---|
| City | Iowa City |
| State | Iowa (IA) |
| Post Code | 522421009 |
| Phone Number | 3193847745 |
| Fax Number | 3193846295 |
Provider's Primary Taxonomy Detail
| Speciality | Neonatal-perinatal Medicine |
|---|---|
| Taxonomy | 2080N0001X |
| Licence No | 33360 |
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Definition: A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16241 | IA | WELLMARK BCBS | |
| 206524 | IA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Shannon J Sullivan?
The Shannon J Sullivan has been issued the NPI (National Provider Identifier) 1093702755 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Shannon J Sullivan's physical address?
The Shannon J Sullivan is physically located at 200 Hawkins Dr, in the city of Iowa City, IA, with the postal code 522421009.
What is Shannon J Sullivan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Shannon J Sullivan is Neonatal-perinatal Medicine, and the taxonomy code that classifies this field of practice is 2080N0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1093702755 to Shannon J Sullivan?
The Shannon J Sullivan received its 1093702755 assignment from the Centers for Medicare & Medicaid Services on 2005-09-28.
When was the Shannon J Sullivan's information last updated?
The Shannon J Sullivan's information was last updated on 2007-12-18.
NPI Number: 1912900614
Address: 3558 Jefferson St N Ste 1, Lewisburg, WV