John A. Sullivan in Springfield - Diagnostic Radiology

John A. Sullivan - NPI 1013985134

John A. Sullivan is a Diagnostic Radiology in Springfield, Missouri. John A. Sullivan practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for John A. Sullivan is 1013985134. The last update date is 2009-09-10.

John A. Sullivan's current location address is 1550 E Republic Rd, Springfield, Missouri. You can contact this provider via phone number 4178896102 and fax number 4178896289. The mailing address for John A. Sullivan is 1550 E Republic Rd, Springfield, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name John A. Sullivan
Address 1550 E Republic Rd, Springfield, Missouri
Phone Number 4178896102
Fax Number 4178896289
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1013985134
Provider Enumeration Date 2006-03-14
Last Updated Date 2009-09-10

Provider Mailing Address Detail

Address 1550 E Republic Rd
City Springfield
State Missouri (MO)
Post Code 658046530
Phone Number 4178896102
Fax Number 4178896289

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No R6F03
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1256 MO BLUE
202340501 MO --
110826001 AR --
300034332 MO RRR MEDICARE

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FAQs about John A. Sullivan

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

The John A. Sullivan has been issued the NPI (National Provider Identifier) 1013985134, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the John A. Sullivan's physical address?

The John A. Sullivan is physically located at 1550 E Republic Rd, in the city of Springfield, MO, with the postal code 658046530.

What is John A. 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 John A. Sullivan is Diagnostic Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085R0202X.

On what date did John A. Sullivan receive its 1013985134 assignment from the Centers for Medicare & Medicaid Services?

The John A. Sullivan was assigned its 1013985134 on 2006-03-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to John A. Sullivan most recently updated or refreshed?

The details pertaining to the John A. Sullivan, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-09-10.

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