Vincent E. Sullivan Md Pc in Centerville - Surgery
Vincent E. Sullivan Md Pc - NPI 1174705628
Vincent E. Sullivan Md Pc is a Surgery in Centerville, Iowa. Vincent E. Sullivan Md Pc practices all healthcare services and medical treatments related to Surgery. The NPI Number for Vincent E. Sullivan Md Pc is 1174705628. The last update date is 2007-11-27.
Vincent E. Sullivan Md Pc's current location address is 19878 Saint Joseph Dr, Centerville, Iowa. You can contact this provider via phone number 6414371576 and fax number 6414374205. The mailing address for Vincent E. Sullivan Md Pc is 19878 Saint Joseph Dr, Centerville, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Vincent E. Sullivan Md Pc |
|---|---|
| Address | 19878 Saint Joseph Dr, Centerville, Iowa |
| Phone Number | 6414371576 |
| Fax Number | 6414374205 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Sullivan Edward Vincent |
| Credentials | M.D. |
| Telephone Number | 6414371576 |
NPI Number Detail
| NPI Number | 1174705628 |
|---|---|
| Provider Enumeration Date | 2007-11-27 |
| Last Updated Date | 2007-11-27 |
Provider Mailing Address Detail
| Address | 19878 Saint Joseph Dr |
|---|---|
| City | Centerville |
| State | Iowa (IA) |
| Post Code | 525448850 |
| Phone Number | 6414371576 |
| Fax Number | 6414374205 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 18213 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 186270 | IA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Vincent E. Sullivan Md Pc by the Centers for Medicare & Medicaid Services?
The Vincent E. Sullivan Md Pc has been issued the NPI (National Provider Identifier) 1174705628. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Vincent E. Sullivan Md Pc?
The Vincent E. Sullivan Md Pc is situated at 19878 Saint Joseph Dr, in the city of Centerville, state of IA, with the zip code 525448850.
What is the Vincent E. Sullivan Md Pc's area of specialization and corresponding taxonomy classification?
The Vincent E. Sullivan Md Pc's specialty field is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their specialties.
When did the Vincent E. Sullivan Md Pc receive its 1174705628?
The Vincent E. Sullivan Md Pc was issued its 1174705628 on 2007-11-27, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Vincent E. Sullivan Md Pc most recently updated or revised?
The details related to Vincent E. Sullivan Md Pc, including its address, specialty, and other relevant information, were last updated or revised on 2007-11-27.