Michael A Sullivan is a Surgical in Tyler, Texas. Michael A Sullivan practices all healthcare services and medical treatments related to Surgical. The NPI Number for Michael A Sullivan is 1568418242. The last update date is 2022-10-27.
Michael A Sullivan's current location address is 3414 Golden Rd, Tyler, Texas. You can contact this provider via phone number 9039397500 and fax number 9039397725. The mailing address for Michael A Sullivan is 3414 Golden Rd, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael A Sullivan |
|---|---|
| Address | 3414 Golden Rd, Tyler, Texas |
| Phone Number | 9039397500 |
| Fax Number | 9039397725 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1568418242 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2022-10-27 |
Provider Mailing Address Detail
| Address | 3414 Golden Rd |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757018336 |
| Phone Number | 9039397500 |
| Fax Number | 9039397725 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 187611201 | TX | -- | |
| 8X7926 | TX | BCBS |
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What is the unique 10-digit identifier code issued to Michael A Sullivan by the Centers for Medicare & Medicaid Services?
The Michael A Sullivan has been assigned the NPI (National Provider Identifier) 1568418242 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Michael A Sullivan?
The Michael A Sullivan is situated at 3414 Golden Rd, in the city of Tyler, state of TX, with the zip code 757018336.
What is Michael 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 Michael A Sullivan is Surgical, and the taxonomy classification code that categorizes this area of expertise is 363As0400X.
On what date did Michael A Sullivan receive its 1568418242 assignment from the Centers for Medicare & Medicaid Services?
The Michael A Sullivan was assigned its 1568418242 on 2006-05-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Michael A Sullivan most recently updated or revised?
The information pertaining to Michael A Sullivan, including its address, specialty, and other relevant details, was last updated or revised on 2022-10-27.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX