Patrick K. Sullivan, MD, LTD.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

PATRICK K. SULLIVAN, MD, LTD.

Practice address

235 Plain St
Suite 502
Providence, RI 02905-3240

Phone

(401) 831-8300

NPI assigned

Mar 31, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patrick Sullivan, MD

Title

Owner

Phone

(401) 831-8300

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013978634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 PLAIN ST",
            "address_2": "SUITE 502",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029053240",
            "telephone_number": "401-831-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 PLAIN ST",
            "address_2": "SUITE 502",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029053240",
            "telephone_number": "401-831-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK K. SULLIVAN, MD, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-831-8300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amrit Pathak, MD
• Sahiti Divya Patibandla
• Gourav V. Patil, MD
• Mangaladevi Patil, M.D.
• Patricia a. Rompf, M.D., Inc
• Elizabeth A Patrick, DDS
• Andrea Patrico
• Eleni Patrozou
• Laura Patterson
• Robert B Patterson, MD

• Plastic Surgery Physician in Providence, RI
• Providers in Providence, RI by specialty
• Plastic Surgery Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.