Jeremiah O Sullivan MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

100021 Issued in NY

Legal business name

JEREMIAH O SULLIVAN MD PC

Practice address

2218 Main St
Buffalo, NY 14214-2635

Phone

(716) 834-4141

Fax

(716) 838-5840

NPI assigned

Jun 11, 2010

Last updated

Aug 19, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeremiah O Sullivan, MDNPI 1104893833

Title

Physician

Phone

(716) 834-4141

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeremiah O'Sullivan, MD

  • Internal Medicine Physician
  • Buffalo, NY
  • NPI 1104893833
  Authorized official Same address or phone

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1023338118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142635",
            "telephone_number": "716-834-4141",
            "fax_number": "716-838-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142635",
            "telephone_number": "716-834-4141",
            "fax_number": "716-838-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMIAH O SULLIVAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-11",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "O SULLIVAN",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "716-834-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "100021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Jensen, BSN, RN
• Steven Alan Jenson, DDS
• Karen N. Jentz, RN
• Miyoung Jeoung, SRNA
• Ariel Marie Jerard Less, PSYD
• Jessica Andrea Jerez, MD
• Jericho Road Ministries Inc. (JRCHC Pharmacy @ Barton)
• Jericho Road Ministries Inc. (Jericho Road Community Health Center)
• Jericho Road Ministries Inc.
• Jericho Road Ministries Inc. (Jericho Road Community Health Center)

• Internal Medicine Physician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.