Marleta Christine Sullivan, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

DR.0073867 Issued in CO

Practice address

201 14TH St SW
Largo, FL 33770-3133

Phone

(727) 588-5704

NPI assigned

Mar 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Midwestern University, Chicago College of Osteopathic Med, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colorado West Healthcare SystemGroup PAC ID 3971491887, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Hospital Hospital, Grand Junction, CO, CCN 060054
• Family Health West Hospital Hospital, Fruita, CO, CCN 061302

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Colorado West Healthcare System

  • General Acute Care Hospital
  • Grand Junction, CO
  • NPI 1497723407
  Medicare reassignment Care Compare group NPD
• Colorado West Healthcare System

  • Plastic Surgery Physician
  • Grand Junction, CO
  • NPI 1205239555
  NPD
• Colorado West Healthcare System

  • Specialist
  • Grand Junction, CO
  • NPI 1811398324
  NPD
• Community Medical Group, LLC

  • Family Medicine Physician
  • Grand Junction, CO
  • NPI 1629201637
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Colorado West Healthcare System

  • General Acute Care Hospital
  • Grand Junction, CO
  • NPI 1497723407
  Care Compare affiliation
• Lower Valley Hospital Association

  • Critical Access Hospital
  • Fruita, CO
  • NPI 1861496697
  Care Compare affiliation

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1043898323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 14TH ST SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 14TH ST SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703133",
            "telephone_number": "727-588-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MARLETA",
        "middle_name": "CHRISTINE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0073867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfredo Camilo Suarez Garcia, PHARMD
• Rosalie Suarez
• Karthik Sugumaran, D.O.
• Mallory Suhling, DO
• Kelly Ann Sullivan, MS CCC-SLP
• Lynn Francis Sumerson, D.O.
• Lindsay Karen Summer, ARNP
• Summit Medical Group West Florida
• Sun Coast Healthcare Inc
• Sun Coast Hospital Inc

• Internal Medicine Physician in Largo, FL
• Providers in Largo, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.