Organization Active NPI

Sullivan Asthma and Allergy Care PC

  • Allergy & Immunology Physician
  • Spring Hill, TN
National Provider Identifier
1053519678
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
38819 Issued in TN
Legal business name
SULLIVAN ASTHMA AND ALLERGY CARE PC
Practice address
3098 Campbell Station Pkwy
Suite A202
Spring Hill, TN 37174
Phone
(615) 302-5020
Fax
(615) 302-5025
NPI assigned
Jul 5, 2007
Last updated
Jul 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Authorized official

Name
Mr. Ryan Richard Sullivan, MD
Title
President
Phone
(615) 302-5020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 38819 TN Primary

Addresses

Primary practice location

3098 Campbell Station Pkwy
Suite A202
Spring Hill, TN 37174

Mailing address

3098 Campbell Station Pkwy
Suite A202
Spring Hill, TN 37174
Phone (615) 302-5020

National Provider Directory

National Provider Directory

Locations

3098 Campbell Station Pkwy
#A20
Spring Hill, TN 37174

3098 Campbell Station Pkwy
Ste A202
Spring Hill, TN 37174
Phone (615) 302-5020

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1053519678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3098 CAMPBELL STATION PKWY",
            "address_2": "SUITE A202",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "37174",
            "telephone_number": "615-302-5020",
            "fax_number": "615-302-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3098 CAMPBELL STATION PKWY",
            "address_2": "SUITE A202",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "37174",
            "telephone_number": "615-302-5020",
            "fax_number": "615-302-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN ASTHMA AND ALLERGY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-302-5020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TN",
            "license": "38819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.