Organization Active NPI

Matthew Schultzel DO and Douglas Sullivan PC

  • Public Health or Welfare Agency
  • Irving, TX
National Provider Identifier
1073167813
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
MATTHEW SCHULTZEL DO AND DOUGLAS SULLIVAN PC
Practice address
222 Las Colinas Blvd W Ste 1650
Irving, TX 75039-5436
Phone
(626) 319-0712
NPI assigned
Jul 30, 2019
Last updated
Sep 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Authorized official

Name
Douglas Sullivan
Title
Secretary
Phone
(626) 319-0712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

222 Las Colinas Blvd W Ste 1650
Irving, TX 75039-5436

Mailing address

2211 Encinitas Blvd Ste 200
Attn: Douglas Sullivan
Encinitas, CA 92024-4361

National Provider Directory

National Provider Directory

Locations

2211 Encinitas Blvd
Ste 200
Encinitas, CA 92024
Phone (626) 319-0712

222 Las Colinas Blvd W
Irving, TX 75039
Phone (626) 319-0712

222 Las Colinas Blvd W
Ste 1650
Irving, TX 75039
Phone (214) 524-9870

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1073167813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 ENCINITAS BLVD STE 200",
            "address_2": "ATTN: DOUGLAS SULLIVAN",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 LAS COLINAS BLVD W STE 1650",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750395436",
            "telephone_number": "626-319-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW SCHULTZEL DO AND DOUGLAS SULLIVAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-30",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "626-319-0712"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.