Robert W Sullivan DPM PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0103000735 Issued in VA

Legal business name

ROBERT W SULLIVAN DPM PC

Practice address

1700 Pleasure House Rd
Suite 101-102
Virginia Beach, VA 23455-4053

Phone

(757) 363-3338

Fax

(757) 363-3453

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Walter Sullivan, D.P.M.

Title

President

Phone

(757) 363-3338

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Taehoon Chung, DPM

  • Foot Surgery Podiatrist
  • Virginia Beach, VA
  • NPI 1164416681
  NPD (past)
• Anthony J. Vuolo Jr., DPM

  • Foot & Ankle Surgery Podiatrist
  • Virginia Beach, VA
  • NPI 1972569598
  NPD (past)
• Sara Zelinskas I, DPM

  • Foot & Ankle Surgery Podiatrist
  • Virginia Beach, VA
  • NPI 1013229897
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1073524088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 PLEASURE HOUSE RD",
            "address_2": "SUITE 101-102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234554053",
            "telephone_number": "757-363-3338",
            "fax_number": "757-363-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 PLEASURE HOUSE RD",
            "address_2": "SUITE 101-102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234554053",
            "telephone_number": "757-363-3338",
            "fax_number": "757-363-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W SULLIVAN DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-363-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103000735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "571322",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "480026957",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert D. Lehman, M.D., P.C
• Robert D. Wernick, D.D.S, P.C.
• Robert E Titcomb OD PC
• Robert Lee Kenney DDS
• Robert Seim OD, PC
• Frank Andre Roberto, M.D.
• Sharon Lucille Roberts-Carter, MS., LPC
• Aimee Brooke Roberts, CD, CCE
• Asia Roberts
• Carlene Roberts

• Foot & Ankle Surgery Podiatrist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Foot & Ankle Surgery Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.