Active NPI
Lori a Sullivan MD LLC
- Family Medicine Physician
- West Jefferson, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LORI A SULLIVAN MD LLC
- Practice address
- 487 W Main St Ste B
West Jefferson, OH 43162-1178 - Phone
- (614) 454-7559
- Fax
- (614) 454-2989
- NPI assigned
- Mar 4, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lori Sullivan, MD
- Title
- Physician/Owner
- Phone
- (614) 454-7559
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
487 W Main St Ste B
West Jefferson, OH 43162-1178
Mailing address
487 W Main St Ste B
West Jefferson, OH 43162-1178
Phone (614) 454-7559
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2341379 | Lori a Sullivan MD LLC | Certificate of waiver | Mar 31, 2028 |
National Provider Directory
National Provider DirectoryLocations
487 W Main St
Ste B
West Jefferson, OH 43162
Phone (380) 235-8070
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Hilliard, OH
- NPI 1417028697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772582400000",
"number": "1083569966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "487 W MAIN ST STE B",
"city": "WEST JEFFERSON",
"state": "OH",
"postal_code": "431621178",
"telephone_number": "614-454-7559",
"fax_number": "614-454-2989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "487 W MAIN ST STE B",
"city": "WEST JEFFERSON",
"state": "OH",
"postal_code": "431621178",
"telephone_number": "614-454-7559",
"fax_number": "614-454-2989"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LORI A SULLIVAN MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-04",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A",
"authorized_official_last_name": "SULLIVAN",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "614-454-7559",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Jefferson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.