George Sullivan, C.A.R. L.M.P.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00013506 Issued in WA

Practice address

1506 5TH Ave SW
Olympia, WA 98502-5248

Phone

(360) 943-8470

NPI assigned

Feb 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Integral Physical Therapy

  • Specialist
  • Olympia, WA
  • NPI 1033248547
  NPD (past)
• Southwest Washington Anesthesia PS

  • Specialist
  • Centralia, WA
  • NPI 1154459550
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144358557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 FOREST HILL DR SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985013736",
            "telephone_number": "360-943-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 5TH AVE SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025248",
            "telephone_number": "360-943-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "GEORGE",
        "credential": "C.A.R. L.M.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00013506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Kathleen Sullivan
• Brian W Sullivan, OD
• Caitlin Sullivan, LMFT
• Corey Sullivan, MD
• Edward Braddock Sullivan
• Grace Mary Sullivan
• Jessica L Sullivan, LMT
• Kaden Sullivan, MSW, LSWAIC
• Nancy Jane Sullivan, LCSW, MSW, MED
• Timothy W Sullivan

• Specialist in Olympia, WA
• Providers in Olympia, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.