Organization Active NPI

John M. Sullivan, M.D. and Associates LLC

  • Allergy Physician
  • Mechanicsburg, PA
National Provider Identifier
1235209271
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
MD018511-E Issued in PA
Legal business name
JOHN M. SULLIVAN, M.D. AND ASSOCIATES LLC
Practice address
1001 S Market St
Suite B
Mechanicsburg, PA 17055-4748
Phone
(717) 697-5050
Fax
(717) 591-0920
NPI assigned
Nov 8, 2006
Last updated
Aug 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Authorized official

Name
John M Sullivan, M.D.NPI 1588672927
Title
Owner
Phone
(717) 697-5050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X MD018511-E PA Primary

Addresses

Primary practice location

1001 S Market St
Suite B
Mechanicsburg, PA 17055-4748

Mailing address

1001 S Market St
Suite B
Mechanicsburg, PA 17055-4748
Phone (717) 697-5050

National Provider Directory

National Provider Directory

Locations

1001 S Market St
Ste B
Mechanicsburg, PA 17055
Phone (717) 406-5190

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": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1235209271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S MARKET ST",
            "address_2": "SUITE B",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554748",
            "telephone_number": "717-697-5050",
            "fax_number": "717-591-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S MARKET ST",
            "address_2": "SUITE B",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554748",
            "telephone_number": "717-697-5050",
            "fax_number": "717-591-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M. SULLIVAN, M.D. AND ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-697-5050",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "PA",
            "license": "MD018511-E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.