Peter Vincent Sullivan, M.D.

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

K1689 Issued in TX

Practice address

100 W Cross St
Madisonville, TX 77864-2432

Phone

(936) 348-2631

NPI assigned

May 18, 2006

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)

Enrolled

Credentials

Doctor of Medicine

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.

• Brazos Valley Emergency Physicians PA

  • Emergency Medicine Physician
  • Navasota, TX
  • NPI 1982642955
  NPD (past)
• Fadi G. Ghanem, MD PA

  dba Maternal and Family Clinic

  • Family Medicine Physician
  • The Woodlands, TX
  • NPI 1386868875
  NPD (past)
• MFC Medsurg Group LLC

  • Family Medicine Physician
  • The Woodlands, TX
  • NPI 1811338981
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1255384608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 HICKORY HOLLOW LN",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041484",
            "telephone_number": "936-756-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W CROSS ST",
            "city": "MADISONVILLE",
            "state": "TX",
            "postal_code": "778642432",
            "telephone_number": "936-348-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "PETER",
        "middle_name": "VINCENT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TX",
            "license": "K1689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riverwood-LTC, LLC (Riverwood Healthcare)
• Charles Robbins, NP-C
• Robert Tieperman DC PA
• Sawyer Sams, DDS
• St. Joseph Regional Health Center (St. Joseph J.B. Heath Family Health Center)
• Summit LTC Madisonville, LLC
• Superior Telemedicine, PLLC
• Ten Broeck Tennessee Physicians (CHI St. Joseph Health Madison Hospital d/b/a Senior Renewal Center)
• Texas Loving Care Senior Living
• April Thompson, FNP-C

• Emergency Medical Services (Emergency Medicine) Physician in Madisonville, TX
• Providers in Madisonville, TX by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.