Joseph Francis Sullivan, JOSEPH SULLIVAN, M.D

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

ME11859 Issued in FL

Practice address

811 7TH Ave S
Naples, FL 34102-6715

Phone

(239) 263-6620

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Senior Friendship Centers, Inc

  • Clinic/Center
  • Venice, FL
  • NPI 1164436473
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1386668127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 7TH AVE S",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 7TH AVE S",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026715",
            "telephone_number": "239-263-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JOSEPH",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "JOSEPH SULLIVAN, M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME11859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID UNPSPECIFIED",
            "identifier": "11044Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Suffoletto, M.D.
• Paola Suglio, D.D.S
• Janice Lindsey Sukay
• Chad Trevor Sulkes, OD
• Christine E Sullivan, RN
• William Nicholas Sullivan
• Ali A Sultan, MD
• Summer Style Life LLC
• Pamela Green Summers, MA, LMHC
• Summit Home Respiratory Services Inc

• Adult Medicine Physician in Naples, FL
• Providers in Naples, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.