Thomas J. Sullivan, Jr. MD, PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

THOMAS J. SULLIVAN, JR. MD, PA

Practice address

803 N Fant St
Suite 2-C
Anderson, SC 29621-5700

Phone

(864) 225-9566

Fax

(864) 225-9568

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Thomas J Sullivan Jr., MD

Title

Physician/Owner

Phone

(864) 225-9566

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Browne Long, APRN

  • Family Nurse Practitioner
  • Anderson, SC
  • NPI 1033112008
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1386728483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 N FANT ST",
            "address_2": "SUITE 2-C",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215700",
            "telephone_number": "864-225-9566",
            "fax_number": "864-225-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 N FANT ST",
            "address_2": "SUITE 2-C",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215700",
            "telephone_number": "864-225-9566",
            "fax_number": "864-225-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J. SULLIVAN, JR. MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "864-225-9566",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4610",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark W Thayer, DC
• The Chiropractic Thayerapy Center
• The Hand Center PA
• The Mending Hearts Initiative
• The Sports Medicine Shop, Inc
• Jennifer M Thomas, MD
• Jimmy Thomas
• Richard Phillip Thomas, D.O.
• Tracie L. Thomas, LPC
• Brittany Thomason, PHARMD

• Cardiovascular Disease Physician in Anderson, SC
• Providers in Anderson, SC by specialty
• Cardiovascular Disease Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.