Thomas C. Sullivan, M.D., Inc.

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

A41748 Issued in CA

Legal business name

THOMAS C. SULLIVAN, M.D., INC.

Practice address

550 Washington St
Suite 821
San Diego, CA 92103-2213

Phone

(619) 686-4011

Fax

(619) 686-4041

NPI assigned

Jun 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 C. Sullivan, M.D.NPI 1508895988

Title

President

Phone

(619) 686-4011

Specialties & licenses 1

Addresses

Practitioners 1

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

• Thomas C. Sullivan, M.D.

  • Colon & Rectal Surgery Physician
  • Mena, AR
  • NPI 1508895988
  NPD (past) Authorized official

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437185717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 WASHINGTON ST",
            "address_2": "SUITE 821",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032213",
            "telephone_number": "619-686-4011",
            "fax_number": "619-686-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 WASHINGTON ST",
            "address_2": "SUITE 821",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032213",
            "telephone_number": "619-686-4011",
            "fax_number": "619-686-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS C. SULLIVAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-686-4011",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "A41748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phuong To Thoi, PHARM.D.
• Bigg Yee Thom, L.AC.
• Lea L Thomann, DPT, ATC, EMT, CSCS
• Thomas & Reid Innovations (InstaHomeCare)
• Thomas a Hessling M D Inc
• Autumn Dongxia Thomas Colwell
• Fred S. Thomas III III, CERTIFIED HYPNOSIS
• Robert Lee Thomas III, M.D., PHD
• Thomas L Roderick DDS
• Thomas Lian MD Apc

• Colon & Rectal Surgery Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Colon & Rectal Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.