Philip J Sullivan, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

19503 Issued in CO

Practice address

191 E Orchard Rd
Ste 102NE
Littleton, CO 80121-8000

Phone

(303) 730-1313

Fax

(303) 730-2090

NPI assigned

Apr 19, 2007

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

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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.

• Kremmling Memorial Hospital District

  • Critical Access Hospital
  • Kremmling, CO
  • NPI 1619962321
  Medicare reassignment NPD
• Kremmling Memorial Hospital District

  • Critical Access Hospital
  • Fraser, CO
  • NPI 1093546996
  NPD
• Doctors Care

  • Voluntary or Charitable Agency
  • Littleton, CO
  • NPI 1447448733
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447477583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 S CLAYTON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802106808",
            "telephone_number": "303-692-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 E ORCHARD RD",
            "address_2": "STE 102NE",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801218000",
            "telephone_number": "303-730-1313",
            "fax_number": "303-730-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "PHILIP",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "19503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Sullivan, DO
• Ann-Michelle Sullivan
• Caroline Sullivan, LPC
• Christopher Sullivan, DPM
• Clare Sullivan, ARNP
• Roberta Sullivan
• Summit Adult Day & Wellness, LLC
• Summit Adult Day and Wellness
• Summit Anesthesia
• Summit Family Medicine Inc

• Emergency Medicine Physician in Littleton, CO
• Providers in Littleton, CO by specialty
• Emergency Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.