Douglas K Sullivan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X010001 Issued in NY

Practice address

3660 George F Hwy
Endwell, NY 13760-5932

Phone

(607) 754-5900

Fax

(607) 754-3170

NPI assigned

Dec 29, 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

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Broome County Chiropractic, PC

  • Chiropractor
  • Endwell, NY
  • NPI 1972634558
  Medicare reassignment NPD Authorized official
• Tri Cities Chiropractic

  • Chiropractor
  • Endicott, NY
  • NPI 1851424089
  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477619625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 GEORGE F HWY",
            "city": "ENDWELL",
            "state": "NY",
            "postal_code": "137605932",
            "telephone_number": "607-754-5900",
            "fax_number": "607-754-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 GEORGE F HWY",
            "city": "ENDWELL",
            "state": "NY",
            "postal_code": "137605932",
            "telephone_number": "607-754-5900",
            "fax_number": "607-754-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "DOUGLAS",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Erin Skiadas, FNP
• Tessa Cotroneo Smith
• Southern Tier Dermatology & Aesthetics
• Andrea Stenta, PT, DPT
• Keira Strong
• Shantel Sustello
• Duncan Sze-Tu, MD
• Rasila A. Thakkar, M.D.
• Michael Tunick, DO
• Union Volunteer Emergency Squad, Inc.

• Chiropractor in Endwell, NY
• Providers in Endwell, NY by specialty
• Chiropractor in New York

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.