Active NPI
James Connor Sullivan, AUD
- Audiologist
- Lawton, OK
National Provider Identifier
1518524404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 5910
- Practice address
- 1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002 - Phone
- (580) 354-5115
- Fax
- (580) 354-5118
- NPI assigned
- May 26, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 5910 | OK | Primary |
Addresses
Primary practice location
1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002
Mailing address
1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002
Phone (580) 354-5115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5910 | OK | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743638400000",
"number": "1518524404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 NE LAWRIE TATUM RD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735073002",
"telephone_number": "580-354-5115",
"fax_number": "580-354-5118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 NE LAWRIE TATUM RD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735073002",
"telephone_number": "580-354-5115",
"fax_number": "580-354-5118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "JAMES",
"middle_name": "CONNOR",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-26",
"last_updated": "2025-04-03",
"certification_date": "2025-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OK",
"license": "5910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.