Individual provider Active NPI

Janelle Crozier Sullivan, MD

  • Pediatrics Physician
  • Toledo, OH
National Provider Identifier
1609365857
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.141032 Issued in OH
Practice address
3900 Sunforest CT Ste 215
Toledo, OH 43623-4440
Phone
(419) 473-6670
NPI assigned
May 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.141032 OH Primary

Addresses

Primary practice location

3900 Sunforest CT Ste 215
Toledo, OH 43623-4440

Mailing address

2702 Navarre Ave Ste 106
Oregon, OH 43616-3224
Phone (419) 697-6777

Other practice location 1

2702 Navarre Ave Ste 106
Oregon, OH 43616-3224
Phone (419) 697-6777

Other practice location 2

3309 Quail Hollow Dr Ste C
Lambertville, MI 48144-8688
Phone (734) 854-2428

Other names 1

  • Janelle Nichole Crozier Former name

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.141032OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Pediatric Center, Inc. Pediatrics PastSince May 1, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1609365857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 NAVARRE AVE STE 106",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163224",
            "telephone_number": "419-697-6777",
            "fax_number": "419-697-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 SUNFOREST CT STE 215",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234440",
            "telephone_number": "419-473-6670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2702 Navarre Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Oregon",
            "state": "OH",
            "postal_code": "436163224",
            "country_code": "US",
            "telephone_number": "419-697-6777",
            "fax_number": "419-697-6712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3309 Quail Hollow Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Lambertville",
            "state": "MI",
            "postal_code": "481448688",
            "country_code": "US",
            "telephone_number": "734-854-2428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JANELLE",
        "middle_name": "CROZIER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.141032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANELLE",
            "last_name": "CROZIER",
            "middle_name": "NICHOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.