NPIMap

Organization Active NPI

Sullivan Plastic and Reconstructive Surgey Center, Inc

  • Ambulatory Surgical Clinic/Center
  • Columbus, OH
National Provider Identifier
1669468278
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
216 / ID 0317AS Issued in OH
Legal business name
SULLIVAN PLASTIC AND RECONSTRUCTIVE SURGEY CENTER, INC
Practice address
7706 Olentangy River Rd
Columbus, OH 43235-1317
Phone
(614) 436-8888
Fax
(614) 436-8847
NPI assigned
Sep 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael Sullivan, M.D.
Title
President
Phone
(614) 436-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 216 / ID 0317AS OH Primary

Addresses

Primary practice location

7706 Olentangy River Rd
Columbus, OH 43235-1317

Mailing address

7706 Olentangy River Rd
Columbus, OH 43235-1317
Phone (614) 436-8888

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669468278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7706 OLENTANGY RIVER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351317",
            "telephone_number": "614-436-8888",
            "fax_number": "614-436-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7706 OLENTANGY RIVER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351317",
            "telephone_number": "614-436-8888",
            "fax_number": "614-436-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN PLASTIC AND RECONSTRUCTIVE SURGEY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-436-8888",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "216 / ID 0317AS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • 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.