Jerry Warner Sullivan, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

03107R Issued in LA

Practice address

301 N Jefferson Davis Pkwy
1St Floor
New Orleans, LA 70119-5311

Phone

(504) 412-1600

NPI assigned

Jul 25, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Louisiana State University School of Medicine in New Orleans Faculty G

  • Multi-Specialty Clinic/Center
  • New Orleans, LA
  • NPI 1477582526
  NPD (past)
• Lsu Medical Center

  • Speech-Language Pathologist
  • New Orleans, LA
  • NPI 1588737803
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689697641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 POYDRAS ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701121221",
            "telephone_number": "504-412-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N JEFFERSON DAVIS PKWY",
            "address_2": "1ST FLOOR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195311",
            "telephone_number": "504-412-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JERRY",
        "middle_name": "WARNER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "03107R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1171140",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beth Carriere Sullivan, FNP
• Brandy Heather Sullivan, MD, MPH
• Caitlin Marie Sullivan, MD, MS
• Campbell Kathryn Sullivan, OTR/L
• Frances Grace Sullivan
• Kathleen Therese Sullivan, MD
• Kevin Michael Sullivan, MD
• Laura Sullivan, LPC, NCC
• Scott Keith Sullivan Jr., MD
• Victoria Karryn Sullivan, DDS

• Cardiovascular Disease Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Cardiovascular Disease Physician in Louisiana

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.