Active NPI
James C Sullivan, DPM
- Podiatrist
- North Smithfield, RI
National Provider Identifier
1740296086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- DPM00262
- Practice address
- 249 Eddie Dowling Hwy
North Smithfield, RI 02896 - Phone
- (401) 269-5611
- Fax
- (401) 769-6238
- NPI assigned
- Jul 31, 2006
- Last updated
- Feb 13, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | DPM00262 | RI | Primary |
| Podiatrist | 213E00000X | 1944 | MD |
Addresses
Primary practice location
249 Eddie Dowling Hwy
North Smithfield, RI 02896
Mailing address
249 Eddie Dowling Hwy
North Smithfield, RI 02896
Phone (401) 769-5611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 262 | RI | MD | Mental Health Counselor |
| 1944 | MD | MD | Podiatrist |
| DPM00262 | RI | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Smithfield Foot and Ankle, Inc | Current | Accepting new patients | |
| North Smithfield Podiatry Inc | Podiatrist | Current | Accepting new patients |
| Matrix Sports Medicine & Physical Therapy Inc | Past | Accepting new patients |
Locations
249 Eddie Dowling Hwy
North Smithfield, RI 02896
Phone (401) 269-5611
Interoperability endpoints
- james.sullivan.1@15217.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Podiatrist
- North Smithfield, RI
- NPI 1780748806
-
- Foot & Ankle Surgery Podiatrist
- North Smithfield, RI
- NPI 1013726520
-
- Specialist
- North Smithfield, RI
- NPI 1205894532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360713600000",
"number": "1740296086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "249 EDDIE DOWLING HWY",
"city": "NORTH SMITHFIELD",
"state": "RI",
"postal_code": "02896",
"telephone_number": "401-769-5611",
"fax_number": "401-769-6238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 EDDIE DOWLING HWY",
"city": "NORTH SMITHFIELD",
"state": "RI",
"postal_code": "02896",
"telephone_number": "401-269-5611",
"fax_number": "401-769-6238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "JAMES",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2013-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "RI",
"license": "DPM00262",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MD",
"license": "1944",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Smithfield, RI
- Spectrum Neuro Behavioral Care LLC (SNBCare)
- Cristen Marie Spinella, PHARMD
- State of Rhode Island and Providence Plantations (Mowry Group Home)
- Stepka Family Dental, Inc.
- Gregory Paul Stepka, DMD
- Sunny Smile Group I LLC (Aspen Dental)
- Susan M. Donahue, D.C., LTD.
- Taylor Jared Sutton, DMD
- Hasan D Tavakoli, DA
- The Art of You, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.