NPIMap

Organization Active NPI

Philip G Sullivan MD

  • Obstetrics & Gynecology Physician
  • Monument Beach, MA
National Provider Identifier
1740633981
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
26061 Issued in MA
Legal business name
PHILIP G SULLIVAN MD
Practice address
489 Shore Rd
Monument Beach, MA 02553-1034
Phone
(508) 759-1482
Fax
(508) 743-9202
NPI assigned
Jul 22, 2016
Last updated
Jul 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Authorized official

Name
Philip Gerard Sullivan, M.D.
Title
Physician
Phone
(508) 759-1482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 26061 MA Primary

Addresses

Primary practice location

489 Shore Rd
Monument Beach, MA 02553-1034

Mailing address

PO Box 1034
Monument Beach, MA 02553-1034
Phone (508) 759-1482

National Provider Directory

National Provider Directory
Tax ID family
Az Trans456 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469145600000",
    "number": "1740633981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1034",
            "city": "MONUMENT BEACH",
            "state": "MA",
            "postal_code": "025531034",
            "telephone_number": "508-759-1482",
            "fax_number": "508-743-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 SHORE RD",
            "city": "MONUMENT BEACH",
            "state": "MA",
            "postal_code": "025531034",
            "telephone_number": "508-759-1482",
            "fax_number": "508-743-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP G SULLIVAN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-22",
        "last_updated": "2016-07-22",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "508-759-1482",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "26061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monument Beach, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.