Sullivan Medical, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO832 Issued in AL

Legal business name

SULLIVAN MEDICAL, LLC

Practice address

1874 Slaughter Rd Ste P
Madison, AL 35758-5912

Phone

(256) 830-6667

Fax

(256) 830-5751

NPI assigned

Sep 4, 2008

Organization subpart

No

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

Authorized official

Name

Mary P Sullivan, D.O.NPI 1841201118

Title

Physician

Phone

(256) 830-6667

Specialties & licenses 1

Addresses

Other names 1

• MADISON PRIMARY CARE AND WELLNESS CENTER Doing business as

Practitioners 1

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

• Mary P Sullivan, D.O.

  • Emergency Medicine Physician
  • Bay Minette, AL
  • NPI 1841201118
  NPD (past) Authorized official

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1811145758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1768",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357585409",
            "telephone_number": "256-830-6667",
            "fax_number": "256-830-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1874 SLAUGHTER RD STE P",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357585912",
            "telephone_number": "256-830-6667",
            "fax_number": "256-830-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "256-830-6667",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MADISON PRIMARY CARE AND WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stronger Together Relationship Counseling, LLC
• Jennifer Strother, CFN
• William Ray Stroud III, MD
• Sullins Eye Care Center, Inc.
• Steve Luttrell Sullins, O.D.
• Alicia Monique Sullivan-Smith, LMHC
• Rachel Renay Sullivan
• Veronica Harkness Sullivan, PMHNP-BC, DNP
• Drew Matthew Sumrall, DDS
• Kresta Lee Sunderman, CRNP

• Family Medicine Physician in Madison, AL
• Providers in Madison, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.