Peggy Ann Sullivan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

37542 Issued in MN

Practice address

6936 Pine Arbor Dr S Ste 100
Cottage Grove, MN 55016-4661

Phone

(651) 326-5800

Fax

(651) 326-5802

NPI assigned

Mar 31, 2006

Sex

Female

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

Other names 1

• Peggy Ann Sullivan Murtaugh Former name

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Allina Health System

  • Obstetrics & Gynecology Physician
  • Buffalo, MN
  • NPI 1295272342
  Medicare reassignment NPD
• Healtheast Medical Research Institute

  • Clinic/Center
  • Vadnais Heights, MN
  • NPI 1639125503
  Medicare reassignment NPD
• Allina Health System

  • Family Medicine Physician
  • Farmington, MN
  • NPI 1003112822
  NPD
• Healtheast Medical Research Institute

  • Family Medicine Physician
  • Roseville, MN
  • NPI 1053620187
  NPD
• Healtheast Medical Research Institute

  • Clinic/Center
  • Oakdale, MN
  • NPI 1073569935
  NPD
• Healtheast Medical Research Institute

  • Internal Medicine Physician
  • Saint Paul, MN
  • NPI 1508191552
  NPD
• Healtheast Medical Research Institute

  • Clinic/Center
  • Saint Paul, MN
  • NPI 1578503124
  NPD
• Healtheast Medical Research Institute

  • Clinic/Center
  • Saint Paul, MN
  • NPI 1730128398
  NPD
• Healtheast Medical Research Institute

  • Clinic/Center
  • Cottage Grove, MN
  • NPI 1801842729
  NPD
• Healtheast Medical Research Institute

  • Clinic/Center
  • Woodbury, MN
  • NPI 1831145705
  NPD
• Healtheast Medical Research Institute

  • Clinic/Center
  • Saint Paul, MN
  • NPI 1871549741
  NPD

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1861453664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6936 PINE ARBOR DR S STE 100",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164661",
            "telephone_number": "651-326-5800",
            "fax_number": "651-326-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6936 PINE ARBOR DR S STE 100",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164661",
            "telephone_number": "651-326-5800",
            "fax_number": "651-326-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "PEGGY",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "37542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "587017800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEGGY",
            "last_name": "SULLIVAN MURTAUGH",
            "middle_name": "ANN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas Stork
• Ashley Rae Strand, PHARMD
• Strive Services LLC
• Nancy Lindberg Struthers, MD
• Emily Sullivan, RN, IBCLC
• Sunflower Transportation LLC
• Supervalu Pharmacies Inc
• Christina Michele Swigart, L.N.
• Jessica Ruth Taylor, MD
• Chaunte Elizabeth Teehan, M.A., LPCC

• Family Medicine Physician in Cottage Grove, MN
• Providers in Cottage Grove, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.

Verify at the official NPI Registry.