Robert Sullivan, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

17606 Issued in NC

Practice address

294 Highview Dr
Chapel Hill, NC 27517-7911

Phone

(919) 968-0224

NPI assigned

Aug 9, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447545600000",
    "number": "1881941706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 WEAVER DAIRY RD APT 223",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141467",
            "telephone_number": "919-968-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 HIGHVIEW DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275177911",
            "telephone_number": "919-968-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-09",
        "last_updated": "2015-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "17606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Sullender, MD, MPH
• Juliana B Sullivan, DO
• Karen Dorothy Sullivan, PH.D.
• Katherine Sullivan, LPCA
• Patrick Francis Sullivan, MD
• Cameron Tyler Sulya
• Ruth Christine Sulzer, DDS
• Joshua Joseph Sumislawski, MD
• Christian Robert Summers, DENTAL STUDENT
• Sara Elizabeth Summers, SLP

• Geriatric Medicine (Internal Medicine) Physician in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Geriatric Medicine (Internal Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2015; 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.