Stephen Francis Sullivan, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

34394 Issued in MA

Practice address

51 State Rd
North Dartmouth, MA 02747-3319

Phone

(508) 994-1400

Fax

(508) 910-2212

NPI assigned

Sep 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Eye Health Vision Centers, LLC

  • Eyewear Supplier
  • Fairhaven, MA
  • NPI 1336246941
  NPD (past) Authorized official
• Eye Health Vision Centers of Rhode Island Inc

  • Eyewear Supplier
  • Middletown, RI
  • NPI 1043327687
  NPD (past) Authorized official
• Greater New Bedford Surgicenter

  • Ambulatory Surgical Clinic/Center
  • North Dartmouth, MA
  • NPI 1538122072
  NPD

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1912994658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 STATE RD",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027473319",
            "telephone_number": "508-994-1400",
            "fax_number": "508-910-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 STATE RD",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027473319",
            "telephone_number": "508-994-1400",
            "fax_number": "508-910-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "STEPHEN",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "34394",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "RI",
            "license": "MD05069",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SS31068",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0155691",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steward St. Anne'S Hospital Corp. Reginal Cancer Center
• Neil Stoessel, CRNA
• Joshua Abraham Stone, MD
• Amy Strout
• Marianne T Sullivan, ANP
• Brandon Sumpio
• Sunny Smile VI Inc
• Synergy Surgicalists LLC
• Cara C Sypher-Sieger
• Christopher F Tanga, D.O.

• Ophthalmology Physician in North Dartmouth, MA
• Providers in North Dartmouth, MA by specialty
• Ophthalmology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.