James Henry Sullivan MD LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

JAMES HENRY SULLIVAN MD LLC

Practice address

973 Mica Dr
Suite 102
Carson City, NV 89705-7255

Phone

(775) 267-9222

Fax

(775) 267-9225

NPI assigned

Jul 11, 2007

Last updated

May 13, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Henry Sullivan, MD

Title

President

Phone

(775) 267-9222

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1922207984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084100",
            "telephone_number": "503-372-2740",
            "fax_number": "503-372-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "973 MICA DR",
            "address_2": "SUITE 102",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897057255",
            "telephone_number": "775-267-9222",
            "fax_number": "775-267-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES HENRY SULLIVAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-267-9222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Anesthesiology) Physician in Carson City, NV
• Providers in Carson City, NV by specialty
• Pain Medicine (Anesthesiology) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.