NPIMap

Organization Active NPI

Iris Sullivan M.D., PC

  • Family Medicine Physician
  • Fitchburg, MA
National Provider Identifier
1932333937
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
156837 Issued in MA
Legal business name
IRIS SULLIVAN M.D., PC
Practice address
64 Whalon St
Fitchburg, MA 01420-7138
Phone
(978) 342-4500
Fax
(978) 342-4600
NPI assigned
May 6, 2009
Last updated
Aug 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Authorized official

Name
Dr. Iris Sullivan, M.D.
Title
President
Phone
(978) 348-2183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 156837 MA Primary

Addresses

Primary practice location

64 Whalon St
Fitchburg, MA 01420-7138

Mailing address

256 Pearl Hill Rd
Fitchburg, MA 01420-2019
Phone (978) 348-2183

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1932333937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 PEARL HILL RD",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014202019",
            "telephone_number": "978-348-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 WHALON ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014207138",
            "telephone_number": "978-342-4500",
            "fax_number": "978-342-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRIS SULLIVAN M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "IRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-348-2183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "156837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.