Jon M. Sullivan, M.D.

Pediatrics Physician · Gallipolis, OH

Individual Active NPI

NPI number 1053341370

Practice location

100 Jackson Pike
Gallipolis, OH 45631-1560
Phone
(740) 446-5371
Fax
(740) 446-5711

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NPI record

NPI
1053341370
Entity type
Individual (Type 1)
Enumeration date
July 3, 2006
Last updated
December 29, 2020
Certified
December 29, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 35-05-4754 OH
Pediatrics Physician 208000000X 16987 WV

Mailing address

90 Jackson Pike
Gallipolis, OH 45631-1560
Phone
(740) 446-5371
Fax
(740) 446-5711

About Dr. Sullivan

Jon M. Sullivan, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 100 Jackson Pike, Gallipolis, OH 45631-1560. The NPI number 1053341370 was assigned on July 3, 2006 and the record was last updated on December 29, 2020.

Dr. Sullivan lists 2 licenses in the registry: #35-05-4754 (OH) for Pediatrics Physician; #16987 (WV) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jon M. Sullivan, M.D.?

The NPI number is 1053341370.

What is the phone number of Dr. Sullivan?

The phone number listed for the practice location is (740) 446-5371.

Where is Dr. Sullivan located?

100 Jackson Pike, Gallipolis, OH 45631-1560.

What is the taxonomy code for Dr. Sullivan?

The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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