Vincent E. Sullivan MD PC

Surgery Physician · Centerville, IA

Organization Active NPI

NPI number 1174705628

Practice location

19878 Saint Joseph Dr
Centerville, IA 52544-8850
Phone
(641) 437-1576
Fax
(641) 437-4205

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NPI record

NPI
1174705628
Entity type
Organization (Type 2)
Enumeration date
November 27, 2007
Last updated
November 27, 2007
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X 18213 IA

Mailing address

19878 Saint Joseph Dr
P.O. Box 160
Centerville, IA 52544-8850
Phone
(641) 437-1576
Fax
(641) 437-4205

Authorized official

Name
Dr. Vincent Edward Sullivan, M.D.
Title
Owner
Phone
(641) 437-1576

Other names

  • Surgery Clinic

About Vincent E. Sullivan MD PC

Vincent E. Sullivan MD PC is a healthcare organization registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 19878 Saint Joseph Dr, Centerville, IA 52544-8850. The NPI number 1174705628 was assigned on November 27, 2007 and the record was last updated on November 27, 2007.

Vincent E. Sullivan MD PC lists a license in the registry: #18213 (IA) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Vincent Edward Sullivan, M.D., Owner.

Frequently asked questions

What is the NPI number of Vincent E. Sullivan MD PC?

The NPI number is 1174705628.

What is the phone number of Vincent E. Sullivan MD PC?

The phone number listed for the practice location is (641) 437-1576.

Where is Vincent E. Sullivan MD PC located?

19878 Saint Joseph Dr, Centerville, IA 52544-8850.

What is the taxonomy code for Vincent E. Sullivan MD PC?

The primary taxonomy code is 208600000X – Surgery Physician.

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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