MICHAEL J. SULLIVAN MD – NPI #1558486746
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

MICHAEL SULLIVAN is a physician located in SHREVEPORT, LA. NPPES has assigned the NPI number 1558486746 to MICHAEL SULLIVAN on March 20, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHAEL SULLIVAN below.

NPI Profile for
MICHAEL J. SULLIVAN

NPI Number
1558486746
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MICHAEL J. SULLIVAN
Credentials
MD
Primary location
2510 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118-3119
Phone: (504) 834-2062 Fax:
Mailing address
PO BOX 8608
METAIRIE, LA 70011-8608
Phone: (504) 834-2062 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for MICHAEL SULLIVAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDLA1967432
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)
LA 017603

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.