MITCHELL SULLIVAN MD – NPI #1841292562
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

MITCHELL SULLIVAN is a physician located in LYNDONVILLE, VT. NPPES has assigned the NPI number 1841292562 to MITCHELL SULLIVAN on August 12, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 3 years ago on Mar 07, 2023. 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 MITCHELL SULLIVAN below.

NPI Profile for
MITCHELL SULLIVAN

NPI Number
1841292562
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MITCHELL SULLIVAN
Credentials
MD
Primary location
195 INDUSTRIAL PKWY
LYNDONVILLE, VT 05851-4511
Phone: (802) 748-9501 Fax: (802) 748-3420
Mailing address
PO BOX 83
LYNDONVILLE, VT 05851-0083
Phone: (802) 748-9501 Fax: (802) 748-3420
Sole Proprietor
No
Updated
Identifiers

Identifiers for MITCHELL 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.

See identifiers
DescriptionIssuerStateIdentifier
otherAETNA GROUP5830418
otherANTHEM BC/BSNH0106084YPNH01
otherCIGNA HEALTHCARENH160094
otherRAILROAD MEDICARE930044719
otherSTATE LICENSE #NH9367
medicaidNH3073723
medicaidNH30008999
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
207Q00000X
- Family Medicine (Primary)		 NH 9367

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.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MITCHELL SULLIVAN is affiliated with the following medical group(s):
  • HOSPITAL
    • ANDROSCOGGIN VALLEY HOSPITAL
      59 PAGE HILL ROAD
      BERLIN, NH 03570
    • MARY HITCHCOCK MEMORIAL HOSPITAL
      1 MEDICAL CENTER DRIVE
      LEBANON, NH 03756
    • NORTHEASTERN VERMONT REGIONAL HOSPITAL
      1315 HOSPITAL DRIVE
      SAINT JOHNSBURY, VT 05819
  • HOME HEALTH AGENCY
    • CALEDONIA HOME HEALTH CARE
      161 SHERMAN DRIVE
      SAINT JOHNSBURY, VT 05819
  • HOSPICE
    • CALEDONIA HOME HEALTH CARE
      161 SHERMAN DRIVE
      SAINT JOHNSBURY, VT 05819

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.