JOHN J. SULLIVAN MD – NPI #1124107081
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

JOHN SULLIVAN is a physician located in EUREKA, CA. NPPES has assigned the NPI number 1124107081 to JOHN SULLIVAN on November 03, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 12 years ago on Dec 31, 2013. 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 JOHN SULLIVAN below.

NPI Profile for
JOHN J. SULLIVAN

NPI Number
1124107081
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOHN J. SULLIVAN
Credentials
MD
Primary location
525 2ND ST
#300
EUREKA, CA 95501-5107
Phone: (707) 445-0893 Fax: (707) 444-2563
Mailing address
688 VILLA WAY
ARCATA, CA 95521-5400
Phone: (707) 822-9691 Fax:
Sole Proprietor
Yes
Updated
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
208000000X
- Pediatrics (Primary)
CA G37184

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.