JULIE G. SULLIVAN M.D. – NPI #1578568010
Pediatrics

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

JULIE SULLIVAN is a physician located in BROKEN ARROW, OK. NPPES has assigned the NPI number 1578568010 to JULIE SULLIVAN on June 20, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080A0000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Adolescent Medicine

The NPI profile was previously updated about 9 years ago on Jan 24, 2017. 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 JULIE SULLIVAN below.

NPI Profile for
JULIE G. SULLIVAN

NPI Number
1578568010
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JULIE G. SULLIVAN
Credentials
M.D.
Primary location
1615 S EUCALYPTUS AVE
SUITE 210
BROKEN ARROW, OK 74012-6159
Phone: (918) 254-6822 Fax: (918) 254-6823
Mailing address
Same as primary location
Sole Proprietor
No
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
2080A0000X
- Pediatrics / Adolescent Medicine (Primary)
OK 23824

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.