DAN T. SULLIVAN M.D. – NPI #1831301639
Radiologic Technologist

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.

DAN SULLIVAN is a radiologic technologist located in SPRINGFIELD, MO. NPPES has assigned the NPI number 1831301639 to DAN SULLIVAN on May 04, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 247100000X from the Health Care Provider Taxonomy code set, which is classified as Radiologic Technologist.

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 DAN SULLIVAN below.

NPI Profile for
DAN T. SULLIVAN

NPI Number
1831301639
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DAN T. SULLIVAN
Credentials
M.D.
Primary location
3780 E POND APPLE DR
SPRINGFIELD, MO 65809-4147
Phone: (417) 883-7995 Fax: (417) 882-2560
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
247100000X
- Radiologic Technologist (Primary)
MO MDR4804

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.