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CHARLES D SULLIVAN MD NPI 1033163381


NPI Information

NPI: 1033163381
Provider Name: CHARLES D SULLIVAN, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
840 N 5TH AVE
STE 2100
SEQUIM, WA
ZIP 98382
Phone: (360) 582-2850
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Charles D Sullivan, MD is a family medicine in Sequim, WA. The provider is 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. Charles D Sullivan, MD NPI is 1033163381. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

840 N 5TH AVE
STE 2100
SEQUIM, WA
ZIP 98382-045
Phone: (360) 582-2850
Fax: (360) 582-2851

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • Automated urinalysis test (HCPCS:81003)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • Destruction of skin growth (HCPCS:17000)
  • Removal of impact ear wax, one ear (HCPCS:69210)
  • Diagnostic examination of the anus using an endoscope (HCPCS:46600)

The enumeration date for this NPI number is 5/20/2006 and was last updated on 8/6/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineMD00019156WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11819408MEDICAIDWASHINGTON
20158209OTHERWASHINGTONLABOR & INDUSTRIES
3043600306OTHERWASHINGTONTIN
4A08004MEDICARE UPINWASHINGTON
5AB28029MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.