ROBERT W SULLIVAN DPM PC NPI 1073524088

NPI Information

NPI: 1073524088
Provider Name: ROBERT W SULLIVAN DPM PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1700 PLEASURE HOUSE RD
SUITE 101-102
VIRGINIA BEACH, VA
ZIP 23455
Phone: (757) 363-3338
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ROBERT W SULLIVAN DPM PC is a foot and ankle surgery podiatrist in Virginia Beach, VA. ROBERT W SULLIVAN DPM PC NPI is 1073524088. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1700 PLEASURE HOUSE RD
SUITE 101-102
VIRGINIA BEACH, VA
ZIP 23455-053
Phone: (757) 363-3338
Fax: (757) 363-3453

The provider's authorized official is Robert Walter Sullivan .
The authorized official title is President and has the following contact phone number (757) 363-3338.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 7/29/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	0103000735	VIRGINIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	480026957	OTHER	VIRGINIA	RR MEDICARE
2	571322	OTHER	VIRGINIA	OPTIMA

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

NPI Synchronization or Removal

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