DR. THOMAS JAMES SULLIVAN MD NPI 1225031966

NPI Information

NPI: 1225031966
Provider Name: DR. THOMAS JAMES SULLIVAN, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
100 PERPETUAL SQ
ANDERSON, SC
ZIP 29621
Phone: (864) 261-7474
Get Directions

DR. Thomas James Sullivan, MD is a cardiovascular disease internal medicine in Anderson, SC. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Thomas James Sullivan, MD NPI is 1225031966. 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:

100 PERPETUAL SQ
ANDERSON, SC
ZIP 29621-713
Phone: (864) 261-7474
Fax: (864) 261-8580

The enumeration date for this NPI number is 5/26/2005 and was last updated on 10/19/2007.

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	207RC0000X	Internal Medicine	Cardiovascular Disease	14879	SOUTH CAROLINA	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	E58639	MEDICARE UPIN	SOUTH CAROLINA
2	8653	MEDICARE PIN
3	CD3151	MEDICARE ID-TYPE UNSPECIFIED	SOUTH CAROLINA	RAILROAD MCARE GRP ID#
4	148799	MEDICAID	SOUTH CAROLINA
5	00612257D	MEDICAID	GEORGIA

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: 4/28/2024

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