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RICHARD L SULLIVAN MD NPI 1518967678


NPI Information

NPI: 1518967678
Provider Name: RICHARD L SULLIVAN, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Address:
49 SPRING ST
SCARBOROUGH, ME
ZIP 04074
Phone: (207) 883-1414
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Richard L Sullivan, MD is a neurology psychiatry neurology in Scarborough, ME. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Richard L Sullivan, MD NPI is 1518967678. 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:

49 SPRING ST
SCARBOROUGH, ME
ZIP 04074-926
Phone: (207) 883-1414
Fax: (207) 883-1518

The enumeration date for this NPI number is 7/29/2005 and was last updated on 12/1/2014.


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
12084N0400XPsychiatry & NeurologyNeurology008530MAINEYes

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
130209412MEDICAIDNEW HAMPSHIRE
2P00925972MEDICARE PINMAINE
3292100099MEDICAIDMAINE
413143102MEDICARE PINMAINE
5131431MEDICARE PINMAINE
6C66286MEDICARE UPIN
726977009MEDICAIDMAINE
813143101MEDICARE PINMAINE

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

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.