JOHN K SULLIVAN MD NPI 1518967843

NPI Information

NPI: 1518967843
Provider Name: JOHN K SULLIVAN, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Address:
49 SPRING ST
2ND FLOOR
SCARBOROUGH, ME
ZIP 04074
Phone: (207) 883-1414
Get Directions

John K 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. John K Sullivan, MD NPI is 1518967843. 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
2ND FLOOR
SCARBOROUGH, ME
ZIP 04074-926
Phone: (207) 883-1414
Fax: (207) 883-1518

The enumeration date for this NPI number is 7/28/2005 and was last updated on 10/23/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	MD10681	MAINE	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
1	30004047	MEDICAID	NEW HAMPSHIRE
2	01504302	MEDICARE PIN	MAINE
3	01504301	MEDICARE PIN	MAINE
4	DX4460	MEDICARE PIN	MAINE
5	P01079467	MEDICARE PIN	MAINE
6	C58952	MEDICARE UPIN
7	290400099	MEDICAID	MAINE
8	015043	MEDICARE PIN	MAINE

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

NPI Synchronization or Removal

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