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CHARLES L SULLIVAN MD NPI 1619929635


NPI Information

NPI: 1619929635
Provider Name: CHARLES L SULLIVAN, MD
Classification: Orthopaedic Surgery - 207XS0106X
Entity Type: Individual

Specialization: Hand Surgery

Organization: MISSOULA BONE AND JOINT, LLC

PECOS Registration: Yes

Address:
2360 MULLAN RD
SUITE C.
MISSOULA, MT
ZIP 59808
Phone: (406) 721-4436
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Charles L Sullivan, MD is a hand surgery orthopaedic surgery in Missoula, MT with 23 years of experience. The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. Charles L Sullivan, MD NPI is 1619929635. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year:2001

The provider's business location address is:

2360 MULLAN RD
SUITE C.
MISSOULA, MT
ZIP 59808-811
Phone: (406) 721-4436
Fax: (406) 721-6053

The NPI 1619929635 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

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.

  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of fingers, minimum of 2 views (HCPCS:73140)

The enumeration date for this NPI number is 5/17/2006 and was last updated on 6/2/2011.


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
1207XS0106XOrthopaedic SurgeryHand Surgery12035MONTANAYes

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.