CHARLES D SULLIVAN MD NPI 1033163381

NPI Information

  • NPI: 1033163381
  • Provider Name: CHARLES D SULLIVAN, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 840 N 5TH AVE
    STE 2100
    SEQUIM, WA
    ZIP 98382
  • Phone: (360) 582-2850

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NPI Details

Charles D Sullivan, MD is a family medicine in Sequim, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Charles D Sullivan, MD NPI is 1033163381. 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:

840 N 5TH AVE
STE 2100
SEQUIM, WA
ZIP 98382-045
Phone: (360) 582-2850
Fax: (360) 582-2851

The enumeration date for this NPI number is 5/20/2006 and was last updated on 8/6/2012.

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
1207Q00000XFamily MedicineMD00019156WASHINGTONYes

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
11819408MEDICAIDWASHINGTON
20158209OTHERWASHINGTONLABOR & INDUSTRIES
3043600306OTHERWASHINGTONTIN
4A08004MEDICARE UPINWASHINGTON
5AB28029MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON

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: 11/21/2025

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