JOHN K SULLIVAN MD NPI 1518967843

NPI Information

  • NPI: 1518967843
  • Provider Name: JOHN K SULLIVAN, MD
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Individual
  • Address: 49 SPRING ST
    2ND FLOOR
    SCARBOROUGH, ME
    ZIP 04074
  • Phone: (207) 883-1414

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NPI Details

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
12084N0400XPsychiatry & NeurologyNeurologyMD10681MAINEYes

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
130004047MEDICAIDNEW HAMPSHIRE
201504302MEDICARE PINMAINE
301504301MEDICARE PINMAINE
4DX4460MEDICARE PINMAINE
5P01079467MEDICARE PINMAINE
6C58952MEDICARE UPIN
7290400099MEDICAIDMAINE
8015043MEDICARE 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: 11/21/2025

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