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MICHAEL PATRICK SULLIVAN M.D. NPI 1922037548


NPI Information

NPI: 1922037548
Provider Name: MICHAEL PATRICK SULLIVAN, M.D.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1117 SPRING ST
FRIDAY HARBOR, WA
ZIP 98250
Phone: (360) 378-2141
Get Directions

Michael Patrick Sullivan, M.D. is an emergency medicine in Friday Harbor, WA. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Michael Patrick Sullivan, M.D. NPI is 1922037548. 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:

1117 SPRING ST
FRIDAY HARBOR, WA
ZIP 98250-782
Phone: (360) 378-2141
Fax: (360) 378-3655

The NPI 1922037548 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 enumeration date for this NPI number is 7/3/2006 and was last updated on 1/30/2013.


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
1207P00000XEmergency MedicineMD00033030WASHINGTONYes

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
18182263MEDICAIDWASHINGTON
27524SUOTHERWASHINGTONBSWA
3G8851330MEDICARE PINWASHINGTON
40302692OTHERWASHINGTONL&I AND CRIME VICTIMS
5F62641MEDICARE UPINWASHINGTON
60168205OTHERWASHINGTONLIWA
7P00308750MEDICARE PINWASHINGTON

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: 5/5/2024

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.