Dr. John S Sullivan
MD | Pediatric Critical Care Medicine | Male
Dr. John S Sullivan, MD is a Raleigh, North Carolina based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Dr. John S Sullivan is
3000 New Bern Ave, Raleigh, North Carolina - 27610-1231. He can be contacted on phone at
919-350-8000.
Dr. John S Sullivan is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. John S Sullivan is
1689600686 which was assigned by NPPES on 23 Jun, 2006 and it was last updated on 13 Apr, 2021.
Dr. John S Sullivan license number is
MD041640E for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Pennsylvania.
Dr. John S Sullivan is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Dr. John S Sullivan basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Dr. John S Sullivan |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. John S Sullivan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3000 New Bern Ave
Raleigh, NC, 27610-1231
United States |
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| Phone Number : | 919-350-8000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1689600686 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 23 Jun, 2006 |
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| Last Updated On : | 13 Apr, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. John S Sullivan are as mentioned. Primary taxonomy code for Dr. John S Sullivan, MD is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | MD041640E | PA |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | No | 167425 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. John S Sullivan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 01463854 | MEDICAID | NY | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | jsullivan83144@directHISP.wakemed.org
| No affiliation | DIRECT
Direct
| OTHER
Other
xml | 3000 NEW BERN AVE,
RALEIGH, NC, 27610-1231
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2920 Highwoods Blvd
Raleigh, NC, 27604-0010
United States |
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Business Location:
Patients can refer following map for directions to
Dr. John S Sullivan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.