Jon M. Sullivan
M.D. | Pediatrics | Male
Jon M. Sullivan, M.D. is a Gallipolis, Ohio based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jon M. Sullivan is
100 Jackson Pike, Gallipolis, Ohio - 45631-1560. He can be contacted on phone at
740-446-5371 and fax number 740-446-5711.
Jon M. Sullivan is a sole proprietor of his business.
NPI number (Unique professional ID) for Jon M. Sullivan is
1053341370 which was assigned by NPPES on 03 Jul, 2006 and it was last updated on 29 Dec, 2020.
Jon M. Sullivan license number is
35-05-4754 for Pediatrics (208000000X) in Ohio.
Jon M. Sullivan is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jon M. Sullivan basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Jon M. Sullivan |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
|---|
Business Address:
Jon M. 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 : | 100 Jackson Pike
Gallipolis, OH, 45631-1560
United States |
|---|
| Phone Number : | 740-446-5371 |
|---|
| Fax Number : | 740-446-5711 |
|---|
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 : | 1053341370 |
|---|
| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 Jul, 2006 |
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| Last Updated On : | 29 Dec, 2020 |
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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 Jon M. Sullivan are as mentioned. Primary taxonomy code for Jon M. Sullivan, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 16987 | WV |
| 208000000X | Pediatrics | Yes | 35-05-4754 | OH |
Legacy Identifiers:
Other legacy medical identifiers of Jon M. Sullivan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000000007592 | Other | | ANTHEM BCBS |
| 310917085065 | Other | OH | CARESOURCE MEDICAID # |
| 0882719 | Other | OH | MOLINA MEDICAID # |
| 370002760 | Other | OH | RR MEDICARE |
| 001714064 | Other | | MOUNTAIN STATE BCBS |
| 000000181879 | Other | OH | UNISON MEDICAID # |
| 0882719 | MEDICAID | OH | |
| 0107833000 | MEDICAID | WV | |
| 000000006810 | Other | WV | ANTHEM BCBS |
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) | jon.sullivan.1@17389.direct.athenahealth.com
| No affiliation |
|
| 100 JACKSON PIKE,
GALLIPOLIS, OH, 45631-1560
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 : | 90 Jackson Pike
Gallipolis, OH, 45631-1560
United States |
|---|
| Phone Number : | 740-446-5371 |
|---|
| Fax Number : | 740-446-5711 |
|---|
Business Location:
Patients can refer following map for directions to
Jon M. 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.