Dr. Kevin J. Sullivan
MD | Pediatric Critical Care Medicine | Male
Dr. Kevin J. Sullivan, MD is a Gainesville, Florida based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Dr. Kevin J. Sullivan is
1600 Sw Archer Rd, Gainesville, Florida - 32610-8426. He can be contacted on phone at
352-273-7770.
Dr. Kevin J. Sullivan is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Kevin J. Sullivan is
1700856291 which was assigned by NPPES on 25 Jan, 2006 and it was last updated on 30 Oct, 2020.
Dr. Kevin J. Sullivan license number is
ME70848 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Florida.
Dr. Kevin J. 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. Kevin J. 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. Kevin J. Sullivan |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Kevin J. 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 : | 1600 Sw Archer Rd
Gainesville, FL, 32610-8426
United States |
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| Phone Number : | 352-273-7770 |
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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 : | 1700856291 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 Jan, 2006 |
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| Last Updated On : | 30 Oct, 2020 |
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Medicare Participation:
Dr. Kevin J. Sullivan participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 8729181169 |
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| Medicare Enrollment ID : | I20070306000030 |
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| Primary Specialty : | Critical Care (intensivists) |
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| Medical School : | Other |
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| Graduation Year : | 1989 |
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| Accepts Medicare? | Yes. Dr. Kevin J. Sullivan accepts medicare insurance. |
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Group Practice Association:
Dr. Kevin J. Sullivan is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Kevin J. Sullivan is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Florida Clinical Practice Association Inc | 0345146254 | 1603 | 2001 Sw 13th St
Gainesville, FL - 326081532
Ph: 3522658990 | Yes |
| Florida Clinical Practice Association Inc | 0345146254 | 1603 | 2001 Sw 13th St
Gi Clinic At Endoscopy Center
Gainesville, FL - 326081532
Ph: 3522658982 | Yes |
| Florida Clinical Practice Association Inc | 0345146254 | 1603 | 1600 Sw Archer
Gainesville, FL - 326103003 | Yes |
| Florida Clinical Practice Association Inc | 0345146254 | 1603 | 1600 Sw Archer Rd
Gainesville, FL - 326103003 | Yes |
| Florida Clinical Practice Association Inc | 0345146254 | 1603 | 1600 Sw Archer Rd Rm
1191 Uf Health Surgical Specialists Shands Hospital
Gainesville, FL - 326103003
Ph: 3522650535 | Yes |
| Florida Clinical Practice Association Inc | 0345146254 | 1603 | 2000 Sw Archer Rd
Uf Health Congenital Heart Center Medical Plaza
Gainesville, FL - 326103003
Ph: 3522658250 | Yes |
| Florida Clinical Practice Association Inc | 0345146254 | 1603 | Uf Health Test Site Pop Up 1600 Sw Archer Rd
Gainesville, FL - 326103003
Ph: 3523921161 | Yes |
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. Kevin J. Sullivan are as mentioned. Primary taxonomy code for Dr. Kevin J. Sullivan, MD is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 207L00000X | Anesthesiology | No | ME70848 | FL |
| 207LP3000X | Anesthesiology Pediatric Anesthesiology | No | ME0070848 | FL |
| 207LP3000X | Anesthesiology Pediatric Anesthesiology | No | ME70848 | FL |
| 208000000X | Pediatrics | No | ME70848 | FL |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | No | ME0070848 | FL |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | ME70848 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Kevin J. Sullivan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 000788686A | MEDICAID | GA | |
| 000788686C | MEDICAID | GA | |
| 4047441 | MEDICAID | TN | |
| 253962400 | MEDICAID | FL | |
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 : | Po Box 100296
Gainesville, FL, 32610-0296
United States |
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| Phone Number : | 352-273-7770 |
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| Fax Number : | 352-392-0547 |
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Business Location:
Patients can refer following map for directions to
Dr. Kevin J. 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. Last updated on 08 January, 2024.