Shannon J Sullivan
MD | Pediatrics | Female
Shannon J Sullivan, MD is a Iowa City, Iowa based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Shannon J Sullivan is
200 Hawkins Dr, Iowa City, Iowa - 52242-1009. She can be contacted on phone at
319-384-7745 and fax number 319-384-6295.
Shannon J Sullivan is a sole proprietor of her business.
NPI number (Unique professional ID) for Shannon J Sullivan is
1093702755 which was assigned by NPPES on 28 Sep, 2005 and it was last updated on 18 Dec, 2007.
Shannon J Sullivan license number is
33360 for Pediatrics (208000000X) in Iowa.
Shannon J 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:
Shannon J Sullivan basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Shannon J Sullivan |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Shannon 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 : | 200 Hawkins Dr
Iowa City, IA, 52242-1009
United States |
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| Phone Number : | 319-384-7745 |
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| Fax Number : | 319-384-6295 |
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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 : | 1093702755 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Sep, 2005 |
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| Last Updated On : | 18 Dec, 2007 |
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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 Shannon J Sullivan are as mentioned. Primary taxonomy code for Shannon J Sullivan, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | No | 33360 | IA |
| 208000000X | Pediatrics | Yes | 33360 | IA |
Legacy Identifiers:
Other legacy medical identifiers of Shannon J Sullivan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 16241 | Other | IA | WELLMARK BCBS |
| 0206524 | MEDICAID | IA | |
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 : | 200 Hawkins Dr
Iowa City, IA, 52242-1009
United States |
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| Phone Number : | 319-384-7745 |
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| Fax Number : | 319-384-6295 |
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Business Location:
Patients can refer following map for directions to
Shannon 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.