Shannon Sullivan
M. D. | Pediatrics | Female
Shannon Sullivan, M. D. is a Redwood City, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Shannon Sullivan is
450 Broadway St, Mail Code 5704, Redwood City, California - 94063-3132. She can be contacted on phone at
650-723-6601.
Shannon Sullivan is a sole proprietor of her business.
NPI number (Unique professional ID) for Shannon Sullivan is
1861515231 which was assigned by NPPES on 09 Apr, 2007 and it was last updated on 18 Apr, 2011.
Shannon Sullivan license number is
A81983 for Pediatrics (208000000X) in California.
Shannon 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 Sullivan basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Shannon Sullivan |
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| Credential : | M. D. |
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| Gender : | Female |
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Business Address:
Shannon 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 : | 450 Broadway St, Mail Code 5704
Redwood City, CA, 94063-3132
United States |
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| Phone Number : | 650-723-6601 |
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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 : | 1861515231 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 09 Apr, 2007 |
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| Last Updated On : | 18 Apr, 2011 |
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Medicare Participation:
Shannon Sullivan participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 6800994864 |
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| Medicare Enrollment ID : | I20070614000501 |
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| Primary Specialty : | Sleep Medicine |
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| Medical School : | University Of Michigan Medical School |
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| Graduation Year : | 2001 |
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| Accepts Medicare? | Yes. Shannon Sullivan accepts medicare insurance. |
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Group Practice Association:
Shannon 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 Shannon Sullivan is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Lpch Medical Group Div Of Lucile | 0840298543 | 226 | 725 Welch Rd
Palo Alto, CA - 943041601
Ph: 6504987200 | 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 Shannon Sullivan are as mentioned. Primary taxonomy code for Shannon Sullivan, M. D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0214X | Pediatrics Pediatric Pulmonology | No | A81983 | CA |
| 2080S0012X | Pediatrics Sleep Medicine | No | A81983 | CA |
| 208000000X | Pediatrics | Yes | A81983 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Shannon Sullivan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| A81983 | Other | CA | CA MEDICAL LICENSE |
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 : | 450 Broadway St, Mail Code 5704
Redwood City, CA, 94063-3132
United States |
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| Phone Number : | 650-723-6601 |
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Business Location:
Patients can refer following map for directions to
Shannon 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.