DR. JOHN MAGRUDER SULLIVAN III


Address: 2500 N State St, Jackson, MS 39216-4500
Phone: 6019841000

DR. JOHN MAGRUDER SULLIVAN III (NPI# 1043872948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043872948
Entity Type Individual
Full Name DR. JOHN MAGRUDER SULLIVAN III
Credential MD
Practice Address 2500 N State St
Jackson
MS 39216-4500
Mailing Address 37 Enclave Cir
Ridgeland
MS 39157-4522
Practice Telephone 6019841000
Mailing Telephone 6019533304
Enumeration Date 2019-07-01
Last Update Date 2019-07-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
T-3879 MS Allopathic & Osteopathic Physicians

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1659820454 John Christopher Sullivan Counselor 413 N Bridge St, Dewitt, MI 48820-8907 2016-09-22
1538576764 John Michael Sullivan Psychologist One Old Oyster Point Road, Newport News, VA 23602 2014-07-21
1962827808 John Sullivan Emergency Medicine 92 Wood Cove Dr, Coventry, RI 02816-6614 2014-03-02
1225368145 John Patrick Sullivan Jr. Psychologist 8 Bradford Ave, Newport, RI 02840-2202 2009-12-29
1679703425 John Michael Sullivan Dentist 9770 Old Baymeadows Rd Ste 113, Jacksonville, FL 32256-7986 2009-07-14
1649484726 John F Sullivan Pharmacist 44 Timber Ln, Methuen, MA 01844-4644 2007-05-09
1881812410 John Michael Sullivan Social Worker 735 Requa St, Peekskill, NY 10566-4615 2007-04-20
1114049228 John M Sullivan Chiropractor 3945 Us Highway 77, Corpus Christi, TX 78410-4531 2007-04-06
1457412306 John J Sullivan Dentist 325 W White Mountain Blvd, Lakeside, AZ 85929-6875 2006-12-13

Office Location

Street Address 2500 N STATE ST
City JACKSON
State MS
Zip Code 39216-4500

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477556231 University Ophthalmology Associates Ophthalmology 2500 N State St, Ste B329, Jackson, MS 39216-4500 2005-05-24
1396346607 Ashleigh Renfroe Hannah Nurse Practitioner 2500 N State St, Jackson, MS 39216-4500 2020-11-03
1770182438 Tara P. Carter Nurse Practitioner 2500 N State St, Jackson, MS 39216-4500 2020-10-22
1679189849 Raegan Wilson Registered Nurse 2500 N State St, Jackson, MS 39216-4500 2020-09-22
1851905095 Violet Maloba Awori Student in an Organized Health Care Education/Training Program 2500 N State St, Jackson, MS 39216-4500 2020-09-04
1295348639 Kassidy Voinche Pharmacist 2500 N State St, Jackson, MS 39216-4500 2020-08-25
1215549423 Brittney Leeann Williams Pharmacist 2500 N State St, Jackson, MS 39216-4500 2020-08-19
1912519364 Rashmi Verma Internal Medicine 2500 N State St, Jackson, MS 39216-4500 2020-08-18
1982215414 Anita Dhanrajani Pediatrics 2500 N State St, Jackson, MS 39216-4500 2020-08-10
1528676954 Nicholas Mcafee Psychologist 2500 N State St, Jackson, MS 39216-4500 2020-07-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861011553 Ashley Melancon Prewitt Registered Nurse St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 2020-04-13
1194353391 Brianna Arrington Student in an Organized Health Care Education/Training Program Med/ Peds, 2500 N. State St., Jackson, MS 39216 2020-04-01
1720616485 Roshina Khalid Khan Student in an Organized Health Care Education/Training Program Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 2020-03-30
1275183550 Amanda Lynn Morellato Dentist Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 2019-09-18
1396305553 Abhishek Chhabra Student in an Organized Health Care Education/Training Program Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 2019-06-19
1427615996 Hometown Diagnostics Clinical Medical Laboratory Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 2019-05-21
1346807773 Shukundala C Smith Behavior Technician New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 2019-05-21
1063901098 G Eli Howell Md Pllc Plastic Surgery 971 Lakeland Dr Ste 225, Jackson, MS 39216 2018-05-04
1588168132 Caleb Zumbro Student in an Organized Health Care Education/Training Program Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 2018-03-20
1639677230 Walgreen Co Pharmacy 971 Lakeland Dr Ste 101, Jackson, MS 39216 2018-01-29
Find all providers in zip 39216

Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164484796 Pramit S Malhotra Surgery 900 E Michigan Ave, Ste 108, Jackson, MI 49201-2457 2006-04-06
1508352196 Katherine Christine Benedict Surgery 2500 N State St, Jackson, MS 39216-4500 2018-07-06
1780121970 W.a. Foote Memorial Hospital, Inc Surgery 205 N. East Ave, Jackson, MI 49201 2017-01-25
1437386232 Emily T Wolfe Surgery 87 Murray Guard Dr Ste B, Jackson, TN 38305-3775 2009-06-18
1598979064 Peter B Arnold Surgery 2500 N State St, Jackson, MS 39216-4500 2007-05-10
1316071145 John C Payne Surgery 555 E Broadway, Suite 211, Jackson, WY 83001 2007-03-15
1063549178 Plastic Surgery Center, P.a. Surgery 1920 Chadwick Dr, Suite 108, Jackson, MS 39204-3471 2007-02-27
1538244579 John Barry Mccraw Surgery 2500 N State St, Jackson, MS 39216-4500 2006-10-26
1073695706 William C Lineaweaver Surgery 1850 Chadwick Dr Ste 1427, North Tower, 4 West, Jackson, MS 39204-3404 2006-10-20
1699730150 George Eli Howell II Surgery 971 Lakeland Dr, Suite 315, Jackson, MS 39216-4643 2006-04-19
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39216

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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