DONALD NICHOLAS SULLIVAN


Address: 104 Ashland, Mt Zion, IL 62549
Phone: 2178642665

DONALD NICHOLAS SULLIVAN (NPI# 1154511517) 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) 1154511517
Entity Type Individual
Full Name DONALD NICHOLAS SULLIVAN
Credential M.D.
Practice Address 104 Ashland
Mt Zion
IL 62549
Practice Telephone 2178642665
Practice Fax Number 2178648042
Mailing Telephone 2178642665
Mailing Fax Number 2178648042
Enumeration Date 2007-07-31
Last Update Date 2013-09-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery 125-052745 IL Allopathic & Osteopathic Physicians

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1083133326 Donald Sullivan Licensed Practical Nurse 210 Oehman Blvd, Cheektowaga, NY 14225-1643 2017-09-19
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1174514145 Donald Lawrence Sullivan Pharmacist Ohio Northern University, College of Pharmacy, Ada, OH 45810 2005-10-31
1003019621 Donald Richard Sullivan Internal Medicine 3181 Sw Sam Jackson Park Rd, Uhn67, Portland, OR 97239-3011 2007-06-10
1508814484 Donald J Sullivan Physical Medicine & Rehabilitation 4100 Austin Peay Hwy, Memphis, TN 38128-2502 2006-05-04

Office Location

Street Address 104 ASHLAND
City MT ZION
State IL
Zip Code 62549

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427209675 Charles Howard Stone Dentist 108 Ashland Ave., Mt. Zion, IL 62549 2008-10-07
1730340498 Jacob David Sams Orthopaedic Surgery 104 Ashland Ave., Mt. Zion, IL 62549 2008-06-24
1417169681 Temmen Advanced Eye Care LLC Optometrist 1505 W Main, Mt Zion, IL 62549 2007-05-03
1124160247 Peter L Paulson Dentist 1465 East Village Parkway, Mount Zion, IL 62549 2007-02-13
1568563666 Russell John Proesel Dentist 420 Broadway, Mt Zion, IL 62549 2006-09-25
1497789572 Dennis Ryan Vaughn Podiatrist 1640 North State Highway 121, Mt. Zion, IL 62549 2006-07-11
1831605096 International Eyecare Center Inc Eyewear Supplier (Equipment, not the service) 1505 W Main St, Mt Zion, IL 62549 2017-12-22
1336586114 Decatur Orthopedic Center, LLC Orthopaedic Surgery 104 Ashland Ave., Mt. Zion, IL 62549 2013-06-03
1336284736 Timothy Delbert Busey Optometrist 1505 W Main St, Mt Zion, IL 62549 2007-02-21
1174665285 Julia A Paulson Dentist 1465 East Village Parkway, Mount Zion, IL 62549 2007-02-13
Find all providers in zip 62549

Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851951552 Holly Marie Chapman Orthopaedic Surgery 104 E Ashland Ave, Mt Zion, IL 62549-1271 2019-06-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144834680 Illinois Bone and Joint Institute LLC Orthopaedic Surgery 1200 S York St Ste 4110, Elmhurst, IL 60126-5630 2020-09-02
1790303725 Illinois Bone and Joint Institute LLC Orthopaedic Surgery 1009 Il Route 22 Ste 2, Fox River Grove, IL 60021-1998 2020-07-07
1104440049 Elliot M Johns Orthopaedic Surgery 301 N 8th St Ste 3a158, Springfield, IL 62701-1085 2020-06-06
1740804764 David Alan Forgas Orthopaedic Surgery 901 N 1st St # D252, Springfield, IL 62702-3759 2020-06-05
1700417185 Illinois Bone and Joint Institute, LLC Orthopaedic Surgery 1890 Silver Cross Blvd # A, New Lenox, IL 60451-9524 2020-02-04
1588207799 Illinois Bone and Joint Institute, LLC Orthopaedic Surgery 2719 W Algonquin Rd, Algonquin, IL 60102-9400 2019-10-21
1669020848 Illinois Bone and Joint Institute, LLC Orthopaedic Surgery 406 Front St Ste 100, Mchenry, IL 60050-5593 2019-08-30
1790342194 Kevin James Rasuli Orthopaedic Surgery 1611 W Harrison St. Ste. 400, Chicago, IL 60612 2019-05-22
1134680713 Madeline Shaoyun Tiee Orthopaedic Surgery Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 2019-03-27
1538629746 Michael Murphy Orthopaedic Surgery 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 2019-03-22
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Competitor

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City MT ZION
Zip Code 62549

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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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