JOHN A. SULLIVAN M.D.
NPI 1013985134
Radiology - Diagnostic Radiology in Jackson, WY

Q: What is John Sullivan's NPI number?

The NPI number for John Sullivan is 1013985134. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Q: What is John Sullivan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for John Sullivan was last updated on September 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 14, 2006

7330 RYEGRASS ROAD, JACKSON, WY 83001(307) 733-9105 Get Directions Write a Review

NPPES record last updated: September 10, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About John A. Sullivan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN A. SULLIVAN M.D. (NPI 1013985134) is an individual diagnostic radiology provider in Jackson, Wyoming, licensed in Missouri (R6F03) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1013985134

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameJOHN A. SULLIVANCredential: M.D.

Location Address7330 RYEGRASS ROADJackson, WY 83001

Mailing Address1550 E Republic RdSpringfield, MO 65804-6530 · (417) 889-6102 · Fax (417) 889-6289

Phone(307) 733-9105

Sole ProprietorNo

Enumeration DateMarch 14, 2006

Last NPPES UpdateSeptember 10, 2009

✔ NPI 1013985134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in MO · R6F03

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

7330 RYEGRASS ROAD, Jackson, WY 83001

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Other Identifiers 7

Other1256MO · Blue

Medicaid202340501MO

Medicare PIN010010242MO

Medicare PINW9750WY

Other300034332MO · Rrr Medicare

Medicare UPINA13872MO

Medicaid110826001AR

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Sullivan's NPI number?

The NPI number for John Sullivan is 1013985134. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is John Sullivan located?

John Sullivan practices at 7330 Ryegrass Road, Jackson, WY 83001. The listed phone number is (307) 733-9105.

What is John Sullivan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for John Sullivan was last updated on September 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.