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SHANNON J SULLIVAN MD
NPI 1093702755
Pediatrics in Iowa City, IA

Active since September 28, 2005
200 HAWKINS DR, IOWA CITY, IA 52242(319) 384-7745(319) 384-6295 Get Directions Write a Review

NPPES record last updated: December 18, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon J Sullivan Md NPPES

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

SHANNON J SULLIVAN MD (NPI 1093702755) is an individual pediatrics provider in Iowa City, Iowa, licensed in Iowa (33360) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1093702755
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSHANNON J SULLIVANCredential: MD
Location Address200 HAWKINS DRIowa City, IA 52242-1009
Mailing Address200 Hawkins DrIowa City, IA 52242-1009 · (319) 384-7745 · Fax (319) 384-6295
Phone(319) 384-7745
Fax(319) 384-6295
Sole ProprietorNo
Enumeration DateSeptember 28, 2005
Last NPPES UpdateDecember 18, 2007
✔ NPI 1093702755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IA · 33360
Definition
A pediatrician 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.
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License 33360 (IA)
200 HAWKINS DR, Iowa City, IA 52242
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Other Identifiers 4

Other16241IA · Wellmark Bcbs
Medicare PIN16241IA
Medicare UPINF24080
Medicaid0206524IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Group Health Cooperative-SCW, Medica, Security Health Plan.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANGIL LEE M.D.
Emergency Medicine
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-2233
RAMI G. EL ABIAD M.D.
Internal Medicine (Gastroenterology)
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-4901
GRERK SUTAMTEWAGUL MD
Internal Medicine (Hematology & Oncology)
200 HAWKINS DR, DEPT OF INTERNAL MEDICINE
IOWA CITY, IA 52242
Johnson County (319) 356-1616
DR. KALEB TANNER VEIT D.O.
Internal Medicine (Critical Care Medicine)
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-2320
OMAR JABER M.D
Chronic Disease Hospital
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 471-8958
JENNIFER MANCUSO MS, CGC
Genetic Counselor, MS
200 HAWKINS DR, 31663 PFP
IOWA CITY, IA 52242
Johnson County (319) 384-7983
ASHLEY KAISER M.D.
Obstetrics & Gynecology
200 HAWKINS DR, DEPT OF OBGYN
IOWA CITY, IA 52242
Johnson County (319) 356-2294
MRS. NANCY JANE MILLICE
Health Educator
200 HAWKINS DR, 0733 JPP
IOWA CITY, IA 52242
Johnson County (319) 356-3825

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 Shannon Sullivan's NPI number?

The NPI number for Shannon Sullivan is 1093702755. It was assigned to this individual provider in the NPPES registry on September 28, 2005.

Where is Shannon Sullivan located?

Shannon Sullivan practices at 200 Hawkins Dr, Iowa City, IA 52242. The listed phone number is (319) 384-7745.

What is Shannon Sullivan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Shannon Sullivan accept?

Health plans from Group Health Cooperative-SCW, Medica and Security Health Plan list Shannon Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Sullivan was last updated on December 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.