MICHAEL SULLIVAN
NPI 1104215136
Perfusionist in Cape Girardeau, MO

Q: What is Michael Sullivan's NPI number?

The NPI number for Michael Sullivan is 1104215136. It was assigned to this individual provider in the NPPES registry on January 14, 2015.

Q: What is Michael Sullivan's specialty?

The primary specialty registered for this NPI is Perfusionist with taxonomy code 242T00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Sullivan was last updated on January 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 January 14, 2015

137 FOUNDERS WAY CT, CAPE GIRARDEAU, MO 63701(573) 450-8189 Get Directions Write a Review

NPPES record last updated: January 14, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michael Sullivan NPPES

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

MICHAEL SULLIVAN (NPI 1104215136) is an individual perfusionist provider in Cape Girardeau, Missouri, licensed in Missouri (20140118235) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1104215136

Entity TypeIndividualMale

Primary Taxonomy242T00000X

Provider Legal NameMICHAEL SULLIVAN

Location Address137 FOUNDERS WAY CTCape Girardeau, MO 63701-9442

Mailing Address137 Founders Way CtCape Girardeau, MO 63701-9442 · (573) 450-8189

Phone(573) 450-8189

Sole ProprietorNo

Enumeration DateJanuary 14, 2015

✔ NPI 1104215136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPerfusionistTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code242T00000X

License✔ Licensed in MO · 20140118235

Definition

A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.

137 FOUNDERS WAY CT, Cape Girardeau, MO 63701

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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 Michael Sullivan's NPI number?

The NPI number for Michael Sullivan is 1104215136. It was assigned to this individual provider in the NPPES registry on January 14, 2015.

Where is Michael Sullivan located?

Michael Sullivan practices at 137 Founders Way Ct, Cape Girardeau, MO 63701. The listed phone number is (573) 450-8189.

What is Michael Sullivan's specialty?

The primary specialty registered for this NPI is Perfusionist with taxonomy code 242T00000X.

When was this NPI record last updated?

The NPPES record for Michael Sullivan was last updated on January 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.