DR. MICHAEL WILLIAM SULLIVAN D.O.
NPI 1164531042
Family Medicine in Macomb, MI

Active since August 30, 2006
16700 21 MILE RD, SUITE 101, MACOMB, MI 48044(586) 263-0320(586) 263-1276 Get Directions Write a Review

NPPES record last updated: December 13, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael William Sullivan D.o. NPPES

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

DR. MICHAEL WILLIAM SULLIVAN D.O. (NPI 1164531042) is an individual family medicine provider in Macomb, Michigan, licensed in Michigan (5101007472) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1164531042
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL WILLIAM SULLIVANCredential: D.O.
Location Address16700 21 MILE RD, SUITE 101Macomb, MI 48044-4887
Mailing Address16700 21 Mile Rd, Suite 101Macomb, MI 48044-4887 · (586) 263-0320 · Fax (586) 263-1276
Fax(586) 263-1276
Sole ProprietorYes
Enumeration DateAugust 30, 2006
Last NPPES UpdateDecember 13, 2011
NPI 1164531042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 5101007472
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

16700 21 MILE RD, Macomb, MI 48044

Other Identifiers 4

Medicare ID-Type Unspecified85000206011MI
Other0855010004MI · Bcbsm
Medicare UPINE26418MI
Medicare ID-Type Unspecified2109780 11MI

Other Providers at the Same Location NPPES 11

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

Behavior Technician
16700 21 MILE RD
MACOMB, MI 48044
Behavior Technician
16700 21 MILE RD
MACOMB, MI 48044
Behavior Technician
16700 21 MILE RD
MACOMB, MI 48044
Podiatrist (Foot & Ankle Surgery)
16700 21 MILE RD, SUITE 102
MACOMB, MI 48044
Behavior Technician
16700 21 MILE RD
MACOMB, MI 48044
Behavior Technician
16700 21 MILE RD
MACOMB, MI 48044
Behavior Technician
16700 21 MILE RD
MACOMB, MI 48044
Behavior Technician
16700 21 MILE RD
MACOMB, MI 48044

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 1164531042. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Michael Sullivan located?

Michael Sullivan practices at 16700 21 Mile Rd Suite 101, Macomb, MI 48044. The listed phone number is (586) 263-0320.

What is Michael Sullivan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Michael Sullivan was last updated on December 13, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.