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SULLIVAN MEDICAL CLINIC, LLC
NPI 1205263159
Internal Medicine - Addiction Medicine in Milwaukee, WI

Active since October 07, 2013
6040 W LISBON AVE, SUITE 200, MILWAUKEE, WI 53210(414) 447-9890(414) 447-9891 Get Directions Write a Review

NPPES record last updated: October 7, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sullivan Medical Clinic, Llc NPPES

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

SULLIVAN MEDICAL CLINIC, LLC (NPI 1205263159) is a healthcare organization registered as an addiction medicine in Milwaukee, Wisconsin and active in the NPI registry since October 2013. The organization lists Gerald E Sullivan, Sole Mbr, as its authorized official.

NPPES Registry Identity

NPI1205263159
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameSULLIVAN MEDICAL CLINIC, LLC
Location Address6040 W LISBON AVE, SUITE 200Milwaukee, WI 53210-2116
Mailing Address6040 W Lisbon Ave, Suite 200Milwaukee, WI 53210-2116 · (414) 447-9890 · Fax (414) 447-9891
Phone(414) 447-9890
Fax(414) 447-9891
Organization SubpartNo
Authorized OfficialGerald E SullivanSole Mbr · (414) 447-9890
Enumeration DateOctober 7, 2013
✔ NPI 1205263159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
6040 W LISBON AVE, Milwaukee, WI 53210
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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.

ANTONIA SALLIS MS,SAC,DPI TEACHER
Counselor (Addiction (Substance Use Disorder))
6040 W LISBON AVE
MILWAUKEE, WI 53210
Milwaukee County (414) 364-0406
MS. ELIZABETH SUSAN PORT M.S.
Counselor (Professional)
6040 W LISBON AVE
MILWAUKEE, WI 53210
Milwaukee County (414) 447-9890
OUR DAILY BREAD COMMUNITY OUTREACH CENTER, INC
Case Management
6040 W LISBON AVE, SUITE 203
MILWAUKEE, WI 53210
Milwaukee County (414) 255-8595
COLLEEN RUNGE M.S.
Counselor (Mental Health)
6040 W LISBON AVE
MILWAUKEE, WI 53210
Milwaukee County (414) 442-1751
BARBARA A DENTON MA, ATR
Counselor (Mental Health)
6040 W LISBON AVE, SUITE 102
MILWAUKEE, WI 53210
Milwaukee County (414) 871-9111
REC ENTERPRISE LLC
Case Management
6040 W LISBON AVE, STE B6
MILWAUKEE, WI 53210
Milwaukee County (414) 488-2808
INSIGHT COUNSELING SERVICES INC
Community/Behavioral Health
6040 W LISBON AVE, SUITE 200
MILWAUKEE, WI 53210
Milwaukee County (414) 447-9890
MR. SCOTT LANG SAC-IT
Counselor (Addiction (Substance Use Disorder))
6040 W LISBON AVE, 102
MILWAUKEE, WI 53210
Milwaukee County (414) 454-6707

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 Sullivan Medical Clinic, LLC's NPI number?

The NPI number for Sullivan Medical Clinic, LLC is 1205263159. It was assigned to this organization in the NPPES registry on October 7, 2013.

Where is Sullivan Medical Clinic, LLC located?

Sullivan Medical Clinic, LLC is located at 6040 W Lisbon Ave Suite 200, Milwaukee, WI 53210. The listed phone number is (414) 447-9890.

What is Sullivan Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

What insurance does Sullivan Medical Clinic, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Sullivan Medical Clinic, LLC 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 Sullivan Medical Clinic, LLC was last updated on October 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.