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JONATHON C. SULLUM M.D.
NPI 1225041536
Radiology - Diagnostic Radiology in Scranton, PA

Active since August 15, 2006
2601 STAFFORD AVENUE, SCRANTON, PA 18505(570) 346-6633 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jonathon C. Sullum M.d. NPPES

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

JONATHON C. SULLUM M.D. (NPI 1225041536) is an individual diagnostic radiology provider in Scranton, Pennsylvania, licensed in Pennsylvania (MD020198E) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1225041536
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJONATHON C. SULLUMCredential: M.D.
Location Address2601 STAFFORD AVENUEScranton, PA 18505-0305
Mailing Address2601 Stafford Avenue, Po Box 3305Scranton, PA 18505-0305 · (570) 346-6633
Phone(570) 346-6633
Sole ProprietorNo
Enumeration DateAugust 15, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1225041536 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 PA · MD020198E
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2601 STAFFORD AVENUE, Scranton, PA 18505
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Other Identifiers 10

Other300020246PA · Railroad Medicare
Medicare ID-Type Unspecified141629HXJPA · Medicare Id #
Medicare UPINC31604PA
Other20007413PA · Amerihealth Mercy
Other10624 1686PA · Geisinger Health Plan
OtherC31604PA · Blue Cross
Other000000083999PA · Three Rivers
Medicaid0006585310012PA
Other0004210397PA · 0004210397
Other141629PA · Highmark Blue Shield

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 Jonathon Sullum's NPI number?

The NPI number for Jonathon Sullum is 1225041536. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Jonathon Sullum located?

Jonathon Sullum practices at 2601 Stafford Avenue, Scranton, PA 18505. The listed phone number is (570) 346-6633.

What is Jonathon Sullum'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 Jonathon Sullum was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.