Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JESSE GEORGE SULLIVAN JR. MD
NPI 1285675405
General Practice in El Reno, OK

Active since June 09, 2006
2001 PARKVIEW DR, EL RENO, OK 73036(405) 262-2114(405) 262-2306 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jesse George Sullivan Jr. Md NPPES

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

DR. JESSE GEORGE SULLIVAN JR. MD (NPI 1285675405) is an individual general practice provider in El Reno, Oklahoma, licensed in Oklahoma (12233) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1285675405
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. JESSE GEORGE SULLIVAN JR.Credential: MD
Location Address2001 PARKVIEW DREl Reno, OK 73036-2107
Mailing Address1116 Montreal DrYukon, OK 73099-5349 · (405) 354-9769
Fax(405) 262-2306
Sole ProprietorNo
Enumeration DateJune 9, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1285675405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in OK · 12233
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2001 PARKVIEW DR, El Reno, OK 73036

Other Providers at the Same Location NPPES 6

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

Physician Assistant (Medical)
2001 PARKVIEW DR
EL RENO, OK 73036
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
2001 PARKVIEW DR
EL RENO, OK 73036
General Practice
2001 PARKVIEW DR
EL RENO, OK 73036
Clinic/Center (Physical Therapy)
2001 PARKVIEW DR
EL RENO, OK 73036
Hospice Care, Community Based
2001 PARKVIEW DR
EL RENO, OK 73036
General Practice
2001 PARKVIEW DR
EL RENO, OK 73036

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 Jesse Sullivan's NPI number?

The NPI number for Jesse Sullivan is 1285675405. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Jesse Sullivan located?

Jesse Sullivan practices at 2001 Parkview Dr, El Reno, OK 73036. The listed phone number is (405) 262-2114.

What is Jesse Sullivan's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Jesse Sullivan was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.