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JERRY J. SULLIVAN M.D.
NPI 1306998406
Family Medicine in Springfield, VA

Active since January 17, 2007
6501 LOISDALE CT, SPRINGFIELD, VA 22150(703) 922-1000(703) 922-1039 Get Directions Write a Review

NPPES record last updated: November 22, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jerry J. Sullivan M.d. NPPES

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

JERRY J. SULLIVAN M.D. (NPI 1306998406) is an individual family medicine provider in Springfield, Virginia, licensed in Virginia (0101243402) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1306998406
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJERRY J. SULLIVANCredential: M.D.
Location Address6501 LOISDALE CTSpringfield, VA 22150-1826
Mailing Address2101 E Jefferson St, Kaiser Permanente Medicare EnrollmentRockville, MD 20852-4908 · (301) 816-2424
Phone(703) 922-1000
Fax(703) 922-1039
Sole ProprietorNo
Enumeration DateJanuary 17, 2007
Last NPPES UpdateNovember 22, 2011
✔ NPI 1306998406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in VA · 0101243402✔ Licensed in WA · MD00017070✔ Licensed in MD · D0071387✔ Licensed in DC · MD039385
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.
6501 LOISDALE CT, Springfield, VA 22150
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Other Identifiers 4

Medicaid8103087WA
Medicare PING001050828WA
Medicare UPINE57807WA
Medicare PING8871415WA

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.

DR. SONILLA SATAR PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
6501 LOISDALE CT
SPRINGFIELD, VA 22150
Fairfax County (703) 922-1000
DR. KAR-YUE ALVIN YEE
Pharmacist
6501 LOISDALE CT
SPRINGFIELD, VA 22150
Fairfax County (703) 434-1066
ANDREA J WHITE
Registered Nurse (Case Management)
6501 LOISDALE CT
SPRINGFIELD, VA 22150
Fairfax County (703) 922-1377
CHAD VAN RAMSHORST DPT
Physical Therapist
6501 LOISDALE CT
SPRINGFIELD, VA 22150
Fairfax County (714) 803-1784
ILSE O'BRIEN RD
Dietitian, Registered
6501 LOISDALE CT
SPRINGFIELD, VA 22150
Fairfax County (703) 922-1000
KAISER PERMANENTE MID-ATLANTIC
Health Maintenance Organization
6501 LOISDALE CT
SPRINGFIELD, VA 22150
Fairfax County (703) 922-1034
DR. THAO VO PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
6501 LOISDALE CT
SPRINGFIELD, VA 22150
Fairfax County (571) 239-0081
JOHN JAIRO REYES-CASTANO M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6501 LOISDALE CT
SPRINGFIELD, VA 22150
Fairfax County (706) 922-1067

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 Jerry Sullivan's NPI number?

The NPI number for Jerry Sullivan is 1306998406. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Jerry Sullivan located?

Jerry Sullivan practices at 6501 Loisdale Ct, Springfield, VA 22150. The listed phone number is (703) 922-1000.

What is Jerry 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 Jerry Sullivan was last updated on November 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.