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DR. JONATHON SULLIVAN M.D.
NPI 1679594394
Emergency Medicine in Detroit, MI

Active since July 21, 2006
4201 SAINT ANTOINE ST, SUITE 3R, DETROIT, MI 48201(313) 745-3000 Get Directions Write a Review

NPPES record last updated: June 17, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jonathon Sullivan M.d. NPPES

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

DR. JONATHON SULLIVAN M.D. (NPI 1679594394) is an individual emergency medicine provider in Detroit, Michigan, licensed in Michigan (4301060244) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1679594394
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JONATHON SULLIVANCredential: M.D.
Location Address4201 SAINT ANTOINE ST, SUITE 3RDetroit, MI 48201-2153
Mailing Address25066 Springbrook DrFarmington Hills, MI 48336-1950
Phone(313) 745-3000
Sole ProprietorNo
Enumeration DateJuly 21, 2006
Last NPPES UpdateJune 17, 2010
✔ NPI 1679594394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MI · 4301060244
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 4301060244 (MI)
4201 SAINT ANTOINE ST, Detroit, MI 48201
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Other Identifiers 5

Medicare UPING05609MI
Medicaid103159455MI
Medicare PINH26348216MI
OtherJS060244MI · Bc/bs Of Michgian
Medicaid104783832MI

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. ZOHA NIZAMI
Pediatrics (Pediatric Emergency Medicine)
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-5146
DR. PUJA LAROIA DO
Anesthesiology
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-5146
ELIZABETH ANNE RANELLA CRNA
Nurse Anesthetist, Certified Registered
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (952) 442-9770
GERARD LANCASTER MD
Orthopaedic Surgery
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-3000
SARAH ZHANG
Emergency Medicine
4201 SAINT ANTOINE ST, UHC-6G
DETROIT, MI 48201
Wayne County (313) 993-2529
DAVID BURKHOLDER
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST, 6G UHC
DETROIT, MI 48201
Wayne County (313) 993-2530
DR. DANIEL RAY CAVAZOS MD
Orthopaedic Surgery
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-3000
WAHAJUDDIN MOHAMMAD DO
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-5146

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 Sullivan's NPI number?

The NPI number for Jonathon Sullivan is 1679594394. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Jonathon Sullivan located?

Jonathon Sullivan practices at 4201 Saint Antoine St Suite 3R, Detroit, MI 48201. The listed phone number is (313) 745-3000.

What is Jonathon Sullivan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Jonathon Sullivan was last updated on June 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.