THOMAS P SULLIVAN MD
NPI 1720056393
Family Medicine in Lodi, WI

Active since March 09, 2006

NPPES record last updated: June 7, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thomas P Sullivan Md NPPES

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

THOMAS P SULLIVAN MD (NPI 1720056393) is an individual family medicine provider in Lodi, Wisconsin, licensed in Wisconsin (19926) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1720056393
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS P SULLIVANCredential: MD
Location Address160 VALLEY DRLodi, WI 53555-1464
Mailing Address160 Valley DrLodi, WI 53555-1464 · (608) 592-3296
Sole ProprietorNo
Enumeration DateMarch 9, 2006
Last NPPES UpdateJune 7, 2010
NPI 1720056393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 19926
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.

160 VALLEY DR, Lodi, WI 53555

Other Identifiers 7

Medicare PIN001057065
Medicare PIN000513018
Other080075917WI · Railroad Medicare
Medicaid31037600WI
Medicare PIN000657120
Medicare UPINB56982
Medicare PIN000915430

Other Providers at the Same Location NPPES 10

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

Pediatrics
160 VALLEY DR
LODI, WI 53555
Physician Assistant
160 VALLEY DR
LODI, WI 53555
Family Medicine (Sports Medicine)
160 VALLEY DR
LODI, WI 53555
Clinic/Center (Rural Health)
160 VALLEY DR
LODI, WI 53555
Physician Assistant
160 VALLEY DR
LODI, WI 53555
Family Medicine
160 VALLEY DR
LODI, WI 53555
Family Medicine
160 VALLEY DR
LODI, WI 53555
Family Medicine (Sports Medicine)
160 VALLEY DR
LODI, WI 53555

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 Thomas Sullivan's NPI number?

The NPI number for Thomas Sullivan is 1720056393. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Thomas Sullivan located?

Thomas Sullivan practices at 160 Valley Dr, Lodi, WI 53555. The listed phone number is (608) 592-3296.

What is Thomas 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 Thomas Sullivan was last updated on June 7, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.