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

Q: 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.

Q: What is Thomas Sullivan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Sullivan was last updated on June 7, 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.

Active since March 09, 2006

160 VALLEY DR, LODI, WI 53555(608) 592-3296 Get Directions Write a Review

NPPES record last updated: June 7, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

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

Phone(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

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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.

ANDREA M CHAO MD

Pediatrics

160 VALLEY DR
LODI, WI 53555

Columbia County (608) 592-3296

DEANNA C LORD PA

Physician Assistant

160 VALLEY DR
LODI, WI 53555

Columbia County (608) 592-3296

DR. MELISSA FAUBERT D.O.

Family Medicine (Sports Medicine)

160 VALLEY DR
LODI, WI 53555

Columbia County (608) 592-3296

SAUK PRAIRIE HEALTHCARE INC

Clinic/Center (Rural Health)

160 VALLEY DR
LODI, WI 53555

Columbia County (608) 592-3296

DAVID J EBERDT PA

Physician Assistant

160 VALLEY DR
LODI, WI 53555

Columbia County (608) 592-3296

NOAH LEO MAERZ MD

Family Medicine

160 VALLEY DR
LODI, WI 53555

Columbia County (608) 592-3296

DALE P FANNEY MD

Family Medicine

160 VALLEY DR
LODI, WI 53555

Columbia County (608) 592-3296

DR. DAVID P KREY DO

Family Medicine (Sports Medicine)

160 VALLEY DR
LODI, WI 53555

Columbia County (608) 592-3296

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 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.