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SULLIVAN PEDIATRICS, LLC
NPI 1780987750
Pediatrics in Columbia, MO

Active since December 14, 2010
2614 FORUM BLVD, COLUMBIA, MO 65203(573) 999-1657(650) 560-1839 Get Directions Write a Review

NPPES record last updated: December 14, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sullivan Pediatrics, Llc NPPES

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

SULLIVAN PEDIATRICS, LLC (NPI 1780987750) is a healthcare organization registered as a pediatrics in Columbia, Missouri and active in the NPI registry since December 2010. The organization lists Janet Sullivan, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1780987750
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSULLIVAN PEDIATRICS, LLC
Location Address2614 FORUM BLVDColumbia, MO 65203-5431
Mailing Address2614 Forum BlvdColumbia, MO 65203-5431 · (573) 999-1657 · Fax (650) 560-1839
Phone(573) 999-1657
Fax(650) 560-1839
Organization SubpartNo
Authorized OfficialJanet SullivanMedical Director · (573) 999-1657
Enumeration DateDecember 14, 2010
✔ NPI 1780987750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MO · 2009003022
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2614 FORUM BLVD, Columbia, MO 65203
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MRS. KELLI ZIEMER BORGMEYER FNP
Nurse Practitioner (Family)
2614 FORUM BLVD, SUITE 100
COLUMBIA, MO 65203
Boone County (573) 445-3430

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 Sullivan Pediatrics, LLC's NPI number?

The NPI number for Sullivan Pediatrics, LLC is 1780987750. It was assigned to this organization in the NPPES registry on December 14, 2010.

Where is Sullivan Pediatrics, LLC located?

Sullivan Pediatrics, LLC is located at 2614 Forum Blvd, Columbia, MO 65203. The listed phone number is (573) 999-1657.

What is Sullivan Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Sullivan Pediatrics, LLC was last updated on December 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.