Michael Patrick Sullivan
MD | Neurology | 48+ years Exp
2101 South Ave, So Lake Tahoe
California, 96150
530-542-5744 530-542-5747
Maps & DirectionsMichael Patrick Sullivan is a So Lake Tahoe, California based neurologist with 48 years of experience in Neurology. He completed his graduation from University Of Arizona College Of Medicine in 1978. He is also affiliated with hospitals like and . He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Michael Patrick Sullivan is G40941 for Neurology in California. His current practice location is 2101 South Ave, So Lake Tahoe. Patients can reach him at 530-542-5744 or can fax him at 530-542-5747. Michael Patrick Sullivan is MD in Neurology and his NPI number (Unique professional ID assigned by NPPES) is 1336105626.
Michael Patrick Sullivan specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Profile:
Michael Patrick Sullivan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Michael Patrick Sullivan |
| Specialization: | Neurology |
| Gender: | Male |
| Credentials: | MD |
| Experience: | 48+ years |
| Medical School Attended: | University Of Arizona College Of Medicine |
| Graduation Year: | 1978 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 2101 South Ave, So Lake Tahoe,
California, 96150 |
| Phone: | 530-542-5744 |
| Fax: | 530-542-5747 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 5597889246 |
| Enrollment ID: | I20150929001657 |
| NPI Number: | 1336105626 |
| NPI Enumeration Date: | 25 Apr, 2006 |
| NPI Last Update On: | 28 Sep, 2012 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael Patrick Sullivan are as mentioned below.
| License Number | Specialization | State | Status | |
| G40941 | Neurology | California | Primary | |
| 6833 | Neurology | Nevada | Secondary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (291306) | Gardnerville, NV | Critical Access Hospital |
| (050352) | South lake tahoe, CA | Acute Care Hospital |
| (290019) | Carson city, NV | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Michael Patrick Sullivan is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Barton Healthcare System (1850293960) | 30 |
| Carson Valley Medical Center Rural Health Clinic (2860579984) | 21 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Michael Patrick Sullivan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 00G409410 | Medicaid | California | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Michael Patrick Sullivan
2101 South Ave,
So Lake Tahoe, California |
| Zip: | 96150 |
| Phone Number: | 530-542-5744 |
| Fax Number: | 530-542-5747 |
Patients can reach Michael Patrick Sullivan at
2101 South Ave, So Lake Tahoe, California or can
call to book an appointment on 530-542-5744.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.