Michael Patrick Sullivan is a So Lake Tahoe, California based neurologist with 46 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:
46+ 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.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.