Active NPI 1124107081 Individual Practitioner Male Practitioner

Dr. John James Sullivan , MD

Pediatrics • Eureka, CA

Professional Overview & Biography Verified Profile Summary

Dr. John Sullivan, MD is a registered healthcare professional specializing in Pediatrics in Eureka, CA. Practice services are available at 525 2ND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

525 2nd St
#300

Eureka, CA 955015107

Telephone 7074450893

Fax 7074442563

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Eureka, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 22.5 Yrs

Regional Practice Density

14 Specialists

Practicing in Eureka, CA (9612 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA G37184

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Tim Gomersall , LEP

Psychologist - School

NPI 1114285772

Anne Carlisle , FNP-C

Nurse Practitioner

NPI 1487650321

Family Nurse Practitioner (Certified)

Dr. Ange Lobue , MD, MPH, BSPH

Psychiatry & Neurology - Psychiatry

NPI 1619188315

Doctor of Medicine (M.D.), Master of Public Health, BSPH

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 31, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location December 31, 2013

Registered at 525 2ND ST, #300, EUREKA, CA 955015107 (Tel: 7074450893)

📍

Updated Business Mailing Address December 31, 2013

Registered at 688 VILLA WAY, ARCATA, CA 955215400 (Tel: 7078229691)

👤

Provider Name / Credentials Updated December 31, 2013

Recorded as JOHN SULLIVAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 31, 2013

Pediatrics (License #G37184 in CA)

🟢

Initial NPI Registration & Enumeration November 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124107081

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 03, 2006

Last Update: December 31, 2013

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

688 Villa Way

Arcata, CA 955215400

Phone: 7078229691

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.