Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649453903 Individual Practitioner Male Practitioner

Dr. C Eugene Sullivan , MD

Specialist • Boise, ID

Professional Overview & Biography Verified Profile Summary

Dr. C Sullivan, MD is a registered healthcare professional specializing in Specialist in Boise, ID. Practice services are available at 210 W JEFFERSON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

210 W Jefferson St

Boise, ID 837026044

Telephone 2083449424
Fax 2083433263
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.5 Yrs
State Avg: 35.5 Yrs
Regional Practice Density
51 Specialists

Practicing in Boise, ID (194 Statewide)

Telehealth Adoption Rate
2.0% 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License ID M3232

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0024588 (ID)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Colleen Lambertz , NP

Nurse Practitioner

NPI 1447366737

Nurse Practitioner

NPI 1497861769

Doctor of Medicine (M.D.)

Jerrimi Helmick , NP

Nurse Practitioner

NPI 1649378993

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 10, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 10, 2007

Registered at 210 W JEFFERSON ST, BOISE, ID 837026044 (Tel: 2083449424)

📍
Updated Business Mailing Address December 10, 2007

Registered at PO BOX 2066, BOISE, ID 837012066 (Tel: 2083449424)

👤
Provider Name / Credentials Updated December 10, 2007

Recorded as C SULLIVAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2007

Specialist (License #M3232 in ID)

🟢
Initial NPI Registration & Enumeration December 10, 2007

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: 1649453903
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 10, 2007
Last Update: December 10, 2007
Sole Proprietor: Yes

Mailing Address

Po Box 2066

Boise, ID 837012066

Phone: 2083449424

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.