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Active NPI 1750361036 Individual Practitioner Male Practitioner

Dr. Vincent E. Sullivan , MD

Surgery • Centerville, IA

Professional Overview & Biography Verified Profile Summary

Dr. Vincent Sullivan, MD is a registered healthcare professional specializing in Surgery in Centerville, IA. Practice services are available at 19878 SAINT JOSEPH DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

19878 Saint Joseph Dr

Centerville, IA 525448850

Telephone 6414371576
Fax 6414374205
Associated Practice Facility / Clinic
🏢 Vincent E. Sullivan Md Pc Facility NPI 1174705628

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Centerville, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 50.0 Yrs
State Avg: 26.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Centerville, IA (452 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

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IA 18213

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0186270 (IA)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 27, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 27, 2007

Registered at 19878 SAINT JOSEPH DR, CENTERVILLE, IA 525448850 (Tel: 6414371576)

📍
Updated Business Mailing Address November 27, 2007

Registered at 19878 SAINT JOSEPH DR, POST OFFICE BOX 160, CENTERVILLE, IA 525448850 (Tel: 6414371576)

👤
Provider Name / Credentials Updated November 27, 2007

Recorded as VINCENT SULLIVAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2007

Surgery (License #18213 in IA)

🟢
Initial NPI Registration & Enumeration January 20, 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: 1750361036
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 20, 2006
Last Update: November 27, 2007
Sole Proprietor: No

Mailing Address

19878 Saint Joseph Dr, Post Office Box 160

Centerville, IA 525448850

Phone: 6414371576

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.