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Active NPI 1275576944 Individual Practitioner Male Practitioner

Dr. Michael W. Sullivan , MD

General Practice • Fort Knox, KY

Professional Overview & Biography Verified Profile Summary

Dr. Michael Sullivan, MD is a registered healthcare professional specializing in General Practice in Fort Knox, KY. Practice services are available at 1600 SPEARHEAD DIVISION AVE DEPT 140 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1600 Spearhead Division Ave Dept 140

Fort Knox, KY 401225104

Telephone 5026134605
Fax 5026134549

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Fort Knox, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 32.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Fort Knox, KY (142 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License KY 30828

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License NE 20770

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Obstetrics & Gynecology

NUCC Taxonomy Code: 207V00000X

State License WI 37645020

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
47600743623 (NE)
Medicaid State Provider ID
47600743612 (NE)
Medicaid State Provider ID
47600743621 (NE)
Medicaid State Provider ID
47600743622 (NE)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 24, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2014

Registered at 1600 SPEARHEAD DIVISION AVE DEPT 140, FORT KNOX, KY 401225104 (Tel: 5026134605)

📍
Updated Business Mailing Address June 24, 2014

Registered at 1600 SPEARHEAD DIVISION AVE DEPT 140, FORT KNOX, KY 401225104 (Tel: 5026134605)

👤
Provider Name / Credentials Updated June 24, 2014

Recorded as MICHAEL SULLIVAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2014

Family Medicine (License #20770 in NE)

🟢
Initial NPI Registration & Enumeration June 13, 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: 1275576944
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2006
Last Update: June 24, 2014
Sole Proprietor: No

Mailing Address

1600 Spearhead Division Ave Dept 140

Fort Knox, KY 401225104

Phone: 5026134605

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.