Active NPI 1174605653 Individual Practitioner Male Practitioner

Dr. Ryan A Sullivan , MD

Internal Medicine • Manistee, MI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Sullivan, MD is a certified Internal Medicine practicing in Manistee, MI. With approximately 24 years of clinical experience since graduating from Wayne State University School Of Medicine in 2002, Dr. Sullivan delivers high-quality medical care to the local community at 2198 US HIGHWAY 31 S.

Dr. Sullivan is affiliated with Crystal Lake Clinic Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, hemoglobin a1c level. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2198 Us Highway 31 S

Manistee, MI 496609618

Telephone 2317233567

Associated Practice Facility / Clinic

🏢 Raymond E. F. Schmoke, Md. P.c. Facility NPI 1346437316

Medicare Profile & Education

Medical School

Wayne State University School Of Medicine

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Manistee, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs -3.0 yrs vs City Avg

City Avg: 27.0 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

3 Specialists

Practicing in Manistee, MI (6010 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

46.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sullivan (24 Years) 24 Yrs

Manistee Specialty Average (27.0 Years) 27.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	761	345	$180.00	$114.26
99213 Established patient office or other outpatient visit, typically 15 minutes	451	257	$125.00	$79.86
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	332	332	$270.00	$111.52
83036 Hemoglobin A1C level	201	90	$20.00	$9.47
G0444 Annual depression screening, 5 to 15 minutes	197	197	$40.00	$15.91
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	123	24	$30.00	$12.53
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	108	17	$2.00	$1.00
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	97	24	$140.00	$65.84
81003 Automated urinalysis test	79	51	$5.00	$2.20
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	75	21	$90.00	$36.28
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	65	17	$185.00	$96.05
99496 Transitional care management services for problem of high complexity	32	31	$420.00	$238.85
93000 Routine ekg using at least 12 leads including interpretation and report	29	29	$25.00	$12.54
20610 Aspiration and/or injection of fluid from large joint	26	17	$126.92	$65.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	22	$230.00	$160.48
G0008 Administration of influenza virus vaccine	26	26	$35.00	$30.87
99441 Telephone medical discussion with physician, 5-10 minutes	25	13	$60.00	$45.33
90662 Influenza vaccine split virus, preservative free	24	24	$95.00	$80.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$170.00	$100.57
94664 Evaluation of use of breathing device	21	12	$40.00	$15.19
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	16	15	$50.00	$32.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$260.00	$153.62
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$345.00	$142.28
87804 Detection test by immunoassay with direct visual observation for influenza virus	12	12	$25.00	$16.22
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$345.00	$142.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	757	388	$177.66	$120.62
99213 Established patient office or other outpatient visit, typically 15 minutes	503	258	$121.96	$85.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	371	371	$270.00	$122.51
G0444 Annual depression screening, 5 to 15 minutes	252	252	$40.00	$17.16
83036 Hemoglobin A1C level	167	89	$20.00	$9.42
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	133	22	$30.00	$13.33
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	98	20	$185.00	$102.17
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	88	12	$9.77	$1.54
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	80	22	$140.00	$71.50
G0008 Administration of influenza virus vaccine	59	59	$35.00	$29.39
81003 Automated urinalysis test	57	35	$5.00	$2.20
90662 Influenza vaccine split virus, preservative free	53	53	$95.00	$71.87
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	50	11	$1.88	$1.03
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	44	15	$90.00	$37.97
99496 Transitional care management services for problem of high complexity	34	29	$420.00	$262.09
93000 Routine ekg using at least 12 leads including interpretation and report	24	24	$25.00	$13.70
99441 Telephone medical discussion with physician, 5-10 minutes	22	13	$60.00	$52.88
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	21	17	$50.00	$34.62
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$345.00	$155.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$257.33	$160.19
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$117.50	$69.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$170.00	$107.17
G0009 Administration of pneumococcal vaccine	13	13	$35.00	$29.39
87804 Detection test by immunoassay with direct visual observation for influenza virus	13	13	$25.00	$16.22
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	12	12	$375.00	$282.08
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	11	11	$255.00	$128.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	542	285	$109.90	$85.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	540	321	$157.80	$122.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	331	331	$264.18	$125.12
G0444 Annual depression screening, 5 to 15 minutes	249	249	$37.91	$17.35
83036 Hemoglobin A1C level	155	94	$20.00	$9.59
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	121	19	$30.00	$13.65
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	95	22	$137.32	$65.76
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	84	18	$178.45	$86.74
G0008 Administration of influenza virus vaccine	77	76	$34.55	$27.88
90662 Influenza vaccine split virus, preservative free	66	65	$93.18	$68.24
81003 Automated urinalysis test	50	36	$5.00	$2.21
99496 Transitional care management services for problem of high complexity	50	40	$405.00	$261.51
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	46	31	$22.07	$14.79
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	39	11	$3.92	$1.10
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	36	12	$88.33	$41.66
93000 Routine ekg using at least 12 leads including interpretation and report	26	26	$25.00	$13.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$155.00	$108.18
99442 Telephone medical discussion with physician, 11-20 minutes	23	19	$95.00	$85.78
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	22	22	$335.45	$160.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$69.32	$54.00
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$111.67	$69.64
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$337.94	$159.22
99495 Transitional care management services for problem of at least moderate complexity	16	14	$299.38	$197.73
99441 Telephone medical discussion with physician, 5-10 minutes	16	11	$60.00	$53.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$205.00	$174.81
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$30.00	$21.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	425	247	$147.25	$125.10
99213 Established patient office or other outpatient visit, typically 15 minutes	300	134	$100.08	$87.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	279	279	$160.84	$127.93
83036 Hemoglobin A1C level	150	88	$18.21	$9.71
G0444 Annual depression screening, 5 to 15 minutes	149	149	$30.17	$17.75
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	125	25	$34.40	$13.58
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	114	24	$108.68	$66.76
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	92	15	$10.74	$1.99
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	84	17	$145.86	$88.02
G0008 Administration of influenza virus vaccine	71	71	$30.85	$16.13
90662 Influenza vaccine split virus, preservative free	70	70	$63.11	$63.09
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	59	27	$19.08	$14.54
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	45	11	$68.76	$42.53
99441 Telephone medical discussion with physician, 5-10 minutes	38	23	$60.00	$54.11
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose	37	37	$40.00	$37.85
0002A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose	35	35	$40.00	$37.85
93000 Routine ekg using at least 12 leads including interpretation and report	22	22	$28.82	$12.95
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$242.32	$162.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$147.00	$108.95
81002 Urinalysis, manual test	17	13	$6.00	$3.48
99496 Transitional care management services for problem of high complexity	17	14	$325.88	$268.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	467	259	$147.00	$105.09
99213 Established patient office or other outpatient visit, typically 15 minutes	275	130	$99.00	$71.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	208	208	$116.00	$111.77
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	160	25	$139.00	$89.50
G0008 Administration of influenza virus vaccine	121	118	$32.00	$16.07
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	119	32	$105.00	$67.84
90662 Influenza vaccine split virus, preservative free	105	102	$60.97	$59.95
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	105	14	$35.00	$13.74
83036 Hemoglobin A1C level	89	77	$18.00	$9.67
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	73	67	$30.78	$14.06
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	63	25	$68.00	$43.27
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	46	25	$19.00	$14.91
99441 Telephone medical discussion with physician, 5-10 minutes	34	24	$59.15	$43.50
81002 Urinalysis, manual test	21	16	$6.00	$3.46
99442 Telephone medical discussion with physician, 11-20 minutes	18	17	$94.78	$71.53
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	18	18	$170.00	$165.65
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$29.00	$16.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$147.00	$100.90
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	13	13	$139.00	$88.80
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$30.00	$19.58
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$172.33	$161.18
99496 Transitional care management services for problem of high complexity	11	11	$316.00	$235.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	605	327	$147.00	$104.84
99213 Established patient office or other outpatient visit, typically 15 minutes	402	178	$99.00	$71.74
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	265	49	$139.00	$90.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	251	251	$120.09	$112.87
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	212	49	$105.00	$67.71
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	173	17	$35.00	$16.05
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	81	35	$19.00	$14.61
G0008 Administration of influenza virus vaccine	78	77	$32.00	$15.78
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	74	35	$68.00	$43.33
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	54	43	$197.00	$128.52
90756 Vaccine for influenza for injection into muscle	44	44	$30.00	$25.54
93000 Routine ekg using at least 12 leads including interpretation and report	39	35	$29.00	$16.42
81002 Urinalysis, manual test	36	32	$6.00	$3.41
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	29	26	$139.00	$89.04
90662 Influenza vaccine split virus, preservative free	26	26	$49.23	$48.25
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$175.19	$162.24
99496 Transitional care management services for problem of high complexity	17	14	$316.00	$224.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$147.00	$105.46
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$176.40	$167.22
G0009 Administration of pneumococcal vaccine	12	12	$32.00	$15.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	593	252	$99.00	$70.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	470	284	$145.22	$102.04
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	255	58	$134.49	$89.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	244	244	$172.24	$111.94
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	195	56	$102.24	$67.30
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	186	20	$35.00	$19.45
G0008 Administration of influenza virus vaccine	112	112	$25.19	$19.33
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	104	11	$11.00	$1.96
90662 Influenza vaccine split virus, preservative free	91	91	$45.66	$44.75
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	64	32	$69.00	$43.41
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	60	52	$193.58	$126.30
81002 Urinalysis, manual test	49	39	$6.00	$3.41
G0009 Administration of pneumococcal vaccine	47	47	$25.45	$19.33
90670 Pneumococcal vaccine for injection into muscle	42	42	$186.83	$182.95
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	35	34	$139.00	$89.08
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	28	28	$253.46	$165.39
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	23	23	$30.00	$17.48
93000 Routine ekg using at least 12 leads including interpretation and report	23	22	$29.00	$16.20
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$246.42	$160.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	645	366	$145.00	$102.80
99213 Established patient office or other outpatient visit, typically 15 minutes	468	246	$99.00	$69.61
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	288	40	$35.00	$23.95
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	229	55	$135.00	$88.48
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	199	25	$11.00	$2.96
G0008 Administration of influenza virus vaccine	141	141	$25.00	$23.79
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	136	54	$103.00	$66.99
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	128	128	$171.41	$110.58
90662 Influenza vaccine split virus, preservative free	121	121	$44.83	$43.93
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	82	72	$196.00	$126.57
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	53	53	$253.46	$163.80
81002 Urinalysis, manual test	43	37	$6.00	$3.43
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	34	25	$67.00	$43.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	33	$193.00	$139.34
93000 Routine ekg using at least 12 leads including interpretation and report	32	31	$29.00	$16.16
G0009 Administration of pneumococcal vaccine	30	30	$25.00	$23.79
90670 Pneumococcal vaccine for injection into muscle	27	27	$183.00	$178.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$147.00	$104.13
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	25	25	$30.00	$17.48
99496 Transitional care management services for problem of high complexity	18	17	$288.00	$220.89
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$245.62	$159.26

Medical Specialties & State Licenses

CMS Verified: 2020-12-30

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MI 430308010

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

4764828 (MI)

Commercial Insurance / Payer ID Railroad Medicare

P00267590 (MI)

Commercial Insurance / Payer ID Bcbs

1105115182 (MI)

Hospital & Practice Group Affiliations

Crystal Lake Clinic Pc

2198 Us Hwy 31 S, Manistee, MI 496609618

Phone: 2317233567

Practice Associates & Co-Workers

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

10 Associated Practitioners

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Physician Assistant

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Physician Assistant

Keri Foster , NP

Nurse Practitioner - Family

NPI 1225529019

Nurse Practitioner

Melissa Fleszar , ARNP

Nurse Practitioner - Family

NPI 1326361619

Advanced Registered Nurse Practitioner

Heidi Collins , NP

Nurse Practitioner

NPI 1336606078

Nurse Practitioner

Emilie Rohn

Physician Assistant

NPI 1538034913

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 28, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 28, 2015

Registered at 2198 US HIGHWAY 31 S, MANISTEE, MI 496609618 (Tel: 2317233567)

📍

Updated Business Mailing Address August 28, 2015

Registered at 6227 FRANKFORT HWY, BENZONIA, MI 496168632 (Tel: 2318829661)

👤

Provider Name / Credentials Updated August 28, 2015

Recorded as RYAN SULLIVAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2015

Internal Medicine (License #430308010 in MI)

🟢

Initial NPI Registration & Enumeration October 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: 1174605653

Entity Type:

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

Enumeration Date: October 20, 2006

Last Update: December 30, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

6227 Frankfort Hwy

Benzonia, MI 496168632

Phone: 2318829661

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.