Active NPI 1285675405 Individual Practitioner Male Practitioner

Dr. Jesse George Sullivan , MD

General Practice • El Reno, OK

Professional Overview & Biography Verified Profile Summary

Dr. Jesse Sullivan, MD is a registered healthcare professional specializing in General Practice in El Reno, OK. Practice services are available at 2001 PARKVIEW DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2001 Parkview Dr

El Reno, OK 730362107

Telephone 4052622114

Fax 4052622306

Associated Practice Facility / Clinic

🏢 Medlinc Inc Facility NPI 1194728634

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in El Reno, OK

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 26.8 Yrs

Regional Practice Density

3 Specialists

Practicing in El Reno, OK (175 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 OK 12233

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

Practice Associates & Co-Workers

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

2 Associated Practitioners

Valorie Graves , PA

Physician Assistant - Medical

NPI 1144277351

Physician Assistant

Dr. Margaret Mehle , MD

General Practice

NPI 1346245248

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 2001 PARKVIEW DR, EL RENO, OK 730362107 (Tel: 4052622114)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1116 MONTREAL DR, YUKON, OK 730995349 (Tel: 4053549769)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JESSE SULLIVAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #12233 in OK)

🟢

Initial NPI Registration & Enumeration June 09, 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: 1285675405

Entity Type:

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

Enumeration Date: June 09, 2006

Last Update: July 13, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1116 Montreal Dr

Yukon, OK 730995349

Phone: 4053549769

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.