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Deactivated NPI 1487857140 Deactivated / Inactive NPI Male Practitioner

Dr. J. David Sullivan , DO

Surgery • Manchester, TN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. J. Sullivan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 08, 2007
NPI Deactivation Date January 03, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. J. Sullivan, DO was a registered Surgery practicing in Manchester, TN. Throughout an active medical career spanning 11 years, Dr. Sullivan provided care at the practice location at 1239 MCARTHUR ST until profile deactivation on 2018-01-03.

Practice Location & Contact Primary Location

Practice Address

1239 Mcarthur St

Manchester, TN 373552423

Telephone 9317285879
Fax 9317285881
Associated Practice Facility / Clinic
🏢 Bill B. Hollins D.o. P.c. Facility NPI 1699977124

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Manchester, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
4 Specialists

Practicing in Manchester, TN (682 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 TN DO0000000201

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 03, 2018

Record deactivated on January 03, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1239 MCARTHUR ST, MANCHESTER, TN 373552423 (Tel: 9317285879)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 1228, MANCHESTER, TN 373491228 (Tel: 9317285879)

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Provider Name / Credentials Updated July 08, 2007

Recorded as J. SULLIVAN, D.O.

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

Surgery (License #DO0000000201 in TN)

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Initial NPI Registration & Enumeration June 08, 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: 1487857140
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2007
Last Update: July 08, 2007
Deactivation Date: January 03, 2018

Mailing Address

Po Box 1228

Manchester, TN 373491228

Phone: 9317285879

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.