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Active NPI 1447332952 Individual Practitioner Male Practitioner

Dr. Dennis James Sullivan , MD

Surgery • Odanah, WI

Professional Overview & Biography Verified Profile Summary

Dr. Dennis Sullivan, MD is a registered healthcare professional specializing in Surgery in Odanah, WI. Practice services are available at 72718 MAPLE STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

72718 Maple Street

Odanah, WI 548610250

Telephone 7156827133
Fax 7156857848
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Odanah, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Odanah, WI (765 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 WI 42911

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License MN 43063

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
34021900 (WI)

Practice Associates & Co-Workers

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

29 Associated Practitioners
Russell Denomie

Counselor - Addiction (Substance Use Disorder)

NPI 1063046431
John Ipsen

Family Medicine

NPI 1073564126
Alison Spaude-Filipczak , CAPSW

Social Worker - Clinical

NPI 1124809694
Courtney Holloway

Registered Nurse

NPI 1235084526
Lea Wolf

Social Worker

NPI 1255877791
Barbara Merrill , SAC

Counselor - Addiction (Substance Use Disorder)

NPI 1275281271

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 20, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location February 20, 2008

Registered at 72718 MAPLE STREET, ODANAH, WI 548610250 (Tel: 7156827133)

📍
Updated Business Mailing Address February 20, 2008

Registered at PO BOX 250, ODANAH, WI 548610250 (Tel: 7156827133)

👤
Provider Name / Credentials Updated February 20, 2008

Recorded as DENNIS SULLIVAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2008

Surgery (License #42911 in WI)

🟢
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: 1447332952
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2006
Last Update: February 20, 2008
Sole Proprietor: No

Mailing Address

Po Box 250

Odanah, WI 548610250

Phone: 7156827133

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.