Individual
DR. FRED M SULLIVAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
016881
LA
208000000X
Pediatrics Physician
Primary
016881
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1345261
—
LA
01
—
5M257F600
MEDICARE - PTAN
LA
Enumeration date
09/16/2006
Last updated
05/15/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up