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Jon M. Sullivan, MD
Pediatrics Physician in Gallipolis, Ohio
NPI 1053341370

Jon M. Sullivan is a Pediatrics Physician based in Gallipolis, OH. Jon M. Sullivan practices in Gallipolis, OH and has the professional credentials of MD. The NPI Number for Jon M. Sullivan is 1053341370 and holds a License No. 16987 (Ohio).

The current practice location address for Jon M. Sullivan is 100 Jackson Pike, Gallipolis, OH and can be reached out via phone at 740-446-5371 and via fax at 740-446-5711.

Location: 100 Jackson Pike, Gallipolis, OH, 45631-1560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053341370
Provider Name
Jon M. Sullivan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 Jackson Pike, Gallipolis, OH, 45631-1560
Phone Number
740-446-5371
Fax Number
740-446-5711
Provider Enumeration Date
07/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000181879 01 OH UNISON MEDICAID #
001714064 01 MOUNTAIN STATE BCBS
0882719 01 OH MOLINA MEDICAID #
000000006810 01 WV ANTHEM BCBS
370002760 01 OH RR MEDICARE
000000007592 01 ANTHEM BCBS
0107833000 05 WV
0882719 05 OH
310917085065 01 OH CARESOURCE MEDICAID #
institution
Provider Business Practice Location Address Details
Address
100 Jackson Pike
City
Gallipolis
State
Ohio
Zip
45631-1560
Phone Number
740-446-5371
Fax Number
740-446-5711
person
Provider Business Mailing Address Details
Address
100 Jackson Pike
City
Gallipolis
State
Ohio
Zip
45631-1560
Phone Number
740-446-5371
Fax Number
740-446-5711
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
16987 (West Virginia)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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