- Practice location
- Emile @ 42ND St, Omaha, NE 68198-5575
- Phone
- 402-552-6007
- Fax
- —
- Last updated
- October 14, 2025
Randall Gene Sullivan is a Psychiatry & Neurology, Psychiatry based in Omaha, NE. Randall Gene Sullivan practices in Omaha, NE and has the professional credentials of MD. The NPI Number for Randall Gene Sullivan is 1114942653 and holds a License No. MD2018-0063 (NM). The current practice location address for Randall Gene Sullivan is Emile @ 42ND St, Omaha, NE 68198-5575 and can be reached out via phone at 402-552-6007.
Provider Profile Details
- NPI Number
- 1114942653
- Provider Name
- Randall Gene Sullivan
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- Emile @ 42ND St, Omaha, NE 68198-5575
- Phone Number
- 402-552-6007
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 13, 2006
- Last Update Date
- October 14, 2025
- Certification Date
- October 14, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Emile @ 42ND St
Omaha, NE 68198-5575 - City
- Omaha
- State
- Nebraska
- Zip
- 68198-5575
- Phone Number
- 402-552-6007
Provider Business Mailing Address Details
- Address
- 988102 Nebraska Medical Ctr
Omaha, NE 68198-8102 - City
- Omaha
- State
- NE
- Zip
- 68198-8102
License Information
- License Number (1)
- MD2018-0063
- License State (1)
- NM
- Taxonomy (1)
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- License Number (2)
- 17415
- License State (2)
- NE
- Taxonomy (2)
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
- License Number (3)
- MD29920
- License State (3)
- ME
- Taxonomy (3)
- Psychiatry & Neurology, Psychiatry · 2084P0800X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Randall G Sullivan, MD?
The NPI number of Dr. Randall G Sullivan, MD is 1114942653. It was assigned on July 13, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Randall G Sullivan, MD?
Dr. Randall G Sullivan, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in NM under license number MD2018-0063.
Where does Dr. Randall G Sullivan, MD practice?
The practice location is Emile @ 42ND St, Omaha, NE 68198-5575. The office can be reached at 402-552-6007 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114942653 directly on the NPPES registry website.