SULLIVAN MEDICAL CLINIC, LLC
NPI 1205263159
Internal Medicine - Addiction Medicine in Milwaukee, WI
NPI Status: Active since October 07, 2013
Contact Information
6040 W LISBON AVE
SUITE 200
MILWAUKEE, WI
ZIP 53210
Phone: (414) 447-9890
Fax: (414) 447-9891
- Organization
- Internal Medicine
- Addiction Medicine
- Accepts Insurance
About SULLIVAN MEDICAL CLINIC, LLC
This page provides the complete NPI Profile along with additional information for Sullivan Medical Clinic, Llc, an internist established in Milwaukee, Wisconsin operating as a Internal Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1205263159 assigned on October 2013. The practitioner's primary taxonomy code is 207RA0401X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Gerald E Sullivan Md (Sole Mbr)
- NPI
- 1205263159
- Provider Name
- SULLIVAN MEDICAL CLINIC, LLC
- Entity Type
- Organization
- Location Address
- 6040 W LISBON AVE SUITE 200 MILWAUKEE, WI 53210
- Location Phone
- (414) 447-9890
- Location Fax
- (414) 447-9891
- Mailing Address
- 6040 W LISBON AVE SUITE 200 MILWAUKEE, WI 53210
- Mailing Phone
- (414) 447-9890
- Mailing Fax
- (414) 447-9891
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-07-2013
- Last Update Date
- 10-07-2013
- Code Navigator
An internist like Sullivan Medical Clinic, Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Addiction Medicine
- Taxonomy Code
- 207RA0401X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 0 | 5 | 2 | 6 | 3 | 1 | 5 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 0 | 5 | 4 | 6 | 6 | 1 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 0 + 5 + 4 + 6 + 6 + 1 + 1 + 0 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1205263159 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1902869290 | MS. NANCY HALL ATR-BC, CRC, ATRL Individual | Counselor (Mental Health) | 6040 W LISBON AVE SUITE 102 MILWAUKEE, WI 53210 (414) 871-9111 |
| 1225059744 | DIANE GWEN BLOOR APSW Individual | Counselor | 6040 W LISBON AVE MILWAUKEE, WI 53210 (414) 871-9111 |
| 1497779102 | GERALD ALLAN THEIS M.S.W. Individual | Social Worker (Clinical) | 6040 W LISBON AVE MILWAUKEE, WI 53210 (414) 871-9111 |
| 1639186166 | CAROL JEAN SEYDEWITZ M.S. WATR-BC Individual | Counselor (Professional) | 6040 W LISBON AVE MILWAUKEE, WI 53210 (414) 871-9111 |
| 1457368987 | KATHLEEN MARY MUEHLBAUER MSW LCSW Individual | Social Worker (Clinical) | 6040 W LISBON AVE MILWAUKEE, WI 53210 (414) 871-9111 |
| 1770630683 | DEIRDRE LEE KOZLOWSKI LPC Individual | Counselor (Mental Health) | 6040 W LISBON AVE SUITE 102 MILWAUKEE, WI 53210 (414) 871-9111 |
| 1104978485 | DEVERA KAY KLEMP MA Individual | Counselor (Mental Health) | 6040 W LISBON AVE SUITE 102 MILWAUKEE, WI 53210 (414) 871-9111 |
| 1821141276 | EHUD MOSCOVITZ MA Individual | Counselor (Mental Health) | 6040 W LISBON AVE SUITE 102 MILWAUKEE, WI 53210 (414) 871-9111 |
| 1932241056 | DR. LAUREN J NELSON PH.D Individual | Psychologist (Counseling) | 6040 W LISBON AVE SUITE 102 MILWAUKEE, WI 53210 (414) 871-9111 |
| 1124161880 | MRS. JULIE MARIE MAYHEW APSW Individual | Counselor (Mental Health) | 6040 W LISBON AVE SUITE 102 MILWAUKEE, WI 53210 (414) 871-9111 |
| 1790813681 | DR. JOSEPH F KOHNKE PHD Individual | Counselor (Mental Health) | 6040 W LISBON AVE MILWAUKEE, WI 53210 (414) 447-9890 |
| 1033247606 | ANTONIA SALLIS MS,SAC,DPI TEACHER Individual | Counselor (Addiction (Substance Use Disorder)) | 6040 W LISBON AVE MILWAUKEE, WI 53210 (414) 364-0406 |
| 1619005212 | MRS. MARGO J CAMACHO LPC Individual | Counselor (Mental Health) | 6040 W LISBON AVE MILWAUKEE, WI 53210 (414) 447-9890 |
| 1033248968 | MS. ELIZABETH SUSAN PORT M.S. Individual | Counselor (Professional) | 6040 W LISBON AVE MILWAUKEE, WI 53210 (414) 447-9890 |
| 1871622720 | MR. PAUL BARNO MS Individual | Counselor (Mental Health) | 6040 W LISBON AVE SUITE 200 MILWAUKEE, WI 53210 (414) 447-9890 |
| 1215067665 | PATTIS MEDICAL SERVICES, LLC Organization | Family Medicine | 6040 W LISBON AVE MILWAUKEE, WI 53210 (414) 447-9890 |
| 1831223957 | LAURIE ELLEN MOECKLER MSW-CISW Individual | Social Worker | 6040 W LISBON AVE SUITE 102 MILWAUKEE, WI 53210 (414) 871-9111 |
| 1710011895 | TARA B MAGAW MA Individual | Counselor (Mental Health) | 6040 W LISBON AVE SUITE 102 MILWAUKEE, WI 53210 (414) 871-9111 |
| 1043344732 | BARBARA A DENTON MA, ATR Individual | Counselor (Mental Health) | 6040 W LISBON AVE SUITE 102 MILWAUKEE, WI 53210 (414) 871-9111 |
| 1760516215 | MR. CLEM RICHARDSON BS Individual | Counselor (Addiction (Substance Use Disorder)) | 6040 W LISBON AVE MILWAUKEE, WI 53210 (414) 447-9890 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205263159, enumerated in the NPI registry as an "organization" on October 07, 2013
The provider is located at 6040 W Lisbon Ave Suite 200 Milwaukee, Wi 53210 and the phone number is (414) 447-9890
This medical organization specializes in Internal Medicine with taxonomy code 207RA0401X with a focus in Addiction Medicine
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Molina. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on October 07, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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