MR. MACK HUGH SULLIVAN JR. MD
NPI 1780683151
Plastic Surgery in Troy, MI
NPI Status: Active since July 19, 2005
Contact Information
44199 DEQUINDRE RD.
SUITE 518
TROY, MI
ZIP 48085
Phone: (248) 524-0640
Fax: (248) 994-0866
- Individual
- Male
- Plastic Surgery
About MACK SULLIVAN
This page provides the complete NPI Profile along with additional information for Mack Sullivan, a provider established in Troy, Michigan with a medical specialization in Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1780683151 assigned on July 2005. The practitioner's primary taxonomy code is 208200000X with license number 4301094101 (MI). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1780683151
- Provider Name
- MR. MACK HUGH SULLIVAN JR. MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 44199 DEQUINDRE RD. SUITE 518 TROY, MI 48085
- Location Phone
- (248) 524-0640
- Location Fax
- (248) 994-0866
- Mailing Address
- 44199 DEQUINDRE RD. SUITE 518 TROY, MI 48085
- Mailing Phone
- (248) 524-0640
- Mailing Fax
- (248) 994-0866
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-19-2005
- Last Update Date
- 01-15-2013
- Code Navigator
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
Plastic Surgery
- Taxonomy Code
- 208200000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301094101
- License State
- MI
- Taxonomy Description
- A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| G30816 | MEDICARE UPIN (02) | MI | |
| G30816 | MEDICARE UPIN (02) |
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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 | 7 | 8 | 0 | 6 | 8 | 3 | 1 | 5 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 16 | 0 | 12 | 8 | 6 | 1 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 6 + 0 + 1 + 2 + 8 + 6 + 1 + 1 + 0 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1780683151 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780683151, enumerated in the NPI registry as an "individual" on July 19, 2005
The provider is located at 44199 Dequindre Rd. Suite 518 Troy, Mi 48085 and the phone number is (248) 524-0640
The provider's speciality is Plastic Surgery with taxonomy code 208200000X
The provider might be accepting Accepts: Medicare and Medicaid. 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 July 19, 2005. 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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