TIMOTHY JOHN SULLIVAN M.D.
NPI 1023012911
Allergy & Immunology, Allergy in Ogden,


Quality Rating: 100 out of 100 score

NPI Status: Active since June 8, 2005

Contact Information

4403 Harrison Blvd.
Ogden,
Post Code: 84403
Phone: (801) 387-4850
Fax: (801) 387-4855

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Timothy John Sullivan M.d. in Ogden - Allergy & Immunology, Allergy

Timothy John Sullivan M.d. is a Allergy & Immunology, Allergy in Ogden, . Timothy John Sullivan M.d. practices all healthcare services and medical treatments related to Allergy & Immunology, Allergy. The NPI Number for Timothy John Sullivan M.d. is 1023012911. The last update date is 2015-06-03.

Timothy John Sullivan M.d.'s current location address is 4403 Harrison Blvd., Ogden, . You can contact this provider via phone number (801) 387-4850 and fax number (801) 387-4855. The mailing address for Timothy John Sullivan M.d. is 4403 Harrison Blvd., Ogden, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1023012911
Provider Name
TIMOTHY JOHN SULLIVAN M.D.
Gender
Male
Entity Type
Individual
Location Address
4403 Harrison Blvd., Ogden,
Location Phone
(801) 387-4850
Location Fax
(801) 387-4855
Mailing Address
4403 Harrison Blvd., Ogden, Utah(UT)
Mailing Phone
801-387-4850
Mailing Fax
801-387-4855
Enumeration Date
2005-06-08
Last Update Date
2015-06-03
Code Navigator

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

Allergy & Immunology, Allergy

Taxonomy Code
207KA0200X
Type
-
License No.
8263858-1205
License State
Utah (UT)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 207KA0200X Allergy Physician

Allergy & Immunology, Allergy

037913 (Georgia)

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
00570996C MEDICAID (05) Georgia (GA)
00570996F MEDICAID (05) Georgia (GA)

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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.
1023012911
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
204301492
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 204301492
2 + 0 + 4 + 3 + 0 + 1 + 4 + 9 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 1 1

The NPI number 1023012911 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013910744 ROBERT P YOUNG
Individual
Dermatology, Clinical & Laboratory Dermatological Immunology 1760 N 200 E
NORTH LOGAN, Utah (UT)
435-787-0560
1013910397 LYNN REX PURCELL
Individual
Optometrist PO BOX 155
TREMONTON, Utah (UT)
435-257-7436
1003812116 GARY ANTHONY CARTER
Individual
Dentist, Orthodontics and Dentofacial Orthopedics 4645 S 4000 W STE B
WEST VALLEY CITY, Utah (UT)
801-955-1900
1013914480 JOHN L HAWS
Individual
Anesthesiology 3340 NORTH CENTER ST
LEHI, Utah (UT)
801-990-1911
1003814013 KAREN ANNE DITTRICH
Individual
Radiology, Diagnostic Radiology 5444 S. GREEN ST.
MURRAY, Utah (UT)
801-262-8120