Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Christopher Blake Sullivan, MD

Individual provider Otolaryngology Physician · NPI 1457709222

Christopher Blake Sullivan, MD is an Otolaryngology in Nashville, Tennessee. Graduated from Oregon Health Sciences University School of Medicine in 2016, 10 years ago. Practices with Centennial Surgical Clinic, LLC, a 17-clinician group and accepts Medicare assignment. Licensed in Iowa and Tennessee.

Years since qualifying
10
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
IA, TN
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

335 24th Ave N Ste 120
Nashville, TN 37203-1505
Phone: (615) 342-0290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 74767 (TN)
Otolaryngology Physician Taxonomy 207Y00000X · Licence R-10551 (IA)

Record details

NPI number1457709222
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2016
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Centennial Surgical Clinic, Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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