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

Dr. Jonathan M Sullivan, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1528387958

Dr. Jonathan M Sullivan, DPM is a Podiatry in Palm Coast, Florida. Graduated from Temple University School of Medicine in 2010, 16 years ago. Practices with Upperline Healthcare PC, a 188-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
16
Trained at
Temple University School of Medicine
Licensed in
OH
In the registry since
2010
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

11 Florida Park Dr N
Palm Coast, FL 32137-3866
Phone: (386) 445-4734
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Michigan St, Sidney, OH 45365-2404 — (937) 492-1211

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 36003666 (OH)

Record details

NPI number1528387958
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedMay 25, 2010
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021
Mailing address1890 Lpga Blvd Ste 230, Daytona Beach, FL 32117-7131

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Upperline Healthcare Pc — 188 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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