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

Dr. Jordan Sullivan, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1255877643

Dr. Jordan Sullivan, DPM is a Podiatry in Milwaukee, Wisconsin. Qualified in 2016, 10 years ago. Accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
10
Licensed in
WI
In the registry since
2017
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

2301 N Lake Dr Podiatric Residency Ofc
Milwaukee, WI 53211-4508
Phone: (402) 310-7374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 18096 (WI)

Record details

NPI number1255877643
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJanuary 10, 2017
Last updated in NPPESJanuary 10, 2017

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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