Dr. Timothy John Sullivan III, MD
Dr. Timothy John Sullivan III, MD is an Allergy/Immunology in Ogden, Utah. Graduated from University of Miami, Lm Miller School of Medicine in 1966, 60 years ago. Practices with Vicki J Lyons MD PC, a 4-clinician group and accepts Medicare assignment. Licensed in Georgia and Utah.
- Years since qualifying
- 60
- Trained at
- University of Miami, Lm Miller School of Medicine
- Licensed in
- GA, UT
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
4403 Harrison Blvd Ste 4640Ogden, UT 84403-3304
Phone: (801) 387-4850
Fax: (801) 387-4855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Allergy Physician (primary) | Taxonomy 207KA0200X · Licence 8263858-1205 (UT) |
|---|---|
| Allergy Physician | Taxonomy 207KA0200X · Licence 037913 (GA) |
Record details
| NPI number | 1023012911 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | June 8, 2005 |
| Last updated in NPPES | June 3, 2015 |
Medicare enrollment
| Medicare specialty | ALLERGY/IMMUNOLOGY |
|---|---|
| Medical school | UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE |
| Graduated | 1966 (60 years in practice) |
| Group practice | Vicki J Lyons Md Pc — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Ogden
-
Vicki J Lyons, MD
4403 Harrison Blvd Ste 4640, Ogden, UT 84403-3271 · (801) 387-4850
-
Timothy Sullivan, MD PC
4403 Harrison Blvd Ste# 4640, Ogden, UT 84403-3271 · (801) 387-4850
-
Vicki J Lyons MD PC
4403 Harrison Blvd Ste 4640, Ogden, UT 84403-3271 · (801) 387-4850