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

John A. Sullivan, MD

Individual provider Diagnostic Radiology Physician · NPI 1013985134

John A. Sullivan, MD is a Diagnostic Radiology Physician in Jackson, Wyoming. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
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

7330 Ryegrass Rd
Jackson, WY 83001
Phone: (307) 733-9105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence R6F03 (MO)

Record details

NPI number1013985134
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 14, 2006
Last updated in NPPESSeptember 10, 2009
Mailing address1550 E Republic Rd, Springfield, MO 65804-6530

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