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

Mr. Thomas Andrew Sullivan, MD

Individual provider Orthopaedic Surgery Physician · NPI 1114004181

Mr. Thomas Andrew Sullivan, MD is an Orthopedic Surgery in Green Bay, Wisconsin. Graduated from University of Nebraska College of Medicine in 1997, 29 years ago. Practices with Orthopedic and Sports Medicine Specialists of Green Bay SC, a 51-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
29
Trained at
University of Nebraska College of Medicine
Licensed in
WI
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

2223 Lime Kiln Rd Ste 1
Green Bay, WI 54311-6213
Phone: (920) 430-8120
Fax: (920) 430-8122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 44603 (WI)

Record details

NPI number1114004181
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025
Mailing address2223 Lime Kiln Rd, Suite 1, Green Bay, WI 54311-6213

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Orthopedic And Sports Medicine Specialists Of Green Bay Sc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Green Bay