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

Ryan Sean Sullivan, DO

Individual provider Anesthesiology Physician · NPI 1447743232

Ryan Sean Sullivan, DO is an Anesthesiology in Jackson, Michigan. Qualified in 2018, 8 years ago. Practices with Parkview Health System Inc, a 1,336-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
8
Licensed in
IN, MI
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

205 N East Ave
Jackson, MI 49201-1753
Phone: (517) 205-3964
Fax: (517) 205-7050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845-1714 — (260) 425-6030

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 02006712A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 510102407 (MI)

Record details

NPI number1447743232
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 7, 2018
Last updated in NPPESOctober 17, 2022
Certification dateOctober 17, 2022
Mailing address11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Parkview Health System Inc — 1336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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