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

Thomas C. Sullivan, MD

Individual provider Colon & Rectal Surgery Physician · NPI 1508895988

Thomas C. Sullivan, MD is a General Surgery in Mena, Arkansas. Qualified in 1979, 47 years ago. Practices with Mena Surgical Clinic, a 3-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
47
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

400 Crestwood Cir Ste L
Mena, AR 71953-5511
Phone: (479) 394-1414
Fax: (479) 394-2612
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence A41748 (CA)

Record details

NPI number1508895988
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2006
Last updated in NPPESFebruary 7, 2012
Mailing address311 Morrow St N, Mena, AR 71953-2516

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Group practice Mena Surgical Clinic — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount