Vincent E. Sullivan MD PC
Vincent E. Sullivan MD PC is a healthcare organization registered as Surgery Physician in Centerville, IA, holding Type 2 (organization) NPI 1174705628 since 2007. The authorized official on file is Vincent Sullivan, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174705628 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Vincent E. Sullivan MD PC |
| Other name | <Unavail> |
| Practice address | 19878 SAINT JOSEPH DR, Centerville, IA, 52544 |
| Phone | 6414371576 |
| Fax | 6414374205 |
| Enumeration date | 2007-11-27 |
| Last updated in NPPES | 2007-11-27 |
Authorized official
| Name | Vincent Sullivan |
|---|---|
| Title | Owner |
| Phone | 6414371576 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | 18213 | IA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0186270 | Medicaid | IA | — |
Copy-ready billing details
Provider: Vincent E. Sullivan MD PC NPI: 1174705628 Taxonomy: 208600000X (Surgery Physician) Address: 19878 SAINT JOSEPH DR, Centerville, IA, 52544
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1750361036 | Vincent Sullivan | Individual | Surgery Physician | Centerville, IA |
Verify this record
Cross-check NPI 1174705628 against the authoritative CMS record: view Vincent E. Sullivan MD PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Vincent E. Sullivan MD PC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2007-11-27.