IndividualActive
Janet Sullivan, MD
NPI 1609967314 · Pediatrics Physician · Columbia, MO
Provider details
- NPI number
- 1609967314
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 2009003022 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2412 Forum Blvd Ste 103
Columbia, MO 65203-6364
Phone: (573) 445-0725
Fax: (573) 445-1027
Street-level locationGet directions
Mailing address
2412 Forum Blvd Ste 103
Columbia, MO 65203-6364
Registry dates
- Enumerated
- 2006-09-27
- Last updated
- 2009-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.