IndividualActive
C Sullivan, M.D.
NPI 1649453903 · Specialist · Boise, ID
C Sullivan, M.D. is a Specialist provider in Boise, ID (NPI 1649453903).
Provider details
- NPI number
- 1649453903
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- M3232 (ID)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
210 W Jefferson St
Boise, ID 83702-6044
Phone: (208) 344-9424
Fax: (208) 343-3263
Street-level locationGet directions
Mailing address
Po Box 2066
Boise, ID 83701-2066
Registry dates
- Enumerated
- 2007-12-10
- Last updated
- 2007-12-10
Frequently asked questions
- What is C Sullivan's NPI number?
- C Sullivan's National Provider Identifier (NPI) is 1649453903, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is C Sullivan's specialty?
- C Sullivan is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is C Sullivan located?
- C Sullivan's practice location on file with NPPES is 210 W Jefferson St, Boise, ID 83702-6044.
- What is C Sullivan's phone number?
- The practice phone number listed in the NPPES registry for C Sullivan is (208) 344-9424.
- Is C Sullivan's NPI active?
- Yes — C Sullivan's NPI (1649453903) is active in the NPPES registry as of the last update on 2007-12-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.