Glen O'sullivan, M.D

ActiveIndividual ProviderSpecialty not listed
NPI issued: August 3, 2005

Quick Facts

NPI Number
1972504652
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy174400000X — Specialty not listed
Phone
(866) 668-3597
StateCA

NPI Validation Status: Verified

Valid 10-digit NPI number (1972504652)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (August 3, 2005)
Data source: CMS NPPES

Provider Overview

GLEN O'SULLIVAN, M.D is a Healthcare provider based in Mount Shasta, CA who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1972504652
Provider TypeIndividual Provider
GenderMale
CredentialM.D
StatusActive
Enumeration DateAugust 3, 2005

Practice Location

CityMount Shasta
StateCA
ZIP Code96067-9003
Phone(866) 668-3597

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code174400000X
License StateCA

Mailing Address

CityMount Shasta
StateCA
ZIP Code96067-9003
Phone(866) 668-3597
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1972504652 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1972504652for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1972504652 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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98,222
Specialty not listed Providers in the US

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People Also Ask

What is Glen O'sullivan's NPI number?
Glen O'sullivan's NPI number is 1972504652, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Glen O'sullivan's NPI currently active?
Yes, Glen O'sullivan's NPI status is Active as of the latest CMS NPPES database updates.
What does Glen O'sullivan specialize in?
Glen O'sullivan specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 174400000X.
Where does Glen O'sullivan practice?
Glen O'sullivan practices in Mount Shasta, CA 96067-9003.
When was Glen O'sullivan's NPI issued?
Glen O'sullivan's NPI was issued on August 3, 2005.
What is Glen O'sullivan's provider type?
Glen O'sullivan is registered as an Individual Provider under CMS NPI Type 1.