Doctor profile · Federal record
Dr. Jon Sullivan, M.D.
Pediatrics Physician · Pediatrics Physician · Gallipolis, OH
- NPI 1053341370
- 20 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
100 Jackson Pike
Gallipolis, OH 456311560
(740) 446-5371
fax (740) 446-5711 - Mailing address
-
90 Jackson Pike
Gallipolis, OH 456311560
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- December 29, 2020
- Specialty taxonomy
- 208000000X — NUCC code
- State licenses (2)
- Ohio #35-05-4754 · West Virginia #16987
- Medicaid (2)
- WV #0107833000 · OH #0882719
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1053341370. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$39
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| GlaxoSmithKline, LLC. | 2 | $38.96 |
By nature of payment
Frequently asked questions
What is Dr. Jon Sullivan's medical specialty?
Dr. Jon Sullivan practices Pediatrics Physician in Gallipolis, OH.
Where does Dr. Jon Sullivan practice?
Dr. Jon Sullivan practices at 100 Jackson Pike, Gallipolis, OH 456311560. Office phone: 7404465371.
What is Dr. Jon Sullivan's NPI?
Dr. Jon Sullivan's National Provider Identifier (NPI) is 1053341370, issued by NPPES.