P Praxis·MD
● Active Type 1 · Individual

John M Sullivan, MD

Surgery·Ennis, TX· NPI 1336132117 · Enumerated 2005 · 20 years on NPI
Sullivan is 1 of 7 surgery providers in Ennis and 1 of 3028 in Texas.
NPI age
20 years
Enumerated 2005-08-26
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-01-13
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 3028 active surgery providers in Texas.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
1
In the 27% of peers with subspecialties

NPI lifetime · 2005 → 2026

2005-08Enumerated in NPPES
2005 2026

Where they practice

Practice location
802 W Lampasas St
Ennis, TX 751194500
📞 9728784700fax 9728782238
Mailing address
802 W Lampasas St
Ennis, TX 751194500
📞 9728784700fax 9728782238

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    TX license #K5708 taxonomy 208600000X
  • Surgery
    A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
    TX license #K5708 taxonomy 2086S0129X

Identifiers

TypeValueNotes
05 (TX) 138206115
01 (TX) 8A7520 MEDICARE PTAN

Practice context

Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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