SANDRA J SULLIVAN (NPI# 1003967407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003967407 |
| Entity Type | Individual |
| Full Name | SANDRA J SULLIVAN |
| Credential | PA |
| Practice Address |
41 Mall Rd Burlington MA 01805-0001 |
| Practice Telephone | 7817448000 |
| Mailing Telephone | 7817448000 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2010-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 589 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457468241 | Sandra Jane Sullivan | Chiropractor | 2929 N Galloway Ave, Ste 109, Mesquite, TX 75150-6364 | 2006-08-25 |
| 1073851663 | Sandra Judd Sullivan | Psychologist | 155 Bovet Rd, Suite 404, San Mateo, CA 94402-3108 | 2013-01-16 |
| 1588963490 | Sandra Sullivan | Physician Assistant | 3497 Duluth Park Ln, Suite 200, Duluth, GA 30096-3227 | 2011-03-17 |
| 1366744286 | Sandra Sullivan | Registered Nurse | 50 Sanatorium Rd, Bldg F, Pomona, NY 10970-3555 | 2010-11-29 |
| 1639487952 | Sandra Eberle Sullivan | Nurse Practitioner | 320 Santa Fe Dr, Suite 308, Encinitas, CA 92024-5138 | 2010-09-21 |
| 1154541639 | Sandra Sullivan | Registered Nurse | 1207 E Herndon Ave, Fresno, CA 93720-3235 | 2007-04-26 |
| 1225253909 | Sandra Kay Sullivan | Counselor | 670 Placerville Dr Ste 2, Placerville, CA 95667-4200 | 2007-04-16 |
| 1700913035 | Sandra J Sullivan | Dietitian, Registered | 900 Main St, Oakville, CT 06779-1999 | 2007-02-27 |
| 1386733574 | Sandra K Sullivan | Nurse Practitioner | 1613 N Mills Ave, Orlando, FL 32803-1849 | 2006-10-12 |
| 1770524829 | Sandra E Sullivan | Pediatrics | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-06-09 |
| Street Address |
41 MALL RD |
| City | BURLINGTON |
| State | MA |
| Zip Code | 01805-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770588923 | Gene Wong | Radiology | 41 Mall Rd, Burlington, MA 01805 | 2005-06-15 |
| 1689289977 | Justin Li | Student in an Organized Health Care Education/Training Program | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-09-13 |
| 1235743741 | Rebecca C Mccarthy | Registered Nurse | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-09-02 |
| 1730791419 | Jason Lefkowitz | Student in an Organized Health Care Education/Training Program | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-08-23 |
| 1235749185 | Jing Lun James Xu | Student in an Organized Health Care Education/Training Program | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-08-05 |
| 1841808482 | Evgeny Romanov | Student in an Organized Health Care Education/Training Program | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-07-20 |
| 1780201319 | Nicole Emily Arsenault | Nurse Practitioner | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-06-30 |
| 1841817590 | Joseph Clinton Mccabe | Student in an Organized Health Care Education/Training Program | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-06-29 |
| 1730706508 | Hina Bhat | Student in an Organized Health Care Education/Training Program | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-06-28 |
| 1902423734 | Jonathan Tong Xu | Student in an Organized Health Care Education/Training Program | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750867909 | Natalie Teresa Dal'bo | Student in an Organized Health Care Education/Training Program | 41 Mall Road Office of Graduate Medical Education, Burlington, MA 01805 | 2018-07-11 |
| 1043710791 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Institute of Urology, Beverly, 41 Mall Rd., Burlington, MA 01805 | 2018-02-20 |
| 1902240872 | Lloyd Jones Jr. | Student in an Organized Health Care Education/Training Program | 41 Mall Rd Department of Plastic Surgery, Burlington, MA 01805 | 2013-04-23 |
| 1508020470 | Russell Andrew Baur | Internal Medicine | Lahey Clinic Inc., 41 Mall Road, Burlington, MA 01805 | 2008-07-10 |
| 1356491237 | Jacob Magee Sands | Internal Medicine | 41 Burlington Mall Rd., Lahey Clinic, Burlington, MA 01805 | 2007-01-11 |
| 1588757108 | Richard Alan Wold | Nurse Anesthetist, Certified Registered | Lahey Clinic Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-10-02 |
| 1841302387 | David M. Venesy | Internal Medicine | Lahey Clinic Cardiology -5 E, 41 Mall Road, Burlington, MA 01805 | 2006-08-31 |
| 1790750354 | Cara J. Foss | Nurse Practitioner | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-02-17 |
| 1750376380 | Darryl D Esakof | Internal Medicine | 41 Mall Road, Department of Cardiovascular Medicine, Lahey Clinic, Burlington, MA 01805 | 2005-09-20 |
| 1225022155 | Laura Saluja | Internal Medicine | Lahey Clinic - General Internal Medicine, 41 Mall Road, Burlington, MA 01805 | 2005-09-07 |
| Find all providers in zip 01805 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598399743 | Samantha Pandick Vaillancourt | Physician Assistant | 1236 Huffman Mill Rd Ste 100, Burlington, NC 27215-8700 | 2020-02-26 |
| 1770116576 | Mh Medical Services, PC | Physician Assistant | 1737 Whites Kennel Rd, Burlington, NC 27215-8977 | 2020-02-20 |
| 1578113908 | Avani Shah | Physician Assistant | 41 Burlington Mall Road 7 West Neurology Dept, Burlington, MA 01805-2015 | 2019-09-17 |
| 1174087548 | Lindsay Elaine Damaso | Physician Assistant | 6 Frothingham Rd, Burlington, MA 01803-4002 | 2019-01-30 |
| 1902375744 | San Michael Kyte | Physician Assistant | 104 Huffman Mill Rd Ste 100, Burlington, NC 27215-5113 | 2018-11-22 |
| 1871010074 | Adriana M Pollak | Physician Assistant | 1041 Kirkpatrick Rd Ste 200, Burlington, NC 27215-8066 | 2017-08-28 |
| 1679920581 | Jenna Bruno | Physician Assistant | 8 Pontos Ave, Burlington, MA 01803-2127 | 2016-05-20 |
| 1770963332 | Christopher Walden | Physician Assistant | 2016 Wall Ave, Burlington, NJ 08016-3616 | 2015-06-08 |
| 1447655568 | Bushra Khan | Physician Assistant | 1174 Kaye Ct, Burlington, NJ 08016-2266 | 2014-10-31 |
| 1831527191 | Autumn Kari Konz | Physician Assistant | 1234 Huffman Hill Road, Burlington, NC 27215-8700 | 2013-10-24 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 01805 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.