TIMOTHY ERIC SULLIVAN JR. (NPI# 1295012060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295012060 |
| Entity Type | Individual |
| Full Name | TIMOTHY ERIC SULLIVAN JR. |
| Credential | PA-C |
| Practice Address |
500 University Dr Hershey PA 17033-2360 |
| Mailing Address |
1697 Crown Ave Lancaster PA 17601-6310 |
| Practice Telephone | 8002431455 |
| Mailing Telephone | 7172995000 |
| Mailing Fax Number | 7174314310 |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2020-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA056911 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
25MP00271500 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1697 Crown Ave, Lancaster, PA 176016310 | 7172995000 | 7174314310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024792 | Timothy Sullivan | Specialist/Technologist | 601 E Elm St Apt 1203, Troy, AL 36081-3498 | 2020-08-24 |
| 1215585112 | Timothy Sullivan II | Massage Therapist | 318 E Maiden St, Washington, PA 15301-5108 | 2019-09-04 |
| 1972954675 | Timothy Sullivan | Technician/Technologist | 38 Thatcher St, Rumford, RI 02916-2714 | 2016-06-24 |
| 1982019840 | Timothy Paul Sullivan | Chiropractor | 17000 E Us Highway 40 Ste 7, Independence, MO 64055-5394 | 2014-06-30 |
| 1306110176 | Timothy Coleman Sullivan | Behavioral Analyst | 7291 Garden Grove Blvd, Suite F, Garden Grove, CA 92841-4211 | 2012-02-26 |
| 1235452343 | Timothy Sullivan | Pharmacist | 336 Route 202, Somers, NY 10589-3220 | 2010-03-03 |
| 1619152915 | Timothy Mark Sullivan | Physician Assistant | 9951 E El Moro Ave, Mesa, AZ 85208-5869 | 2008-01-04 |
| 1396819215 | Timothy P Sullivan | Dentist | 370 W Terra Cotta Ave, Crystal Lake, IL 60014-3512 | 2006-11-20 |
| 1154408011 | Timothy Patrick Sullivan | Otolaryngology | 19 N Rivers Edge Dr, Little Silver, NJ 07739-1710 | 2006-10-31 |
| 1881786226 | Timothy Joseph Sullivan | Pediatrics | 92 New London Tpke, Norwich, CT 06360 | 2006-09-29 |
| Street Address |
500 UNIVERSITY DR |
| City | HERSHEY |
| State | PA |
| Zip Code | 17033-2360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043213226 | Robert David Aronoff | Internal Medicine | 500 University Dr, Hershey, PA 17033-2360 | 2005-05-23 |
| 1417558917 | Emily J Hanwell | Physician Assistant | 500 University Dr, Hershey, PA 17033-2360 | 2020-11-03 |
| 1770183881 | Julie Kathleen Tomko | Nurse Practitioner | 500 University Dr, Hershey, PA 17033-2360 | 2020-10-28 |
| 1265031975 | Lauren Lyndel Morrison | Nurse Practitioner | 500 University Dr, Hershey, PA 17033-2360 | 2020-10-23 |
| 1457959850 | Alexandra Josephine Frantz | Dietitian, Registered | 500 University Dr, Hershey, PA 17033-2391 | 2020-10-16 |
| 1235737032 | Rachael Smith | Dietitian, Registered | 500 University Dr, Hershey, PA 17033-2360 | 2020-10-14 |
| 1225636046 | Shannon Dohner | Dietitian, Registered | 500 University Dr, Hershey, PA 17033-2360 | 2020-10-14 |
| 1639777493 | Angela Comis | Dietitian, Registered | 500 University Dr, Hershey, PA 17033-2360 | 2020-10-14 |
| 1114525052 | Kaitlyn Renita Eckard | Nurse Practitioner | 500 University Dr, Hershey, PA 17033-2360 | 2020-10-13 |
| 1194322560 | Alan Andrew Robinson | Physical Therapist | 500 University Dr, Hershey, PA 17033-2360 | 2020-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891264578 | Sherpa Sleep Solutions LLC | Durable Medical Equipment & Medical Supplies | 20 Briarcrest Square, Suite 207, Hershey, PA 17033 | 2018-11-25 |
| 1366933186 | Benjamin Abney | General Practice | Hershey Medical Center, 500 University Drive, Hershey, PA 17033 | 2018-05-29 |
| 1174014062 | Sean Nutting | Student in an Organized Health Care Education/Training Program | 500 University Dr Dept Of, Hershey, PA 17033 | 2018-05-25 |
| 1447751144 | Elizabeth Ashley Lohman | Specialist/Technologist | 665 Brook Drive, Hershey, PA 17033 | 2018-02-27 |
| 1376056382 | Yilmarie Mercado Vargas | Student in an Organized Health Care Education/Training Program | Penn State Health Milton Hershey Medical Center, 500 University Dr, Hershey, PA 17033 | 2017-11-13 |
| 1730603440 | Aleksandr Sviatchenko | Student in an Organized Health Care Education/Training Program | Penn State Health Milton S. Hershey Medical Center, 500 University Drive, Hershey, Pa, PA 17033 | 2017-08-03 |
| 1598293979 | Andrea Rae Hiller | Plastic Surgery | 500 University Dr # Mch071, Hershey, PA 17033 | 2017-05-30 |
| 1649706649 | Natalia Katarzyna Pierwola-gawin | Physical Therapist | 500 University Dr. Mc A410, Hershey, PA 17033 | 2017-05-11 |
| 1205380854 | Joseph Soon Park | Student in an Organized Health Care Education/Training Program | 200 Campus Drive, Suite 3100, Hershey, PA 17033 | 2016-08-12 |
| 1437505096 | Lynnlee Christine Depicolzuane | Pediatrics | 600 University Drive, Hershey, PA 17033 | 2016-05-12 |
| Find all providers in zip 17033 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972799088 | Constance Lynn Berk | Physician Assistant | 500 University Dr # H046, Hershey, PA 17033-2360 | 2007-09-21 |
| 1316555196 | Katrina Louise Sciarrone | Physician Assistant | 500 University Dr, Hershey, PA 17033-2360 | 2020-07-17 |
| 1033668686 | Philip James Yinger | Physician Assistant | 500 University Dr, Hershey, PA 17033-2360 | 2016-09-23 |
| 1891243416 | Natasha Breen | Physician Assistant | 500 University Dr, Hershey, PA 17033 | 2016-09-12 |
| 1578924171 | Kanokpitchaya Cleveland | Physician Assistant | 500 University Dr, Hershey, PA 17033-2360 | 2016-03-10 |
| 1407220890 | Kari Paul | Physician Assistant | 500 University Dr, Hershey, PA 17033-2360 | 2015-11-23 |
| 1346619566 | Nicholas Edmund Hill | Physician Assistant | 500 University Dr, Hershey, PA 17033-2360 | 2015-09-17 |
| 1639554157 | Lauren K Reitz | Physician Assistant | 500 University Dr, Hershey, PA 17033-2360 | 2015-07-27 |
| 1508250549 | Jeffrey Bail Walker | Physician Assistant | 500 University Dr, Hershey, PA 17033-2360 | 2015-03-27 |
| 1053748335 | Jesse Alexander Hallam | Physician Assistant | 500 University Dr, Hershey, PA 17033-2360 | 2013-10-02 |
| Find all providers in HERSHEY | ||||
Please comment or provide details below to improve the information on TIMOTHY ERIC SULLIVAN JR..
| 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.