LEN SULLIVAN (NPI# 1326198110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326198110 |
| Entity Type | Individual |
| Full Name | LEN SULLIVAN |
| Credential | PA |
| Practice Address |
Rte 75 Aasf Bldge 154 Windsor Locks CT 06096 |
| Mailing Address |
Po Box 5 Somers CT 06071-0005 |
| Practice Telephone | 8602924711 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2017-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 00703 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
902 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
RTE 75 AASF BLDGE 154 |
| City | WINDSOR LOCKS |
| State | CT |
| Zip Code | 06096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801912415 | Robert W. Zebrowski | Dentist | 2 Foxwood Drive, Windsor Locks, CT 06096 | 2007-03-22 |
| 1356433486 | Windsor Locks Medical Center, LLP | Family Medicine | 73 Old County Road, Windsor Locks, CT 06096 | 2006-09-28 |
| 1043434764 | Laura J Holden-zebrowski | Dentist | 2 Foxwood Drive, Windsor Locks, CT 06096 | 2007-04-12 |
| 1467578070 | Robert W. Zebrowski, D.m.d., L.L.C. | Dentist | 2 Foxwood Drive, Windsor Locks, CT 06096 | 2007-03-22 |
| 1760446025 | Sheldon Kafer | Legal Medicine | 2 Concorde Way, #2, Windsor Locks, CT 06096 | 2006-04-13 |
| 1851403356 | Joanne M Sanborn | Physical Therapist | 1 Hamilton Rd, Medical Department, Ms 1-1-bc38, Windsor Locks, CT 06096-1000 | 2006-08-31 |
| 1285735308 | New England Physical Therapy Services, P.C. | Physical Therapist | 1 Hamilton Rd, Medical Dept., 1-1-bc38, Windsor Locks, CT 06096-1000 | 2006-09-25 |
| 1750646444 | Hollee L Schneider | Massage Therapist | 545 Spring St, Windsor Locks, CT 06096-1106 | 2012-07-09 |
| 1346504396 | Schneider's Inc | Massage Therapist | 545 Spring St, Windsor Locks, CT 06096-1106 | 2012-06-25 |
| 1982094363 | Lorri F Fitzsimmons | Social Worker | 44 Thomas St, Windsor Locks, CT 06096-1223 | 2015-01-23 |
| Find all providers in zip 06096 | ||||
| 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 |
|---|---|---|---|---|
| 1881295913 | Courtney Marquardt | Physician Assistant | 25 Buckland Rd, South Windsor, CT 06074-3703 | 2020-11-04 |
| 1154922623 | Alexis Cardinali | Physician Assistant | 175 S Meriden Rd, Cheshire, CT 06410-2973 | 2020-11-02 |
| 1689274417 | Danielle Kerr | Physician Assistant | 1055 Kennedy Rd, Windsor, CT 06095-1308 | 2020-10-30 |
| 1467051920 | Cynthia G Moreno | Physician Assistant | 76 Newtown Rd Ste C, Danbury, CT 06810-6265 | 2020-10-25 |
| 1245837764 | Lauren Tripodi | Physician Assistant | 9 Sunset Hill Rd, Newtown, CT 06470-1318 | 2020-10-07 |
| 1710594403 | Mary Josephine Elliott | Physician Assistant | 50 Beechwood Dr, Madison, CT 06443-1847 | 2020-09-26 |
| 1558977868 | Gabrielle Guetta | Physician Assistant | 25 Woody Ln, Westport, CT 06880-2260 | 2020-09-22 |
| 1609481639 | Gresi Kello | Physician Assistant | 506 Frost Rd, Waterbury, CT 06705-2304 | 2020-09-15 |
| 1477167351 | Connecticut Children's Eye Care, P.C. | Physician Assistant | 131 New London Tpke Ste 200, Glastonbury, CT 06033-2246 | 2020-09-08 |
| 1750991303 | Lana Chapman | Physician Assistant | 289 Curtis St Apt 2, Meriden, CT 06450-5910 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
| City | WINDSOR LOCKS |
| Zip Code | 06096 |
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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.