SEAN C OSULLIVAN (NPI# 1437103090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437103090 |
| Entity Type | Individual |
| Full Name | SEAN C OSULLIVAN |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
111 Clock Tower Cmns Northern Medical Group, Pllc Brewster NY 10509-4055 |
| Mailing Address |
159 Barnegat Rd Northern Medical Group, Pllc Poughkeepsie NY 12601-5401 |
| Practice Telephone | 8455924915 |
| Practice Fax Number | 8455924914 |
| Mailing Telephone | 8455924915 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2017-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 009491 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02532709 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881749224 | Sean K. Osullivan | Radiology | 6915 N. Main St., Victoria, TX 77904 | 2007-01-24 |
| Street Address |
111 CLOCK TOWER CMNS NORTHERN MEDICAL GROUP, PLLC |
| City | BREWSTER |
| State | NY |
| Zip Code | 10509-4055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538625157 | Health Quest Medical Practice, PC | Internal Medicine | 111 Clock Tower Cmns, Brewster, NY 10509-4055 | 2019-02-19 |
| 1982160578 | Health Quest Medical Practice, PC | Podiatrist | 111 Clock Tower Cmns, Brewster, NY 10509-4055 | 2019-02-19 |
| 1770049355 | Health Quest Medical Practice, PC | Internal Medicine | 111 Clock Tower Cmns, Brewster, NY 10509-4055 | 2019-02-19 |
| 1982160925 | Health Quest Medical Practice, PC | Internal Medicine | 111 Clock Tower Cmns, Brewster, NY 10509-4055 | 2019-02-14 |
| 1245774637 | Northern Medical Group Pllc | Podiatrist | 111 Clock Tower Cmns, Brewster, NY 10509-4055 | 2016-12-05 |
| 1649712787 | Northern Medical Group, Pllc | Podiatrist | 111 Clock Tower Cmns, Brewster, NY 10509-4055 | 2016-11-07 |
| 1710348263 | Nicole Angeline Cruci | Nurse Practitioner | 111 Clock Tower Cmns, Brewster, NY 10509-4055 | 2016-03-11 |
| 1174994826 | Northern Medical Group, Pllc | Optometrist | 111 Clock Tower Cmns, Brewster, NY 10509-4055 | 2015-10-07 |
| 1023138518 | Marcie Lynn Wolinsky-friedland | Internal Medicine | 111 Clock Tower Cmns, Brewster, NY 10509-4055 | 2007-03-30 |
| 1255449518 | Patrick J. Grippo | Podiatrist | 111 Clock Tower Cmns, Brewster, NY 10509-4055 | 2006-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104397322 | Civility Home Care, LLC | Home Health | 155 Main Street, Ste 104, Brewster, NY 10509 | 2018-12-16 |
| 1407353576 | Jeanne Mary Conte-klein | Registered Nurse | Old Route 6, Carmel, NY 10509 | 2018-04-06 |
| 1013442029 | Caremount Medical, PC | Optometrist | 2 International Blvd, Brewster, NY 10509 | 2017-04-27 |
| 1952758419 | Alison Gail Loewenstein | Dentist | 2410 Us 6, Brewster, NY 10509 | 2016-05-14 |
| 1083956726 | Joseph Francis Dursi | Surgery | Health Services Basic Sciences Building, New York Medical College, Valhalla, NY 10509 | 2013-03-20 |
| 1760726988 | Mallory Elizabeth Aquilino | Physical Therapist | 211 Clock Tower Commons Route 22, Brewster, NY 10509 | 2012-11-15 |
| 1114281375 | Francine M Santos | Specialist | 27 Highview Ter, Brewster, NY 10509 | 2012-07-02 |
| 1639436876 | Oak Tree Family Dental | Dentist | 2410 Rt. 6, Brewster, NY 10509 | 2012-04-12 |
| 1023387628 | Susan M Strain | Student in an Organized Health Care Education/Training Program | 30 Farm To Market Rd., Brewster Central Schools, Brewster, NY 10509 | 2011-12-28 |
| 1407125875 | Susan Chamberlain Norris | Speech-Language Pathologist | 31 Foggintown Road, Brewster, NY 10509 | 2011-12-14 |
| Find all providers in zip 10509 | ||||
| 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 |
|---|---|---|---|---|
| 1336312495 | Heidee I. Hanson | Physician Assistant | 520 W. Indian Ave., Brewster, WA 98812-0000 | 2008-04-10 |
| 1285018341 | Joshua Gewirtz | Physician Assistant | 418 West Main Ave, Brewster, WA 98812 | 2015-07-17 |
| 1821492547 | Mary Downey | Physician Assistant | 525 Jay Ave, Brewster, WA 98812-3403 | 2014-10-09 |
| 1922138080 | Robert C Babin | Physician Assistant | 20 Granite State Ct, Brewster, MA 02631-2127 | 2007-03-07 |
| 1518060466 | James M. Woods | Physician Assistant | 20 Granite State Ct, Brewster, MA 02631-2127 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821026 | Victoria Yunaev | Physician Assistant | 7203 166th St, Fresh Meadows, NY 11365-3237 | 2020-11-05 |
| 1811598857 | Brittany Christine Androsko | Physician Assistant | 1769 Union St Fl 2, Niskayuna, NY 12309-6311 | 2020-11-05 |
| 1164023172 | Betina Charlotte Apostol Nuguid | Physician Assistant | 1730 Central Park Ave Ste 3p, Yonkers, NY 10710-4905 | 2020-11-05 |
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1205437621 | Jason Patrick Feak | Physician Assistant | 6338 Falls Blvd, Chittenango, NY 13037-8799 | 2020-11-03 |
| 1437750742 | Drew James Mitchell | Physician Assistant | 58 Old Bedford Rd, Goldens Bridge, NY 10526-1000 | 2020-11-03 |
| 1306446125 | Julie Mcphillips | Physician Assistant | 961 W Kaisertown Rd, Montgomery, NY 12549-2317 | 2020-10-30 |
| 1487254330 | Thomas J Nagel | Physician Assistant | 57 Montgomery Road, Fort Montgomery, NY 10922 | 2020-10-29 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
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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.