MRS. KELLY O'SULLIVAN (NPI# 1467488072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467488072 |
| Entity Type | Individual |
| Full Name | MRS. KELLY O'SULLIVAN |
| Credential | PA-C |
| Practice Address |
3 Silent Meadow Ln Dept of Medicine Lancaster NY 14086-3430 |
| Mailing Address |
4278 Coventry Green Cir Dept of Medicine Williamsville NY 14221-7237 |
| Practice Telephone | 7163910937 |
| Mailing Telephone | 5858021510 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2017-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
007841 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02426548 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043844053 | Kelly Catherine O'sullivan | Social Worker | 4580 Broadway Frnt 1, New York, NY 10040-2105 | 2020-02-28 |
| 1750332474 | Kelly Ann O'sullivan | Family Medicine | 750 Se Fairwinds Loop, Vancouver, WA 98661-8087 | 2006-05-15 |
| 1144615519 | Kelly O'sullivan | Occupational Therapist | 6530 33rd Ave Nw, Olympia, WA 98502-8846 | 2015-04-02 |
| 1881007201 | Kelly O'sullivan | Student in an Organized Health Care Education/Training Program | 228 Linda Ave, Hawthorne, NY 10532-2050 | 2014-06-03 |
| Street Address |
3 SILENT MEADOW LN DEPT OF MEDICINE |
| City | LANCASTER |
| State | NY |
| Zip Code | 14086-3430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518487487 | Melissa Joan Young | Nurse Practitioner | 3 Silent Meadow Ln, Lancaster, NY 14086-3430 | 2017-06-22 |
| 1649622432 | Mary Eustace | Nurse Practitioner | 3 Silent Meadow Ln, Lancaster, NY 14086-3430 | 2016-07-06 |
| 1477924355 | Devon Powers | Nurse Practitioner | 3 Silent Meadow Ln, Lancaster, NY 14086-3430 | 2015-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487152385 | Craig Adam Kowalski | Physical Therapist | 5949 Broadway, Lancaster, NY 14086 | 2018-01-25 |
| 1376971523 | Emily Catherine Tutak | Occupational Therapist | 53 Robert Drive, Lancaster, NY 14086 | 2013-10-25 |
| 1730452756 | Cassandra A Riley-marino | Massage Therapist | 5600 Broadway St., Lancaster, NY 14086 | 2012-02-22 |
| 1861707838 | Village Audiology and Hearing Aid Services, Pllc | Audiologist | 56 Church St., Lancaster, NY 14086 | 2010-08-13 |
| 1356673461 | Brendan J Ciura | Chiropractor | 450 Central Ave., Suite 102, Lancaster, NY 14086 | 2010-02-01 |
| 1992960512 | Katherine Mary Odonnell | Massage Therapist | 450 Central Avenue, Columbia Professional Medical Building, Lancaster, NY 14086 | 2008-07-23 |
| 1285897686 | Janice Welker Schaner | Massage Therapist | 50 St. Mary's St., Lancaster, NY 14086 | 2008-07-07 |
| 1134249394 | Marie Synrod | Massage Therapist | 5336 Broaadway, Lancaster, NY 14086 | 2007-03-30 |
| 1669524492 | Child and Adolescent Treatment Service Inc | Counselor | 11 West Main Street, Suite A, Lancaster, NY 14086 | 2007-01-18 |
| 1114000916 | Chad Hamilton Kahler | Dentist | 450 Central Ave Suite 101, Lancaster, NY 14086 | 2006-10-23 |
| Find all providers in zip 14086 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697376 | Sidney Patel | Physician Assistant | 1834 Oregon Pike Ste 20, Lancaster, PA 17601-6463 | 2020-10-25 |
| 1114355104 | Charles Eugene Stream | Physician Assistant | 133 East Fredeick Street, Lancaster, PA 17602 | 2013-10-29 |
| 1982938593 | Kathleen M. Thatcher | Physician Assistant | 401 N. Ewing Street, Fairfield Emergency Physicians, Lancaster, OH 43130 | 2009-09-29 |
| 1033373014 | Rachel Leanne Thompson | Physician Assistant | 701 N Duke St, Lancaster, PA 17602-2019 | 2008-07-18 |
| 1659584746 | Sharon Kay Ashton | Physician Assistant | 1652 W Avenue J, Lancaster, CA 93534-2814 | 2007-05-07 |
| 1477662203 | Joaquin J Garcia | Physician Assistant | 2150 Noll Drive, Suite 100, Lancaster, PA 17603 | 2006-08-29 |
| 1891738001 | Paul Richard Leaman | Physician Assistant | 625 S. Duke St., Lancaster, PA 17602-0598 | 2006-06-14 |
| 1942249420 | Brian Andrew Martin | Physician Assistant | 2150 Noll Dr Ste 100, Lancaster, PA 17603-7605 | 2006-06-06 |
| 1891742755 | Christine N Kurpiel | Physician Assistant | 1861 Charter Ln, Suite 118, Lancaster, PA 17601-6736 | 2006-05-27 |
| 1770583304 | Darrell T Lind | Physician Assistant | 43322 Gingham Ave # 104&105, Lancaster, CA 93535-4569 | 2005-07-26 |
| Find all providers in LANCASTER | ||||
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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.