PATRICK JAMES SULLIVAN (NPI# 1972024594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972024594 |
| Entity Type | Individual |
| Full Name | PATRICK JAMES SULLIVAN |
| Credential | PA |
| Practice Address |
6619 State Highway Route 11 Canton NY 13617 |
| Mailing Address |
50 Leroy St Potsdam NY 13676-1786 |
| Practice Telephone | 3152653300 |
| Mailing Telephone | 3152653300 |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2017-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 020926 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949949 | Patrick L Sullivan | Assisted Living Facility | 3314 Dickson Rd, Anchorage, AK 99504-4035 | 2020-07-08 |
| 1629546734 | Patrick M Sullivan | Nurse's Aide | 80 Highland Cross # 1, Rutherford, NJ 07070-2122 | 2018-11-06 |
| 1427569623 | Patrick Lewis Sullivan | Non-emergency Medical Transport (VAN) | 7180 S Redwater Dr, Tucson, AZ 85757-6938 | 2017-10-16 |
| 1881144384 | Patrick Benjamin Sullivan | Specialist/Technologist | 724 Sanhill Dr, Lynchburg, VA 24502-4924 | 2016-10-07 |
| 1740627538 | Patrick James Sullivan | Dentist | 3735 Saxonburg Blvd, Pittsburgh, PA 15238-1070 | 2013-06-03 |
| 1659631018 | Patrick Sean Sullivan | Veterinarian | 1628 Rainier Falls Dr Ne, Atlanta, GA 30329-4108 | 2012-05-20 |
| 1558656660 | Patrick M. Sullivan | Internal Medicine | 145 Palomino Way, Santa Cruz, CA 95060-1475 | 2011-06-16 |
| 1194051060 | Patrick John Sullivan | Counselor | 338b Merrimon Ave, Asheville, NC 28801-1222 | 2009-10-27 |
| 1821131087 | Patrick Sullivan | Counselor | 3617 Fir Street, San Diego, CA 92104 | 2007-02-15 |
| 1063524247 | Patrick James Sullivan | Chiropractor | 417 Uluniu St Ste H, Kailua, HI 96734-2551 | 2006-08-31 |
| Street Address |
6619 STATE HIGHWAY ROUTE 11 |
| City | CANTON |
| State | NY |
| Zip Code | 13617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700428802 | Meagan Elizabeth Hogan | Physician Assistant | 6119 Us Highway Route 11, Canton, NY 13617 | 2019-10-10 |
| 1982251740 | Wilma J. Blackmer | Technician | 1756 Cr 14, Canton, NY 13617 | 2019-08-26 |
| 1326525270 | Kylie Broughal | Physician Assistant | 6119 St Hwy Rt 11, St Lawrence Medical Office Complex, Canton, NY 13617 | 2018-07-24 |
| 1891299608 | Sheena Teresa Smith | Counselor | 310 State Highway 310, Suite 1, Canton, NY 13617 | 2018-03-19 |
| 1225482763 | Howard Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 6128 Us Highway11, Canton, NY 13617 | 2016-04-21 |
| 1831534452 | Chin Hung Ho | Dermatology | 6119 State Highway Rt 11, Cph Dermotology, Canton, NY 13617 | 2013-05-09 |
| 1194061663 | Sarah Prairie | Counselor | 80 State Hwy 310, Suite 1, Canton, NY 13617 | 2013-01-02 |
| 1679859094 | Nathan Ellis | Occupational Therapist | 139 Outer State St. Rd, Canton, NY 13617 | 2011-10-31 |
| 1407139017 | Julianne Rutley | Occupational Therapist | 139 Outer State Street Rd, Canton, NY 13617 | 2011-09-21 |
| 1780967224 | Kathleen W Doyle | Occupational Therapy Assistant | 139 Outer State Street Rd., Canton, NY 13617 | 2011-09-21 |
| Find all providers in zip 13617 | ||||
| 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 |
|---|---|---|---|---|
| 1164048674 | Rebecca Lynn Yunk | Physician Assistant | 50433 Monroe St, Canton, MI 48188-6601 | 2020-06-20 |
| 1780210781 | Olivia Anastasia Basso | Physician Assistant | 4912 Higbee Ave Nw Ste 200, Canton, OH 44718-2599 | 2020-03-21 |
| 1700428802 | Meagan Elizabeth Hogan | Physician Assistant | 6119 Us Highway Route 11, Canton, NY 13617 | 2019-10-10 |
| 1578113593 | Luiza Lica | Physician Assistant | 246 Princess Dr, Canton, MI 48188-1142 | 2019-09-12 |
| 1235614900 | Eva Louisa Paoloni | Physician Assistant | 1105 W Maple St Apt 3, Canton, OH 44720-2869 | 2018-09-28 |
| 1992281653 | Elizabeth Judy | Physician Assistant | 460 Northside Cherokee Blvd Ste 430, Canton, GA 30115-8020 | 2018-07-16 |
| 1083124051 | Stephanie Black | Physician Assistant | 1455 Harrison Ave Nw Ste 105, Canton, OH 44708-2609 | 2017-10-04 |
| 1588111074 | Kinjal Shah | Physician Assistant | 43767 Ford Rd, Canton, MI 48187-3185 | 2016-09-01 |
| 1144683731 | Ellen Catherine Mitchell | Physician Assistant | 48575 Joy Rd, Canton, MI 48187-1214 | 2016-03-31 |
| 1528431228 | Navpreet Basi | Physician Assistant | 49761 Courtyard Ln, Canton, MI 48188-3475 | 2015-11-04 |
| Find all providers in CANTON | ||||
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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.