Anne Marie Sullivan, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA061897 Issued in PA

Practice address

1528 Walnut St Ste 950
Philadelphia, PA 19102-3628

Phone

(267) 273-1196

Fax

(267) 273-1193

NPI assigned

Sep 23, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: asullivan2019109@direct.trinity-health.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jefferson University Physicians

  • General Practice Physician
  • Philadelphia, PA
  • NPI 1326093675
  Medicare reassignment NPD
• Advocare, LLC

  • Pediatrics Physician
  • Marlton, NJ
  • NPI 1770538696

  PA

  Medicare reassignment NPD
• Abington Emergency Physician Associates PC

  • Emergency Medicine Physician
  • Abington, PA
  • NPI 1659359099
  Medicare reassignment
• Trinity Health Mid-Atlantic Medical Group

  • Surgery Physician
  • Langhorne, PA
  • NPI 1972982361
  Medicare reassignment
• Trinity Health Mid-Atlantic Medical Group

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1598289209
  NPD
• Trinity Health Mid-Atlantic Medical Group

  • Physical Medicine & Rehabilitation Physician
  • Philadelphia, PA
  • NPI 1639039175
  NPD
• Advocare , LLC

  • Internal Medicine Physician
  • Manahawkin, NJ
  • NPI 1912762162
  NPD
• Trinity Health Mid-Atlantic Medical Group

  • Trauma Surgery Physician
  • Langhorne, PA
  • NPI 1093771271
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1023624194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 LOCUST ST APT 3406",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024323",
            "telephone_number": "717-404-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 WALNUT ST STE 950",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023628",
            "telephone_number": "267-273-1196",
            "fax_number": "267-273-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ANNE MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA061897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Sulkowski
• Meghan Maureen Sullivan Walsh, D.M.D.
• Ameera Vonye Sullivan
• Aminda Sullivan
• Angela Renea Sullivan, LPTA
• Annemarie E Sullivan, LPC
• Casey Sullivan
• Christine Sullivan, DOULA
• Colleen Rebekah Sullivan
• Dana Marie Sullivan, M.A., BCBA

• Medical Physician Assistant in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.