Anthony James Sullivan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC002865L Issued in PA

Practice address

3441 5TH Ave
North Versailles, PA 15137-2319

Phone

(412) 664-4477

Fax

(412) 664-7913

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sullivan Chiropractic Clinic, P.C.

  • Chiropractor
  • North Versailles, PA
  • NPI 1992802276
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1154429629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 5TH AVE",
            "city": "NORTH VERSAILLES",
            "state": "PA",
            "postal_code": "151372319",
            "telephone_number": "412-664-4477",
            "fax_number": "412-664-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3441 5TH AVE",
            "city": "NORTH VERSAILLES",
            "state": "PA",
            "postal_code": "151372319",
            "telephone_number": "412-664-4477",
            "fax_number": "412-664-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ANTHONY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002865L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001009548-0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn Anise Scott, O.D.
• Latonya Sherrill-Coulverson, FNP
• Charles S Sidun, DC
• Stephen S Markantone, DPM
• Sullivan Chiropractic Clinic, P.C.
• Jessica Trent, LMFT
• Umoja With Nia, LLC
• Vizion Eyecare Services
• Wal-Mart Stores East LP
• Wal-Mart Stores East. LP

• Chiropractor in North Versailles, PA
• Providers in North Versailles, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.