Active NPI
Erin E Sullivan, PA-C
- Physician Assistant
- Cleveland, OH
National Provider Identifier
1164722781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.003169RX
- Practice address
- 18101 Lorain Avenue, Cleveland Clinic-Fairview Hospital
Emergency Services
Cleveland, OH 44111-5612 - Phone
- (216) 476-7312
- NPI assigned
- Oct 29, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.003169RX | OH | Primary |
Addresses
Primary practice location
18101 Lorain Avenue, Cleveland Clinic-Fairview Hospital
Emergency Services
Cleveland, OH 44111-5612
Mailing address
18101 Lorain Avenue, Cleveland Clinic-Fairview Hospital
Emergency Services
Cleveland, OH 44111-5612
Phone (216) 476-7312
Other names 1
- Erin E Lyons
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.003169RX | OH | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530144000000",
"number": "1164722781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18101 LORAIN AVENUE, CLEVELAND CLINIC-FAIRVIEW HOSPITAL",
"address_2": "EMERGENCY SERVICES",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441115612",
"telephone_number": "216-476-7312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18101 LORAIN AVENUE, CLEVELAND CLINIC-FAIRVIEW HOSPITAL",
"address_2": "EMERGENCY SERVICES",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441115612",
"telephone_number": "216-476-7312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "ERIN",
"middle_name": "E",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-29",
"last_updated": "2018-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.003169RX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "LYONS",
"middle_name": "E",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.