Individual provider Active NPI

Steven W Sullivan, PA-C

  • Physician Assistant
  • Easton, MD
National Provider Identifier
1215106067
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0003015 Issued in MD
Practice address
499 Idlewild Ave Ste 105
Easton, MD 21601-4049
Phone
(855) 527-7246
Fax
(866) 229-5063
NPI assigned
Feb 26, 2008
Last updated
Apr 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0003015 MD Primary

Addresses

Primary practice location

499 Idlewild Ave Ste 105
Easton, MD 21601-4049

Mailing address

1600 S. Crain Highway
Suite 401
Glen Burnie, MD 21060
Phone (410) 768-5050

Other practice location 1

1600 Crain Hwy S
Suite 401
Glen Burnie, MD 21061-5577
Phone (410) 768-5050

Other identifiers 3

IdentifierTypeStateIssuer
246492OtherMDJHHC
8738246OtherMDAETNA HMO
9630991OtherMDAETNA PPO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050809000464 MD Practitioner - Physician Assistant 3779512835 Reassigns benefits to 2 organizations
I20090716000427 DC Practitioner - Physician Assistant 3779512835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10710 Charter Dr
Suite 300
Columbia, MD 21044-3260
Phone (410) 644-1880

1630 Main St
Chester, MD 21619-2792
Phone (410) 643-3410

2635 Riva Rd
Suite 209
Annapolis, MD 21401-7430
Phone (410) 349-9930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0003015MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Feb 1, 2018 Accepting new patients
Anne Arundel Dermatology, LLC CurrentSince Mar 22, 2014 Accepting new patients
Baltimore Washington Emergency Physicians, Inc. CurrentSince Jun 29, 2005 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Feb 1, 2018 Accepting new patients
Advanced Pain Management Specialists, LLC Past Accepting new patients
Luminis Health Medical Group, LLC Past Accepting new patients

Locations

180 Admiral Cochrane Dr
Ste 430
Annapolis, MD 21401
Phone (410) 263-5439

2635 Riva Rd
Ste 108
Annapolis, MD 21401
Phone (410) 266-5790

1521 Ritchie Hwy
Ste 201
Arnold, MD 21012
Phone (410) 349-9930

4175 N Hanson Ct
Ste 301
Bowie, MD 20716
Phone (301) 805-0190

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

1600 Crain Hwy S
Ste 401
Glen Burnie, MD 21061
Phone (410) 768-5050

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

1185 Imperial Dr
Ste 201
Hagerstown, MD 21740
Phone (443) 351-8376

23000 Moakley St
Ste 206
Leonardtown, MD 20650
Phone (301) 475-5855

Interoperability endpoints

  • Direct secure messaging: 32ssullivan@cfaortho.emadirect.md

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1215106067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S. CRAIN HIGHWAY",
            "address_2": "SUITE 401",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21060",
            "telephone_number": "410-768-5050",
            "fax_number": "410-768-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 IDLEWILD AVE STE 105",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014049",
            "telephone_number": "855-527-7246",
            "fax_number": "866-229-5063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Crain Hwy S",
            "address_2": "Suite 401",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210615577",
            "country_code": "US",
            "telephone_number": "410-768-5050",
            "fax_number": "410-768-7830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "STEVEN",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-26",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0003015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JHHC",
            "identifier": "246492",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "8738246",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "9630991",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.