Individual provider Active NPI

Eric Anthony Sullivan, SA

  • Surgical Assistant
  • Boulder, CO
National Provider Identifier
1245141597
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Practice address
4141 Arapahoe Ave Ste 110
Boulder, CO 80303-1089
Phone
(303) 447-9735
NPI assigned
Sep 15, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X CO Primary

Addresses

Primary practice location

4141 Arapahoe Ave Ste 110
Boulder, CO 80303-1089

Mailing address

4141 Arapahoe Ave Ste 110
Boulder, CO 80303-1089
Phone (303) 447-9735

Other names 1

  • Mr. Eric Long Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1245141597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 ARAPAHOE AVE STE 110",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031089",
            "telephone_number": "303-447-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 ARAPAHOE AVE STE 110",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031089",
            "telephone_number": "303-447-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ERIC",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "SA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIC",
            "last_name": "LONG",
            "prefix": "MR.",
            "credential": "SA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.