Active NPI
Patricia Mary Sullivan, DPM
- Podiatrist
- Auburn, MA
National Provider Identifier
1376501213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- MA1976
- Practice address
- 48 Auburn St
Auburn Podiatry LLP
Auburn, MA 01501 - Phone
- (508) 832-6075
- Fax
- (508) 832-9964
- NPI assigned
- May 2, 2006
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | MA1976 | MA | Primary |
Addresses
Primary practice location
48 Auburn St
Auburn Podiatry LLP
Auburn, MA 01501
Mailing address
48 Auburn St
Auburn Podiatry LLP
Auburn, MA 01501
Phone (508) 832-6075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA1976 | MA | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378166400000",
"number": "1376501213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 AUBURN ST",
"address_2": "AUBURN PODIATRY LLP",
"city": "AUBURN",
"state": "MA",
"postal_code": "01501",
"telephone_number": "508-832-6075",
"fax_number": "508-832-9964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 AUBURN ST",
"address_2": "AUBURN PODIATRY LLP",
"city": "AUBURN",
"state": "MA",
"postal_code": "01501",
"telephone_number": "508-832-6075",
"fax_number": "508-832-9964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "PATRICIA",
"middle_name": "MARY",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-02",
"last_updated": "2013-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "MA1976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.