Peter J Sullivan, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

1623 Issued in AL

Practice address

927 Franklin St SE
The Orthopaedic Center
Huntsville, AL 35801-4306

Phone

(256) 539-2728

Fax

(256) 428-3423

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/

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.

• HH Health System - the Orthopaedic Center, LLC

  • Orthopaedic Surgery Physician
  • Huntsville, AL
  • NPI 1376220822
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1437250412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 FRANKLIN ST SE",
            "address_2": "THE ORTHOPAEDIC CENTER",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014306",
            "telephone_number": "256-539-2728",
            "fax_number": "256-428-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 FRANKLIN ST SE",
            "address_2": "THE ORTHOPAEDIC CENTER",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014306",
            "telephone_number": "256-539-2728",
            "fax_number": "256-428-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "PETER",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "1623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7032826",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josephine Sullivan, LPN
• Kenneth P. Sullivan, PH.D.
• Kyla Sullivan
• Mary Barbara Sullivan, M.D.
• Melanie Prince Sullivan, CRNP
• Arzoria Cenai Sumbry, RBT
• Katherine Sumera, CRNP
• Amanda Baker Summerford, AGACNP-BC
• Anna Summerford, PA-C
• David Clark Summerford, D.M.D, M.S

• Surgical Physician Assistant in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Surgical Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.