Timothy Francis Sullivan, M.S., PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA00358 Issued in RI

Practice address

1210 Boston Providence Tpke
Norwood, MA 02062-5061

Phone

(781) 255-0500

Fax

(781) 255-0400

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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 1

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Woonsocket Urgent Care PCGroup PAC ID 1951305168, shared by 2 NPIs, 23 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

25.21 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

84.02

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

Practice roles

Locations

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.

• Woonsocket Urgent Care, PC

  • Urgent Care Clinic/Center
  • Bellingham, MA
  • NPI 1437628385
  Medicare reassignment NPD
• Woonsocket Urgent Care, PC

  • Internal Medicine Physician
  • East Walpole, MA
  • NPI 1881929586
  Medicare reassignment NPD
• Woonsocket Urgent Care PC

  • Urgent Care Clinic/Center
  • Natick, MA
  • NPI 1780039966
  NPD
• Associated Physicians of Harvard Medical Faculty Physicians at Beth Is

  • Multi-Specialty Clinic/Center
  • Boston, MA
  • NPI 1861216038
  NPD (past)
• Associated Physicians of Harvard Medical Faculty Physicians at Beth Is

  • Emergency Medical Services (Emergency Medicine) Physician
  • Boston, MA
  • NPI 1952358533
  NPD (past)
• Barreto & Schwartz Psychology Associates PC Inc

  • Clinical Psychologist
  • Cumberland, RI
  • NPI 1780866707
  NPD (past)
• Landmark Medical Center

  • Internal Medicine Physician
  • Woonsocket, RI
  • NPI 1942412002
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1760412084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 BOSTON PROVIDENCE TPKE",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020625061",
            "telephone_number": "781-255-0500",
            "fax_number": "781-255-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 BOSTON PROVIDENCE TPKE",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020625061",
            "telephone_number": "781-255-0500",
            "fax_number": "781-255-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "TIMOTHY",
        "middle_name": "FRANCIS",
        "credential": "M.S., PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA00358",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA4234",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Francis Sullivan, MD
• Naima Bigby Sullivan, MS, RD, LDN
• Rory Sullivan, MA
• Samantha Sullivan
• Thomas Patrick Sullivan, LMHC
• Chris Summa
• Rita Summerfield, APRN,BC
• Summit Behavior, LLC
• Surgical Hospitalist of Norwood PC
• Susan H. Becker, Aprn, BC, PC

• Physician Assistant in Norwood, MA
• Providers in Norwood, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.