Andrew L Sullivan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD420888 Issued in PA

Practice address

777 Township Line Rd
Suite 200
Yardley, PA 19067-5552

Phone

(215) 493-5535

Fax

(215) 493-0810

NPI assigned

Jun 27, 2006

Last updated

Oct 16, 2012By the provider in NPPES

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Temple Physicians Inc

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1942444088
  Medicare reassignment NPD
• Temple Physician Inc.

  • Internal Medicine Physician
  • Feasterville Trevose, PA
  • NPI 1174497366
  NPD
• Temple Physicians Inc.

  • Family Medicine Physician
  • Lafayette Hill, PA
  • NPI 1932574373
  NPD
• Penncare Bucks County - Family Medicine

  • Non-Pharmacy Dispensing Site
  • Yardley, PA
  • NPI 1164563573
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1881621720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 TOWNSHIP LINE RD",
            "address_2": "SUITE 200",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675552",
            "telephone_number": "215-493-5535",
            "fax_number": "215-493-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 TOWNSHIP LINE RD",
            "address_2": "SUITE 200",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675552",
            "telephone_number": "215-493-5535",
            "fax_number": "215-493-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ANDREW",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD420888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019456230001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Stever, DO
• George Thomas Stollsteimer, MD
• Carol Ann Straiton, P.T.
• Clifford Strauss, DO
• Michele Evette Suarez, LPC
• Summit Clinical Group LLC
• Jill Carol Sundheim, O.T.
• Sunrise Floral Vale Senior Living, LP (Sunrise Assisted Living At Floral Vale)
• Eileen M Sutton, MSN
• Kelly Ann Sweeney, M.S., LPC

• Family Medicine Physician in Yardley, PA
• Providers in Yardley, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.