Active NPIIndividual provider

Scott F Sullivan, PA

Physician Assistant in East Providence, Rhode Island

NPI Number1477592988
Practice location
450 Veterans Memorial Pkwy # 15B, East Providence, RI 02914-5300
Fax
401-434-5230
Last updated
July 7, 2025

Scott F Sullivan is a Physician Assistant based in East Providence, RI. Scott F Sullivan practices in East Providence, RI and has the professional credentials of PA. The NPI Number for Scott F Sullivan is 1477592988 and holds a License No. PA00259 (RI). The current practice location address for Scott F Sullivan is 450 Veterans Memorial Pkwy # 15B, East Providence, RI 02914-5300 and can be reached out via phone at 401-434-3350 and via fax at 401-434-5230.

Provider Profile Details

NPI Number
1477592988
Provider Name
Scott F Sullivan
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
450 Veterans Memorial Pkwy # 15B, East Providence, RI 02914-5300
Phone Number
401-434-3350
Fax Number
401-434-5230
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 6, 2006
Last Update Date
July 7, 2025
Certification Date
July 7, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
450 Veterans Memorial Pkwy # 15B
East Providence, RI 02914-5300
Zip
02914-5300
Phone Number
401-434-3350
Fax Number
401-434-5230
East Providence, RI 02914Get directions →

Provider Business Mailing Address Details

Address
Provider Enrollment 41 Mall Road
Burlington, MA 01805-0001
City
Burlington
State
MA
Zip
01805-0001

License Information

License Number (1)
PA00259
License State (1)
RI
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
PA826
License State (2)
MA
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Scott F Sullivan, PA?

The NPI number of Scott F Sullivan, PA is 1477592988. It was assigned on June 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Scott F Sullivan, PA?

Scott F Sullivan, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in RI under license number PA00259.

Where does Scott F Sullivan, PA practice?

The practice location is 450 Veterans Memorial Pkwy # 15B, East Providence, RI 02914-5300. The office can be reached at 401-434-3350 (phone) or 401-434-5230 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477592988 directly on the NPPES registry website.

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