Active NPIIndividual provider

Wesley Sulloway, PA-C

Physician Assistant, Surgical in Biddeford, Maine

NPI Number1598493884
Practice location
46 Barra RD Ste 103, Biddeford, ME 04005-9461
Fax
207-294-3544
Last updated
May 1, 2025

Wesley Sulloway is a Physician Assistant, Surgical based in Biddeford, ME. Wesley Sulloway practices in Biddeford, ME and has the professional credentials of PA-C. The NPI Number for Wesley Sulloway is 1598493884 and holds a License No. PA2426 (ME). The current practice location address for Wesley Sulloway is 46 Barra RD Ste 103, Biddeford, ME 04005-9461 and can be reached out via phone at 207-283-1126 and via fax at 207-294-3544.

Provider Profile Details

NPI Number
1598493884
Provider Name
Wesley Sulloway
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
46 Barra RD Ste 103, Biddeford, ME 04005-9461
Phone Number
207-283-1126
Fax Number
207-294-3544
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
August 12, 2022
Last Update Date
May 1, 2025
Certification Date
May 1, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
46 Barra RD Ste 103
Biddeford, ME 04005-9461
State
Maine
Zip
04005-9461
Phone Number
207-283-1126
Fax Number
207-294-3544
Biddeford, ME 04005Get directions →

Provider Business Mailing Address Details

Address
46 Barra RD Ste 103
Biddeford, ME 04005-9461
City
Biddeford
State
ME
Zip
04005-9461
Phone Number
207-283-1126
Fax Number
207-294-3544

License Information

License Number (1)
PA2426
License State (1)
ME
Taxonomy (1)
Physician Assistant, Surgical · 363AS0400X · Primary
License Number (2)
PA2426
License State (2)
ME
Taxonomy (2)
Physician Assistant · 363A00000X

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 Wesley Sulloway, PA-C?

The NPI number of Wesley Sulloway, PA-C is 1598493884. It was assigned on August 12, 2022 and is currently active in the NPPES registry.

What is the specialty of Wesley Sulloway, PA-C?

Wesley Sulloway, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in ME under license number PA2426.

Where does Wesley Sulloway, PA-C practice?

The practice location is 46 Barra RD Ste 103, Biddeford, ME 04005-9461. The office can be reached at 207-283-1126 (phone) or 207-294-3544 (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 1598493884 directly on the NPPES registry website.

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