DAVID JAMES SULLIVAN PA-C
NPI 1245281088
Physician Assistant - Surgical in Raonoke, VA

Active since May 15, 2006
CARILION MEMORIAL HOSPITAL, BELLVIEW AND JEFFERSON STREETS, RAONOKE, VA 24014(540) 981-8250 Get Directions Write a Review

NPPES record last updated: October 27, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About David James Sullivan Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID JAMES SULLIVAN PA-C (NPI 1245281088) is an individual surgical provider in Raonoke, Virginia, licensed in Virginia (0110001586) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1245281088
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameDAVID JAMES SULLIVANCredential: PA-C
Location AddressCARILION MEMORIAL HOSPITAL, BELLVIEW AND JEFFERSON STREETSRaonoke, VA 24014
Mailing Address6615 Circle View DrRoanoke, VA 24014-6601 · (540) 776-2939
Sole ProprietorNo
Enumeration DateMay 15, 2006
Last NPPES UpdateOctober 27, 2008
NPI 1245281088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in VA · 0110001586
CARILION MEMORIAL HOSPITAL, Raonoke, VA 24014

Other Identifiers 2

Medicare PIN017654C19VA
Medicaid1245281088VA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Sullivan's NPI number?

The NPI number for David Sullivan is 1245281088. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is David Sullivan located?

David Sullivan practices at Carilion Memorial Hospital Bellview And Jefferson Streets, Raonoke, VA 24014. The listed phone number is (540) 981-8250.

What is David Sullivan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for David Sullivan was last updated on October 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.