MR. TIMOTHY MARK SULLIVAN P.A.
NPI 1619152915
Physician Assistant in Mesa, AZ

Active since January 04, 2008
9951 E EL MORO AVE, MESA, AZ 85208(602) 570-6428 Get Directions Write a Review

NPPES record last updated: November 5, 2008. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mr. Timothy Mark Sullivan P.a. NPPES

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

MR. TIMOTHY MARK SULLIVAN P.A. (NPI 1619152915) is an individual physician assistant in Mesa, Arizona and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1619152915
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. TIMOTHY MARK SULLIVANCredential: P.A.
Location Address9951 E EL MORO AVEMesa, AZ 85208-5869
Mailing Address5432 E Southern AveMesa, AZ 85206-2772 · (480) 325-3275 · Fax (480) 981-9123
Sole ProprietorYes
Enumeration DateJanuary 4, 2008
Last NPPES UpdateNovember 5, 2008
NPI 1619152915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
9951 E EL MORO AVE, Mesa, AZ 85208

Other Identifiers 1

Medicare PINZ122257AZ

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 Timothy Sullivan's NPI number?

The NPI number for Timothy Sullivan is 1619152915. It was assigned to this individual provider in the NPPES registry on January 4, 2008.

Where is Timothy Sullivan located?

Timothy Sullivan practices at 9951 E El Moro Ave, Mesa, AZ 85208. The listed phone number is (602) 570-6428.

What is Timothy Sullivan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Timothy Sullivan was last updated on November 5, 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.