MR. MICHAEL J. SULLIVAN M.S., P.A.-C - NPI 1821098104 - Physician Assistant in Las Vegas, NV

Q: What is Michael Sullivan's NPI number?

The NPI number for Michael Sullivan is 1821098104. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Q: What is Michael Sullivan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Michael Sullivan was last updated on September 30, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mr. Michael J. Sullivan M.s., P.a.-c NPPES

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

MR. MICHAEL J. SULLIVAN M.S., P.A.-C (NPI 1821098104) is an individual medical provider in Las Vegas, Nevada, licensed in Nevada (PA536) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1821098104

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. MICHAEL J. SULLIVANCredential: M.S., P.A.-C

Location Address112 S JONES BLVDLas Vegas, NV 89107-2614

Mailing Address112 S Jones BlvdLas Vegas, NV 89107-2614 · (702) 838-7110 · Fax (702) 838-7112

Phone(702) 838-7110

Fax(702) 838-7112

Sole ProprietorNo

Enumeration DateJuly 28, 2005

Last NPPES UpdateSeptember 30, 2010

✔ NPI 1821098104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NV · PA536

112 S JONES BLVD, Las Vegas, NV 89107

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Other Identifiers 1

Medicare UPINS42746

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

A BETTER OPTION HEALTHCARE INC

Nurse Practitioner (Psychiatric/Mental Health)