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SCOT A SULLIVAN MD PC
NPI 1831610641
Clinic/Center - Medical Specialty in Edmond, OK

Active since June 30, 2017
2020 E 15TH ST STE B, EDMOND, OK 73013(405) 348-9993 Get Directions Write a Review

NPPES record last updated: June 30, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Scot A Sullivan Md Pc NPPES

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

SCOT A SULLIVAN MD PC (NPI 1831610641) is a healthcare organization registered as a medical specialty in Edmond, Oklahoma and active in the NPI registry since June 2017. The organization lists Scot Sullivan, Owner, as its authorized official.

NPPES Registry Identity

NPI1831610641
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameSCOT A SULLIVAN MD PC
Location Address2020 E 15TH ST STE BEdmond, OK 73013-6749
Mailing Address1025 Nw Couch St Unit 819Portland, OR 97209-4132 · (503) 841-7593
Phone(405) 348-9993
Organization SubpartNo
Authorized OfficialScot SullivanOwner · (503) 841-7593
Enumeration DateJune 30, 2017
✔ NPI 1831610641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in OK · 20157
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
2020 E 15TH ST STE B, Edmond, OK 73013
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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 Scot A Sullivan MD PC's NPI number?

The NPI number for Scot A Sullivan MD PC is 1831610641. It was assigned to this organization in the NPPES registry on June 30, 2017.

Where is Scot A Sullivan MD PC located?

Scot A Sullivan MD PC is located at 2020 E 15th St Ste B, Edmond, OK 73013. The listed phone number is (405) 348-9993.

What is Scot A Sullivan MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Scot A Sullivan MD PC was last updated on June 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.