MS. CYNTHIA ROWLEY-SULLIVAN (NPI# 1639142458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639142458 |
| Entity Type | Individual |
| Full Name | MS. CYNTHIA ROWLEY-SULLIVAN |
| Credential | PA |
| Practice Address |
104 W 18th Ave Coal Valley IL 61240-9337 |
| Practice Telephone | 3097997518 |
| Practice Fax Number | 3097993886 |
| Mailing Telephone | 3097997518 |
| Mailing Fax Number | 3097993886 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2014-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085002201 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | TRICARE NUMBER | 362739299001 | 01 |
| IL | BCWELLMARK NUMBER | 93342 | 01 |
| IL | 1639142458 | 05 | |
| IL | JOHN DEERE NUMBER | IL01W4 | 01 |
| Street Address |
104 W 18TH AVE |
| City | COAL VALLEY |
| State | IL |
| Zip Code | 61240-9337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508839481 | Paul Wang | Family Medicine | 104 W 18th Ave, Coal Valley, IL 61240-9337 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962713495 | Coal Valley Fire Protection District | Ambulance | 103 W 18th Ave, Coal Valley, IL 61240 | 2010-06-30 |
| 1831354364 | Karen Ann Dhanens | Occupational Therapist | 1108 East 4th Street, Coal Valley, IL 61240 | 2008-07-24 |
| 1972667111 | Margarida R Laub | Dentist | 205 West First Avenue, Caol Valley, IL 61240 | 2006-12-21 |
| 1922059047 | Emil George Anthony | Contractor | 120 W 14th St, Coal Valley, IL 61240-8811 | 2006-05-13 |
| 1659528503 | Shellene Suzanne Fischer | Occupational Therapist | 507 E 13th Avenue Ct, Coal Valley, IL 61240-9128 | 2008-08-22 |
| 1730157322 | William C Mccabe | Personal Emergency Response Attendant | 1702 E 6th St, Coal Valley, IL 61240-9145 | 2006-03-09 |
| 1578542304 | Yogin J. Parikh | Specialist | 4 Sawgrass Dr, Coal Valley, IL 61240-9148 | 2006-01-11 |
| 1427573633 | Elizabeth S Heisler | Speech-Language Pathologist | 307 W 6th Avenue Ct, Coal Valley, IL 61240-9160 | 2017-08-09 |
| 1851370993 | Rodney Clifford Howell | Nurse Practitioner | 308 W 6th Avenue Ct, Coal Valley, IL 61240-9160 | 2006-01-16 |
| 1144419078 | Progressive Home Wound Care, Inc | Home Health | 308 W 6th Avenue Ct, Coal Valley, IL 61240-9160 | 2007-10-16 |
| Find all providers in zip 61240 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010924 | Mckenzie Youngblood | Physician Assistant | 28653 Wren Ln, Jerseyville, IL 62052-6501 | 2020-10-13 |
| 1548877400 | Shawn Milhauser | Physician Assistant | 1014 N Mill St, Pontiac, IL 61764-1332 | 2020-09-25 |
| 1982210654 | Brittany Michelle Weber | Physician Assistant | 525 E Congress Pkwy Ste 200, Crystal Lake, IL 60014-6271 | 2020-09-18 |
| 1003421603 | Logan M Barkley | Physician Assistant | 2560 24th St Ste 201, Rock Island, IL 61201-5390 | 2020-09-10 |
| 1336753342 | Navneet Kaur Bamrah | Physician Assistant | 11316 S Highland Dr, Plainfield, IL 60585-1581 | 2020-09-07 |
| 1306450424 | Annie Mannancheril | Physician Assistant | 9114 Waukegan Rd, Morton Grove, IL 60053-2135 | 2020-09-04 |
| 1508470709 | Bryan Ying Wong | Physician Assistant | 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 | 2020-09-04 |
| 1386256402 | Emma Schmidt | Physician Assistant | 20 Haverton Ct, Streamwood, IL 60107-1682 | 2020-08-19 |
| 1063024388 | Alyson Dyck | Physician Assistant | 2540 Health Services, Ssb Student Services Building, Normal, IL 61790-2540 | 2020-08-18 |
| 1649882192 | Anna Marie Phillips | Physician Assistant | 5337 Main St, Skokie, IL 60077-2029 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
| City | COAL VALLEY |
| Zip Code | 61240 |
Please comment or provide details below to improve the information on MS. CYNTHIA ROWLEY-SULLIVAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.