MATTHEW JAMES SULLIVAN (NPI# 1922653179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922653179 |
| Entity Type | Individual |
| Full Name | MATTHEW JAMES SULLIVAN |
| Credential | PA |
| Practice Address |
323 Lowell St Andover MA 01810-4659 |
| Mailing Address |
575 Turnpike St Ste 21 North Andover MA 01845-5937 |
| Practice Telephone | 9787941946 |
| Mailing Telephone | 9787941946 |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2020-05-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA7371 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 693 Salem St, Groveland, MA 018341034 | 9788081147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548653256 | Matthew Austin Sullivan | Student in an Organized Health Care Education/Training Program | 1830 E Monument St Ste 7000, Baltimore, MD 21287 | 2015-03-05 |
| 1902228422 | Matthew D Sullivan | Naturopath | 3804 Ne 94th St, Seattle, WA 98115-3755 | 2014-01-17 |
| 1437279320 | Matthew Burton Sullivan | Speech-Language Pathologist | 5601 35th Ave N, St Petersburg, FL 33710-1911 | 2007-04-02 |
| 1053311472 | Matthew Ryan Sullivan | Optometrist | 980 Willow Creek Road, Suite 202, Prescott, AZ 86301-1610 | 2005-07-28 |
| 1376164012 | Matthew Conor Sullivan | Student in an Organized Health Care Education/Training Program | 1 Bowdoin Sq, Boston, MA 02114-2927 | 2020-05-05 |
| 1871156596 | Matthew Sullivan | Counselor | 26 Parkridge Rd, Haverhill, MA 01835-8514 | 2019-04-18 |
| 1639650955 | Matthew Sullivan | Occupational Therapy Assistant | 500 Valle Vista Dr, Athens, TX 75751-2760 | 2018-08-24 |
| 1619329703 | Matthew Sullivan | Physical Therapist | 115 E Harmony Rd Ste 160, Fort Collins, CO 80525-3280 | 2016-07-12 |
| 1760846919 | Matthew L. Sullivan | Nurse Anesthetist, Certified Registered | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2016-04-13 |
| 1609240795 | Matthew Wade Sullivan | Physical Therapist | 2318 Market Place Dr, Maryville, TN 37801-8704 | 2015-11-30 |
| Street Address |
323 LOWELL ST |
| City | ANDOVER |
| State | MA |
| Zip Code | 01810-4659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609876747 | Tatiana N Scott | Internal Medicine | 323 Lowell St, Andover Medical Center & Expresscare, Andover, MA 01810-4501 | 2005-07-29 |
| 1003470980 | Community Medical Associates, Inc. | Surgery | 323 Lowell St, Andover, MA 01810-4501 | 2019-04-26 |
| 1831667484 | Therese Diola | Physician Assistant | 323 Lowell St, Andover, MA 01810-4501 | 2018-11-12 |
| 1194293738 | Garkie Zhu | Physician Assistant | 323 Lowell St, Andover, MA 01810-4501 | 2018-11-12 |
| 1548763766 | Marco Christian Montecalvo | Physician Assistant | 323 Lowell St, Andover, MA 01810-4501 | 2018-03-14 |
| 1306345244 | Gregory Joseph Parks | Physician Assistant | 323 Lowell St, Andover, MA 01810-4501 | 2018-02-06 |
| 1629585799 | Sterling Chase Campbell | Nurse Practitioner | 323 Lowell St, Andover, MA 01810-4501 | 2018-01-10 |
| 1073981155 | Alexsis Walter | Nurse Practitioner | 323 Lowell St, Andover, MA 01810-4501 | 2015-09-08 |
| 1114335122 | Laura Enos | Nurse Practitioner | 323 Lowell St, Andover Medical Center & Expresscare, Andover, MA 01810-4501 | 2014-07-23 |
| 1578815486 | Erin Hannah Gold | Registered Nurse | 323 Lowell St, Andover, MA 01810-4659 | 2012-10-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871123513 | Jill Katherine Priestley | Registered Nurse | 251 South Main Street, Andover, MA 01810 | 2020-01-22 |
| 1023672086 | Diane Marie Gallant | Occupational Therapy Assistant | 5606 80 Andover Street, Andover, MA 01810 | 2019-04-25 |
| 1932677473 | Jessica Howie | Physician Assistant | 28 Andover St Fl 1, Andover, MA 01810 | 2018-11-02 |
| 1972087138 | Mia Cloonan | Social Worker | 1 Punchard Avenue, Apt. 3 Rear, Andover, MA 01810 | 2018-09-23 |
| 1063995462 | Janet Suleski | Social Worker | 10 Stevens St, Andover, MA 01810 | 2018-09-11 |
| 1942794706 | Alison Catherine Lynch | Optometrist | 7 Parthenon Cir, Andover, MA 01810 | 2018-06-15 |
| 1740773647 | Wandajune Bishop-towle | Psychologist | 75 Wild Rose Dr., Andover, MA 01810 | 2018-06-14 |
| 1235689860 | Jo-ann Elizabeth Newcomb | Registered Nurse | 12 Hemlock Rd, Andover, MA 01810 | 2016-10-06 |
| 1922476712 | Marianela Rivera | Physical Therapist | 32 Osgood St., Andover, MA 01810 | 2015-09-10 |
| 1447535935 | Kathleen L Mccracken | Occupational Therapy Assistant | 200 Brickstone Square, 3rd Floor, Genesis Rehab Services, Andover, MA 01810 | 2011-10-15 |
| Find all providers in zip 01810 | ||||
| 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 |
|---|---|---|---|---|
| 1932677473 | Jessica Howie | Physician Assistant | 28 Andover St Fl 1, Andover, MA 01810 | 2018-11-02 |
| 1275644650 | Shala Renee Holman | Physician Assistant | 1124 W. 21st Street, Andover, KS 67002 | 2006-08-31 |
| 1588625495 | Catherine A Scheve | Physician Assistant | 308 E Central, Andover, KS 67002 | 2006-03-30 |
| 1053372037 | Jill L Johnson-smith | Physician Assistant | 612 N Andover Rd, Andover, KS 67002-9778 | 2006-03-30 |
| 1013551969 | Ciara Nicole Weaver | Physician Assistant | 149 E Main St, Andover, OH 44003-9479 | 2019-11-04 |
| 1457820912 | Jason Emold Nesler | Physician Assistant | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 2018-11-14 |
| 1831667484 | Therese Diola | Physician Assistant | 323 Lowell St, Andover, MA 01810-4501 | 2018-11-12 |
| 1750856647 | John O'shea | Physician Assistant | 323 Lowell Street, West Wing, 1st Floor, Andover, MA 01810 | 2018-10-08 |
| 1548763766 | Marco Christian Montecalvo | Physician Assistant | 323 Lowell St, Andover, MA 01810-4501 | 2018-03-14 |
| 1306345244 | Gregory Joseph Parks | Physician Assistant | 323 Lowell St, Andover, MA 01810-4501 | 2018-02-06 |
| Find all providers in ANDOVER | ||||
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| 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.