Wendy S. Sullivan in Owings Mills - Physician Assistant
Wendy S. Sullivan - NPI 1194781617
Wendy S. Sullivan is a Physician Assistant in Owings Mills, Maryland. Wendy S. Sullivan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Wendy S. Sullivan is 1194781617. The last update date is 2012-11-01.
Wendy S. Sullivan's current location address is 25 Crossroads Dr, Owings Mills, Maryland. You can contact this provider via phone number 4437382872 and fax number 4437382713. The mailing address for Wendy S. Sullivan is 25 Crossroads Dr, Owings Mills, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wendy S. Sullivan |
|---|---|
| Address | 25 Crossroads Dr, Owings Mills, Maryland |
| Phone Number | 4437382872 |
| Fax Number | 4437382713 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1194781617 |
|---|---|
| Provider Enumeration Date | 2006-04-24 |
| Last Updated Date | 2012-11-01 |
Provider Mailing Address Detail
| Address | 25 Crossroads Dr |
|---|---|
| City | Owings Mills |
| State | Maryland (MD) |
| Post Code | 211175421 |
| Phone Number | 4437382872 |
| Fax Number | 4437382713 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 0110 002181 |
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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 perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10234085 | VA | -- | |
| 541203530 | VA | TAS IDENTIFICATION NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Wendy S. Sullivan by the Centers for Medicare & Medicaid Services?
The Wendy S. Sullivan has been assigned the NPI (National Provider Identifier) 1194781617. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Wendy S. Sullivan?
The Wendy S. Sullivan is situated at 25 Crossroads Dr, in the city of Owings Mills, state of MD, with the zip code 211175421.
What is Wendy S. Sullivan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Wendy S. Sullivan is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1194781617 to Wendy S. Sullivan?
The Centers for Medicare & Medicaid Services assigned the 1194781617 to Wendy S. Sullivan on 2006-04-24.
As of what date was the information pertaining to Wendy S. Sullivan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Wendy S. Sullivan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-11-01.
NPI Number: 1982607784
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