Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY ERIC SULLIVAN JR., PA-C
ActiveTIMOTHY ERIC SULLIVAN JR., PA-C is a Medical Physician Assistant healthcare provider located in POTTSVILLE, Pennsylvania. NPI 1295012060 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · POTTSVILLE, PA
Registration Details
- NPI Number
- 1295012060
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 8, 2011 (14.782113745203 yrs)
- Last Updated
- Jun 30, 2025
- Licenses
-
25MP00271500 (NJ)MA056911 (PA)
Practice Information
- Address
-
106 S CLAUDE A LORD BLVDPOTTSVILLE, PA, 179013639Browse PA providers · Browse ZIP 17901
- Phone
- 5707282424
- Fax
- 5707282425
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in POTTSVILLE, PA
| Name | Credential | NPI |
|---|---|---|
| COLBY ALLAN POWELL | PA-C | 1114988714 |
| KELLY A GERGELY | PA | 1306942099 |
| BERNADETTE M TROSTLE | PA | 1811093503 |
| MR. ANDREW MATTHEW KNEPP | PA-C | 1801992680 |
| MS. KAREN B BOHENEK | PA | 1215033006 |
| DAVID SCOTT HEATH | PA | 1326405846 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.