Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Scot a Sullivan MD PC

Organization Medical Specialty Clinic/Center · NPI 1831610641

Scot a Sullivan MD PC is a Medical Specialty Clinic/Center in Edmond, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2017.

Licensed in
OK
In the registry since
2017
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2020 E 15th St Ste B
Edmond, OK 73013-6749
Phone: (405) 348-9993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence 20157 (OK)

Record details

NPI number1831610641
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scot Sullivan — Owner · (503) 841-7593
NPI enumeratedJune 30, 2017
Last updated in NPPESJune 30, 2017
Mailing address1025 Nw Couch St Unit 819, Portland, OR 97209-4132

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