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

Dr. Julie Sullivan, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1952963043

Dr. Julie Sullivan, DO is a Gastroenterology in Wynnewood, Pennsylvania. Graduated from Lake Erie Col of Osteopathic Medicine, Bradenton in 2019, 7 years ago. Practices with Main Line Healthcare, a 1,153-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
7
Trained at
Lake Erie Col of Osteopathic Medicine, Bradenton
Licensed in
PA
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

100 E Lancaster Avenue Mob E Ste 361
Wynnewood, PA 19096-3433
Phone: (484) 476-8390
Fax: (610) 642-6808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5501 Old York Rd, Philadelphia, PA 19141-3018 — (215) 456-8210

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence OS025070 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence OT019595 (PA)

Record details

NPI number1952963043
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 28, 2019
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025
Mailing address3803 W Chester Pike Ste 160, Newtown Square, PA 19073-2336

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolLAKE ERIE COL OF OSTEOPATHIC MEDICINE, BRADENTON
Graduated 2019 (7 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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