Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John Michael Sullivan, PA-C

Individual provider Physician Assistant · NPI 1689204356

John Michael Sullivan, PA-C is a Physician Assistant in Boston, Massachusetts. Qualified in 2019, 7 years ago. Practices with Brigham and Womens Physicians Organization Inc, a 2,916-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
7
Licensed in
MA
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

60 Fenwood Rd
Boston, MA 02115-6128
Phone: (617) 525-6550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (MA)

Record details

NPI number1689204356
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 22, 2020
Last updated in NPPESJune 16, 2020
Certification dateJune 16, 2020
Mailing address60 Fenwood Rd, Boston, MA 02115-6128

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Brigham And Womens Physicians Organization Inc — 2916 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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