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

John Thomas Sullivan, PA-C

Individual provider Physician Assistant · NPI 1407056708

John Thomas Sullivan, PA-C is a Physician Assistant in Greensburg, Pennsylvania. Qualified in 2007, 19 years ago. Practices with Excela Health Physician Practices, Inc, a 473-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
19
Licensed in
AZ
In the registry since
2007
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

522 W Newton St Ste 300
Greensburg, PA 15601-2890
Phone: (724) 838-7500
Fax: (724) 837-6670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6307 (AZ)

Record details

NPI number1407056708
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 24, 2007
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Excela Health Physician Practices, Inc — 473 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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