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

Individual provider Medical Physician Assistant · NPI 1346212966

Louis Sully, PA is a Physician Assistant in Omaha, Nebraska. Graduated from University of Nebraska College of Medicine in 1999, 27 years ago. Practices with Ear Nose and Throat Consultants LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
27
Trained at
University of Nebraska College of Medicine
Licensed in
NE
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

720 N 129th St
Omaha, NE 68154-6109
Phone: (402) 397-0670
Fax: (402) 397-0713
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 895 (NE)

Record details

NPI number1346212966
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 7, 2006
Last updated in NPPESJanuary 19, 2016
Mailing address720 N 129th St, Omaha, NE 68154-6109

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Ear Nose And Throat Consultants Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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