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

Michael A Sullivan, PA

Individual provider Surgical Physician Assistant · NPI 1568418242

Michael A Sullivan, PA is a Physician Assistant in Tyler, Texas. Qualified in 2004, 22 years ago. Practices with Healthtexas Provider Network, a 2,539-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
22
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

3414 Golden Rd
Tyler, TX 75701-8336
Phone: (903) 939-7500
Fax: (903) 939-7725
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 305 W 20th St, Mt Pleasant, TX 75455-2327 — (903) 939-7500

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1568418242
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 25, 2006
Last updated in NPPESOctober 27, 2022
Certification dateOctober 27, 2022
Mailing address3414 Golden Rd, Tyler, TX 75701-8336

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Healthtexas Provider Network — 2539 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Tyler