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

Michael Henry Sullivan Bohr, PA-C

Individual provider Physician Assistant · NPI 1275082992

Michael Henry Sullivan Bohr, PA-C is a Physician Assistant in Moosic, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2016.

Licensed in
PA
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

340 Montage Mountain Rd
Moosic, PA 18507-1707
Phone: (570) 346-3686
Fax: (570) 558-6838
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA060392 (PA)

Record details

NPI number1275082992
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 22, 2016
Last updated in NPPESMay 22, 2020
Certification dateMay 22, 2020

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