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

Raymond James Sullivan, MD

Individual provider Anesthesiology Physician · NPI 1093790065

Raymond James Sullivan, MD is an Anesthesiology in Edgewood, Kentucky. Graduated from State University of New York at Stony Brook, School of Medicine in 1985, 41 years ago. Practices with Anesthesia Group Practice Inc, a 399-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
41
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
KY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

20 Medical Village Dr Independent Anesthesiologists Psc
Edgewood, KY 41017
Phone: (859) 341-7246
Fax: (859) 341-7867
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 26391 (KY)

Record details

NPI number1093790065
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 13, 2005
Last updated in NPPESFebruary 20, 2008
Mailing address20 Medical Village Dr, Ste 258, Edgewood, KY 41017

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 1985 (41 years in practice)
Group practice Anesthesia Group Practice Inc — 399 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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