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

Scott F Sullivan, PA

Individual provider Physician Assistant · NPI 1477592988

Scott F Sullivan, PA is a Physician Assistant in East Providence, Rhode Island. Qualified in 2005, 21 years ago. Practices with Vmd Primary Providers of Rhode Island PC, a 50-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and Rhode Island.

Years since qualifying
21
Licensed in
MA, RI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

450 Veterans Memorial Pkwy # 15B
East Providence, RI 02914-5300
Phone: (401) 434-3350
Fax: (401) 434-5230
Show map & directions

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

Additional practice locations (2)

  • 41 Mall Rd, Burlington, MA 01805-2403 — (781) 744-8000
  • 118 Dudley St, Providence, RI 02905-2403 — (401) 273-4155

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA826 (MA)
Physician Assistant Taxonomy 363A00000X · Licence PA00259 (RI)

Record details

NPI number1477592988
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 6, 2006
Last updated in NPPESJuly 7, 2025
Certification dateJuly 7, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Vmd Primary Providers Of Rhode Island Pc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in East Providence