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

Timothy Eric Sullivan Jr., PA-C

Individual provider Medical Physician Assistant · NPI 1295012060

Timothy Eric Sullivan Jr., PA-C is a Physician Assistant in Lancaster, Pennsylvania. Qualified in 2011, 15 years ago. Practices with Penn State Health Medical Group LLC, a 711-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
15
Licensed in
NJ, PA
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2160 State Rd
Lancaster, PA 17601-1812
Phone: (223) 287-8155
Fax: (717) 312-3143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2221 Noll Dr, Lancaster, PA 17603-7614 — (717) 531-3828
  • 106 S Claude A Lord Blvd, Pottsville, PA 17901-3639 — (570) 728-2424

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA056911 (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 25MP00271500 (NJ)

Record details

NPI number1295012060
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 8, 2011
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Penn State Health Medical Group Llc — 711 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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