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

Individual provider Physician Assistant · NPI 1194781617

Wendy S. Sullivan, PA is a Physician Assistant in Baltimore, Maryland. Qualified in 2001, 25 years ago. Practices with Chesapeake Urology Associates LLC, a 160-clinician group and accepts Medicare assignment. Licensed in Maryland and Virginia.

Years since qualifying
25
Licensed in
MD, VA
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.

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Practice location Address checks out

6820 Hospital Dr Ste 210
Baltimore, MD 21237-4352
Phone: (410) 391-6131
Fax: (410) 391-6144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110 002181 (VA)
Physician Assistant Taxonomy 363A00000X · Licence C0002516 (MD)

Record details

NPI number1194781617
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 24, 2006
Last updated in NPPESNovember 1, 2012

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Chesapeake Urology Associates Llc — 160 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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