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MS. CYNTHIA ROWLEY-SULLIVAN PA NPI 1639142458


NPI Information

NPI: 1639142458
Provider Name: MS. CYNTHIA ROWLEY-SULLIVAN, PA
Classification: Physician Assistant - 363A00000X
Entity Type: Individual
Address:
104 W 18TH AVE
COAL VALLEY, IL
ZIP 61240
Phone: (309) 799-7518
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MS. Cynthia Rowley-sullivan, PA is a physician assistant in Coal Valley, IL. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. MS. Cynthia Rowley-sullivan, PA NPI is 1639142458. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

104 W 18TH AVE
COAL VALLEY, IL
ZIP 61240-337
Phone: (309) 799-7518
Fax: (309) 799-3886

The enumeration date for this NPI number is 2/10/2006 and was last updated on 1/15/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant085002201ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1IL01W4OTHERILLINOISJOHN DEERE NUMBER
2200715014MEDICARE PINILLINOIS
3362739299001OTHERILLINOISTRICARE NUMBER
4K06575MEDICARE ID-TYPE UNSPECIFIEDILLINOISINDIVIDUAL MEDICARE NUMBE
5K47795MEDICARE PINILLINOIS
6S57434MEDICARE UPIN
793342OTHERILLINOISBCWELLMARK NUMBER
81639142458MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.