DR. JULIE SULLIVAN DO NPI 1952963043

NPI Information

  • NPI: 1952963043
  • Provider Name: DR. JULIE SULLIVAN, DO
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 EAST LANCASTER AVENUE
    MOB EAST STE 361
    WYNNEWOOD, PA
    ZIP 19096
  • Phone: (484) 476-8390

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NPI Details

DR. Julie Sullivan, DO is a gastroenterology internal medicine in Wynnewood, PA with 7 years of experience. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DR. Julie Sullivan, DO NPI is 1952963043. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LAKE ERIE COL OF OSTEOPATHIC MEDICINE, BRADENTON
Graduation Year:2019

The provider's business location address is:

100 EAST LANCASTER AVENUE
MOB EAST STE 361
WYNNEWOOD, PA
ZIP 19096-433
Phone: (484) 476-8390
Fax: (610) 642-6808

The NPI 1952963043 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/28/2019 and was last updated on 6/30/2025.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramOT019595PENNSYLVANIANo
2207RG0100XInternal MedicineGastroenterologyOS025070PENNSYLVANIAYes

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: 11/21/2025

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