Scot A Sullivan is a Portland, Oregon based male Ophthalmologist with 29 years of experience in Ophthalmology. He completed his graduation from University Of Oklahoma College Of Medicine in 1995. He is also affiliated with hospitals like Providence St Vincent Medical Center. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Scot A Sullivan is MD21723 for Ophthalmology in Oregon. Scot A Sullivan is medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, patients can be prescribed vision services, including glasses and contact lenses.
Complete Profile:
Scot A Sullivan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Ophthalmology
Credentials:
M.D.
Experience:
29+ years
Medical School Attended:
University Of Oklahoma College Of Medicine
Graduation Year:
1995
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
10305 Sw Park Way Ste 203, Portland, Oregon, 97225-5033
Phone:
503-223-8333
Fax:
503-595-8160
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9931190725
Enrollment ID:
I20040520000726
NPI Number:
1164481230
NPI Enumeration Date:
18 Mar, 2006
NPI Last Update On:
17 Sep, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Scot A Sullivan are as mentioned below.
License Number
Specialization
State
Status
MD21723
Ophthalmology
Oregon
Primary
20157
Ophthalmology
Oklahoma
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Providence St Vincent Medical Center (380004)
Portland, OR
Acute Care Hospital
Other Medical Identifiers:
Other legacy medical identifiers associated with Scot A Sullivan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
134409
Other
Oregon
GROUP PIN
100102160B
Medicaid
Oklahoma
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
10305 Sw Park Way Ste 203, Portland, Oregon
Zip:
97225-5033
Phone Number:
503-223-8333
Fax Number:
503-595-8160
Patients can reach Scot A Sullivan at 10305 Sw Park Way Ste 203, Portland, Oregon or can call to book an appointment on 503-223-8333. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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