OrganizationActive
Scot a Sullivan MD PC
NPI 1831610641 · Medical Specialty Clinic/Center · Edmond, OK
Provider details
- NPI number
- 1831610641
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Scot Sullivan, Owner(503) 841-7593
- License
- 20157 (OK)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2020 E 15th St Ste B
Edmond, OK 73013-6749
Phone: (405) 348-9993
Street-level locationGet directions
Mailing address
1025 Nw Couch St Unit 819
Portland, OR 97209-4132
Registry dates
- Enumerated
- 2017-06-30
- Last updated
- 2017-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.