Individual provider · Type 1 NPI

Henson Sullivan, CAA

Anesthesiologist Assistant · Charleston, SC

NPI number 1831820133 Active

Practice location

171 Ashley Ave
Charleston, SC 29425-4619

Call (843) 792-1414 Map

Mailing address

2401 Gillham Rd, Provider Enrollment Department
Kansas City, MO 64108-4619

Other practice locations

  • 2401 Gillham Rd, Kansas City, MO 64108-4619 · (816) 234-3000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Anesthesiologist Assistant Primary 367H00000X2022039543 (MO)

Anesthesiologist Assistant: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist …

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About NPI 1831820133

Henson Sullivan, CAA's National Provider Identifier is 1831820133, issued on Jun 19, 2022. The primary taxonomy on file is Anesthesiologist Assistant (367H00000X), and the practice location is in Charleston, SC. The record was last updated on Jul 18, 2025.