Michael Patrick Mccullough in Klamath Falls - Podiatrist
Michael Patrick Mccullough - NPI 1982692661
Michael Patrick Mccullough is a Podiatrist in Klamath Falls, Oregon. Michael Patrick Mccullough practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Michael Patrick Mccullough is 1982692661. The last update date is 2016-08-31.
Michael Patrick Mccullough's current location address is 2200 Bryant Williams Drive, Klamath Falls, Oregon. You can contact this provider via phone number 5418847746 and fax number 5418840848. The mailing address for Michael Patrick Mccullough is 2200 Bryant Williams Drive, Klamath Falls, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Patrick Mccullough |
|---|---|
| Address | 2200 Bryant Williams Drive, Klamath Falls, Oregon |
| Phone Number | 5418847746 |
| Fax Number | 5418840848 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1982692661 |
|---|---|
| Provider Enumeration Date | 2005-10-07 |
| Last Updated Date | 2016-08-31 |
Provider Mailing Address Detail
| Address | 2200 Bryant Williams Drive |
|---|---|
| City | Klamath Falls |
| State | Oregon (OR) |
| Post Code | 976011121 |
| Phone Number | 5418847746 |
| Fax Number | 5418840848 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | DP00178 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P01237834 | OR | RAIL ROAD MEDICARE |
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What is the unique identifier code issued to Michael Patrick Mccullough by the Centers for Medicare & Medicaid Services?
The Michael Patrick Mccullough has been assigned the NPI (National Provider Identifier) 1982692661. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Michael Patrick Mccullough's physical address?
The Michael Patrick Mccullough is physically located at 2200 Bryant Williams Drive, in the city of Klamath Falls, OR, with the postal code 976011121.
What is Michael Patrick Mccullough's area of expertise and its corresponding taxonomy classification?
The Michael Patrick Mccullough's field of specialization is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1982692661 to Michael Patrick Mccullough?
The Michael Patrick Mccullough received its 1982692661 assignment from the Centers for Medicare & Medicaid Services on 2005-10-07.
When was the information regarding Michael Patrick Mccullough most recently updated?
The details pertaining to the Michael Patrick Mccullough, including its address, specialty, and other relevant information, were last refreshed on 2016-08-31.
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