DUSTIN MCCULLOUGH (NPI# 1306454863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306454863 |
| Entity Type | Individual |
| Full Name | DUSTIN MCCULLOUGH |
| Practice Address |
310 Pennsylvania Ave Elmira NY 14904-1458 |
| Practice Telephone | 6077332820 |
| Mailing Telephone | 6077332820 |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
310 PENNSYLVANIA AVE |
| City | ELMIRA |
| State | NY |
| Zip Code | 14904-1458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699154906 | Michael Eckstein | Social Worker | 310 Pennsylvania Ave, Elmira, NY 14904-1458 | 2015-05-20 |
| 1477169555 | Melissa Grace Wilson | Case Manager/Care Coordinator | 310 Pennsylvania Ave, Elmira, NY 14904-1458 | 2020-09-23 |
| 1326665431 | Jonathan Barrett Breidinger | Counselor | 310 Pennsylvania Ave, Elmira, NY 14904-1458 | 2020-07-06 |
| 1659992006 | Chandra Mcgonigal | Social Worker | 310 Pennsylvania Ave, Elmira, NY 14904-1458 | 2020-04-27 |
| 1255966180 | Sean M Friedrich | Case Manager/Care Coordinator | 310 Pennsylvania Ave, Elmira, NY 14904-1458 | 2020-03-11 |
| 1083245278 | Stefanie Marie Lyon | Case Manager/Care Coordinator | 310 Pennsylvania Ave, Elmira, NY 14904-1458 | 2020-01-28 |
| 1801435755 | Richard Brennan Miller | Social Worker | 310 Pennsylvania Ave, Elmira, NY 14904-1458 | 2019-12-24 |
| 1336783679 | Karlee Nicole Burdick | Case Manager/Care Coordinator | 310 Pennsylvania Ave, Elmira, NY 14904-1458 | 2019-10-30 |
| 1962044297 | Elizabeth Farnham | Social Worker | 310 Pennsylvania Ave, Elmira, NY 14904-1458 | 2019-10-08 |
| 1437790987 | Melissa Elizabeth Stratton | Social Worker | 310 Pennsylvania Ave, Elmira, NY 14904-1458 | 2019-10-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780150987 | Amanda Denicola | Physician Assistant | 138 Broadway Street, Elmira, NY 14904 | 2018-10-16 |
| 1649501743 | Rose Marie Horch | Licensed Practical Nurse | 1198 Maple Ave., C-7, Elmira, NY 14904 | 2010-01-29 |
| 1831164987 | Richard B Dunn | Dentist | 1007 Broadway, Elmira, NY 14904 | 2006-02-22 |
| 1841378965 | Richard B Dunn Dds PC | Dentist | 1007 Broadway, Elmira, NY 14904 | 2006-11-02 |
| 1649358771 | Prakash Thuraisamy | Dentist | 1007 Broadway, Elmira, NY 14904 | 2006-11-02 |
| 1205057270 | Gregory Schutrum | Pharmacist | 209 Mount Zoar St, Elmira, NY 14904-1231 | 2007-05-01 |
| 1861591109 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 209 Mount Zoar Street, Elmira, NY 14904-1231 | 2006-09-22 |
| 1760963557 | Caleb Mccaig | Pharmacist | 209 Mount Zoar St, Elmira, NY 14904-1231 | 2018-08-28 |
| 1497936157 | Mary Volino | Pharmacist | 209 Mount Zoar St, Elmira, NY 14904-1231 | 2007-11-21 |
| 1467632844 | Robert Whitney Humphries Jr. | Pharmacist | 209 Mount Zoar St, Elmira, NY 14904-1231 | 2007-11-14 |
| Find all providers in zip 14904 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447818182 | Davida Reane Moss | Case Manager/Care Coordinator | 310 Pensyvania Avenue, Elmira, NY 14901 | 2019-05-29 |
| 1679957674 | Meagan Sabatini | Case Manager/Care Coordinator | 358 Millard St, Elmira, NY 14901-1349 | 2015-07-20 |
| 1477169555 | Melissa Grace Wilson | Case Manager/Care Coordinator | 310 Pennsylvania Ave, Elmira, NY 14904-1458 | 2020-09-23 |
| 1255966180 | Sean M Friedrich | Case Manager/Care Coordinator | 310 Pennsylvania Ave, Elmira, NY 14904-1458 | 2020-03-11 |
| 1083245278 | Stefanie Marie Lyon | Case Manager/Care Coordinator | 310 Pennsylvania Ave, Elmira, NY 14904-1458 | 2020-01-28 |
| 1336783679 | Karlee Nicole Burdick | Case Manager/Care Coordinator | 310 Pennsylvania Ave, Elmira, NY 14904-1458 | 2019-10-30 |
| 1750937165 | Kimberly Ann Hughes | Case Manager/Care Coordinator | 310 Pennsylvania Ave, Elmira, NY 14904-1458 | 2019-08-12 |
| 1154980365 | Kiraly E Zepp | Case Manager/Care Coordinator | 310 Pennsylvania Ave, Elmira, NY 14904-1458 | 2019-06-11 |
| 1134786999 | Makena Edwards | Case Manager/Care Coordinator | 310 Pennsylvania Ave, Elmira, NY 14904-1458 | 2019-05-28 |
| 1366944480 | Corissa Comfort | Case Manager/Care Coordinator | 310 Pennsylvania Ave, Elmira, NY 14904-1458 | 2018-03-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.