DR. SEAN PATRICK MC CULLY (NPI# 1609018878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609018878 |
| Entity Type | Individual |
| Full Name | DR. SEAN PATRICK MC CULLY |
| Credential | M.D., M.S. |
| Practice Address |
3600 Nw Samaritan Dr Ste 1n010 Corvallis OR 97330 |
| Mailing Address |
3600 Nw Samaritan Dr Ste 1n010 Corvallis OR 97330-3737 |
| Practice Telephone | 5417685259 |
| Mailing Telephone | 5417685259 |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2018-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | MD176478 | OR | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
MD176478 | OR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3600 NW SAMARITAN DR STE 1N010 |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134342538 | Snell Fontus, Md, LLC | Surgery | 1053 High St, Eugene, OR 97401-3205 | 2007-04-11 |
| 1497776488 | Ts Billings, LLC | Surgery | 501 N Graham St Ste 130, Portland, OR 97227-1675 | 2006-07-22 |
| 1073564423 | Karen J Brasel | Surgery | 3181 Sw Sam Jackson Park Rd # L223, Portland, OR 97239-3011 | 2006-05-12 |
| 1598735490 | William Broughton Long IIi | Surgery | 501 N Graham, Suite # 580, Portland, OR 97227 | 2006-01-24 |
| 1922323831 | Alexis Marika Moren | Surgery | 890 Oak St Se, Salem, OR 97301-3905 | 2010-04-02 |
| 1134324551 | Laszlo Nicholas Kiraly | Surgery | 3181 Sw Sam Jackson Park Rd, L611, Portland, OR 97239-3011 | 2007-06-16 |
| 1194828533 | West Livaudais Jr. | Surgery | Salem Hospital, 665 Winter Street Se, Salem, OR 97309-5014 | 2006-09-07 |
| 1609882299 | Richard James Mullins | Surgery | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2006-08-01 |
| 1467485516 | Nicole Maria Vanderheyden | Surgery | 665 Winter St Se, Salem, OR 97301-3919 | 2006-07-09 |
| 1285615781 | Susan Rowell | Surgery | 3181 Sw Sam Jackson Park Rd, L611, Portland, OR 97239-3011 | 2005-11-10 |
| Find all providers with the same taxonomy | ||||
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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.