JONATHAN W. MCCULLOUGH, DCPC (NPI# 1679699052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679699052 |
| Entity Type | Organization |
| Organization Name | JONATHAN W. MCCULLOUGH, DCPC |
| Practice Address |
35 Lakeside Dr Levittown PA 19054-3901 |
| Practice Telephone | 2159460444 |
| Practice Fax Number | 2159460448 |
| Mailing Telephone | 2159460444 |
| Mailing Fax Number | 2159460448 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DR. JONATHAN W MCCULLOUGH (PRESIDENT) |
| Authorized Official Telephone | 2159460444 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | DC2206P | PA | Allopathic & Osteopathic Physicians |
| Street Address |
35 LAKESIDE DR |
| City | LEVITTOWN |
| State | PA |
| Zip Code | 19054-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336133263 | Jonathan Mccullough II | Chiropractor | 35 Lakeside Dr, Levittown, PA 19054-3901 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114571650 | Kristen Csizmadia | Behavioral Analyst | 67 Thornridge Drive, Levittown, PA 19054 | 2019-08-01 |
| 1083133599 | Yvrose Layens Noziere | Behavioral Analyst | Four Nashaminy, Trevose, PA 19054 | 2017-09-15 |
| 1033310651 | Charles J Petrillo | Dentist | 218 Willow Drive, Levittown, PA 19054 | 2007-05-30 |
| 1225174956 | St. Francis-st Joseph Homes for Children | Psychiatric Residential Treatment Facility | 9176 New Falls Rd, Fallsington, PA 19054 | 2007-01-29 |
| 1245691096 | Piece of Our Puzzle LLC | Community/Behavioral Health | 37 Vine Ln, Levittown, PA 19054 | 2016-03-08 |
| 1790155422 | Healing Hands PCa LLC | Home Health | 1014 Trenton Rd, Levittown, PA 19054-1002 | 2015-10-07 |
| 1821655523 | Sheila Hernandez | Nurse Practitioner | 51 Vermont Ln, Levittown, PA 19054-1038 | 2019-05-29 |
| 1922472463 | Judith A Mccarthy | Specialist | 33 Williamson Ave, Fallsington, PA 19054-1114 | 2015-11-20 |
| 1346296464 | Pennsbury Area School District | Local Education Agency (LEA) | 134 Yardley Ave, Fallsington, PA 19054-1119 | 2006-05-26 |
| 1447602255 | New Freedom Behavioral Health, LLC | Psychiatry & Neurology | 72 Hillside Ln, Fallsington, PA 19054-1133 | 2016-07-05 |
| Find all providers in zip 19054 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063437200 | Beth M Massey | Neuromusculoskeletal Medicine, Sports Medicine | 2900 Hempstead Tpke, Suite 203, Levittown, NY 11756-1404 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033776984 | Morgan A Herold | Neuromusculoskeletal Medicine, Sports Medicine | 114 N Market St Apt 2, Selinsgrove, PA 17870-1962 | 2019-05-28 |
| 1912477076 | Michelle Stehman | Neuromusculoskeletal Medicine, Sports Medicine | 179 Stirling Ct, West Chester, PA 19380-1378 | 2018-12-03 |
| 1235630500 | Northwest Physical Therapy and Wellness Center, LLC | Neuromusculoskeletal Medicine, Sports Medicine | 7618 Ogontz Ave Fl 1, Philadelphia, PA 19150-1817 | 2018-02-22 |
| 1043753387 | Daniel Musch | Neuromusculoskeletal Medicine, Sports Medicine | 10 Bluebird Ct, Wilkes Barre, PA 18706-3001 | 2016-11-18 |
| 1043349244 | William Christopher Tullock | Neuromusculoskeletal Medicine, Sports Medicine | 110 Castlebrooke Dr, Venetia, PA 15367-1389 | 2007-03-05 |
| 1023119526 | Harold Joseph Einsig | Neuromusculoskeletal Medicine, Sports Medicine | 2800 Perkiomen Ave, Reading, PA 19606-2268 | 2006-09-26 |
| 1487767570 | Jose Horacio Auday | Neuromusculoskeletal Medicine, Sports Medicine | 333 E City Ave Ste 600, Bala Cynwyd, PA 19004-1516 | 2006-08-16 |
| 1689696486 | Edward C Burnetta | Neuromusculoskeletal Medicine, Sports Medicine | 5017 Brittany Ln, Bryn Mawr, PA 19010-2079 | 2006-07-24 |
| 1477598647 | Robert Scott Livingston | Neuromusculoskeletal Medicine, Sports Medicine | 1067 Township Line Rd, Phoenixville, PA 19460-1808 | 2006-06-19 |
| 1407899404 | Joyce Monica Williams | Neuromusculoskeletal Medicine, Sports Medicine | 2449 Golf Rd, Suite 11, Philadelphia, PA 19131-1475 | 2006-06-14 |
| 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.