DR. WILLIAM ALEX MCCULLOCH (NPI# 1821140195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821140195 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM ALEX MCCULLOCH |
| Credential | D.C. |
| Practice Address |
14800 Route 30 Suite 2 Irwin PA 15642-1072 |
| Practice Telephone | 4128242600 |
| Practice Fax Number | 4128242006 |
| Mailing Telephone | 4128242600 |
| Mailing Fax Number | 4128242006 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC007696L | PA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICARE RAILROAD PRO # | P00205164 | 01 |
| Street Address |
14800 ROUTE 30 SUITE 2 |
| City | IRWIN |
| State | PA |
| Zip Code | 15642-1072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467929752 | Robert Michael Alexander | Pharmacist | 9161 Lucia Lane, North Huntingdon, PA 15642 | 2018-10-25 |
| 1730669987 | Jeffrey Bernard Grasmeder | Nurse Practitioner | Excela Health Penn Township Primary Care, 3520 Pa-130, Irwin, PA 15642 | 2018-08-17 |
| 1205353547 | Kristal Lynn Ross | Pharmacy | 939 Giovanni Lane, Irwin, PA 15642 | 2017-08-28 |
| 1194245860 | Continuhome Solutions, Inc. | Occupational Therapist | 7970 Route 30, North Huntingdon, PA 15642 | 2017-06-23 |
| 1972033587 | Scalise Chiropractic Pllc | Chiropractor | 12280 State Route 30, North Huntingdon, PA 15642 | 2017-06-15 |
| 1407399223 | The Homecare Company of America, Inc. | Home Health | 15071 Lincoln Highway, Rt.30 Unit A, North Huntingdon, PA 15642 | 2016-11-28 |
| 1316494909 | Glenn R Page | Pharmacist | 8731 State Route 30, North Huntingdon, PA 15642 | 2016-09-01 |
| 1952775686 | Upmc Community Medicine Inc | Non-Pharmacy Dispensing Site | 3520 State Route 130, Irwin, PA 15642 | 2015-11-18 |
| 1114395662 | Lorenzo Sellitto | Specialist/Technologist | 28 Janette Circle, Irwin, PA 15642 | 2015-09-14 |
| 1679960033 | Katelyn Marie Macik | Family Medicine | 4044 Route 130 Ste 200, Irwin, PA 15642 | 2015-04-22 |
| Find all providers in zip 15642 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366944456 | Convenient Chiropractic Pllc | Chiropractor | 2021 Clay Pike, Irwin, PA 15642-6319 | 2018-03-05 |
| 1003277328 | Randall Kruel | Chiropractor | 312 Wendel Rd, Irwin, PA 15642-4558 | 2016-03-14 |
| 1073768362 | Jodie L. Scott | Chiropractor | 2083 Guinivere Dr, Irwin, PA 15642-4409 | 2008-12-01 |
| 1922254895 | David John Ross | Chiropractor | 11322 Center Hwy, Irwin, PA 15642-2002 | 2008-08-12 |
| 1669640975 | Russell Jason Eshman | Chiropractor | 511 Saddle Ridge Dr, Irwin, PA 15642-9204 | 2008-02-20 |
| 1457571820 | Beretta Chiropractic, Inc. | Chiropractor | 3506 Route 130, Irwin, PA 15642-1699 | 2007-04-26 |
| 1679665491 | Brian E. Novak D.c. | Chiropractor | 4102 Harrison City Road, Suite 3f, Irwin, PA 15642 | 2006-09-29 |
| 1386736353 | John Biss | Chiropractor | 612 Oak St, Irwin, PA 15642-3528 | 2006-09-28 |
| 1306957402 | Matthew James Irwin | Chiropractor | 600 Oak St, Irwin, PA 15642-3528 | 2006-08-31 |
| 1093789604 | John Carl Beretta | Chiropractor | 3506 Rte 130, Irwin, PA 15642 | 2006-02-13 |
| Find all providers in IRWIN | ||||
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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.