Active NPI
Mark E McCullough, DC
- Chiropractor
- Battle Creek, MI
National Provider Identifier
1033316252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301007869
- Practice address
- 1346 Columbia Ave W
Suite 101
Battle Creek, MI 49015-3067 - Phone
- (269) 964-3300
- Fax
- (269) 964-3366
- NPI assigned
- Jun 29, 2007
- Last updated
- Apr 23, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301007869 | MI | Primary |
Addresses
Primary practice location
1346 Columbia Ave W
Suite 101
Battle Creek, MI 49015-3067
Mailing address
1346 Columbia Ave W
Suite 101
Battle Creek, MI 49015-3067
Phone (269) 964-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950A311080 | Other | BCBS OF MICHIGAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Spine and Musculoskeletal Center PLLC | Past | Accepting new patients | |
| Radiant Healthcare Physical Medicine of Battle Creek, PC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Battle Creek, MI
- NPI 1255511200
-
- Physical Medicine & Rehabilitation Physician
- Battle Creek, MI
- NPI 1831556992
-
- Physical Medicine & Rehabilitation Physician
- Battle Creek, MI
- NPI 1336504844
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Grand Rapids, MI
- NPI 1386998755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492905600000",
"number": "1033316252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1346 COLUMBIA AVE W",
"address_2": "SUITE 101",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490153067",
"telephone_number": "269-964-3300",
"fax_number": "269-964-3366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1346 COLUMBIA AVE W",
"address_2": "SUITE 101",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490153067",
"telephone_number": "269-964-3300",
"fax_number": "269-964-3366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCULLOUGH",
"first_name": "MARK",
"middle_name": "E",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-29",
"last_updated": "2017-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301007869",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MICHIGAN",
"identifier": "950A311080",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.