Laurie A Cullen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

955 Hosford Rd
Galion, OH 44833

Phone

(419) 468-7059

Fax

(419) 468-6962

NPI assigned

Dec 29, 2010

Last updated

Dec 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bucyrus Community Hospital, LLCGroup PAC ID 0749460673, 11 clinicians

North Central Ohio Family Care Center IncGroup PAC ID 3274437082, 194 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Galion Community Hospital Hospital, Galion, OH, CCN 361325
• Bucyrus Community Hospital Hospital, Bucyrus, OH, CCN 361316
• Avita Ontario Hospital, Ontario, OH, CCN 360365

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lcullen484656@direct.osumc.edu

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.

• Bucyrus Community Hospital LLC

  • Critical Access Hospital
  • Bucyrus, OH
  • NPI 1629372461
  Medicare reassignment Care Compare group NPD
• North Central Ohio Family Care Center, Inc

  • Specialist
  • Galion, OH
  • NPI 1689822827
  Medicare reassignment Care Compare group
• Galion Community Hospital

  dba GCH Health Services

  • Critical Access Hospital
  • Galion, OH
  • NPI 1215907522

  Physician Assistant

  Medicare reassignment NPD
• Bucyrus Community Hospital LLC

  dba Bucyrus Community Hospital

  • Critical Access Hospital
  • Bucyrus, OH
  • NPI 1104914274
  Medicare reassignment
• Galion Community Hospital

  dba Avita Crestline Pharmacy

  • Pharmacy
  • Crestline, OH
  • NPI 1346061256
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Avita Ontario Hospital

  • General Acute Care Hospital
  • Ontario, OH
  • NPI 1790131050
  Care Compare affiliation
• Bucyrus Community Hospital LLC

  dba Bucyrus Community Hospital

  • Critical Access Hospital
  • Bucyrus, OH
  • NPI 1104914274
  Care Compare affiliation
• Galion Community Hospital

  dba GCH Health Services

  • Critical Access Hospital
  • Galion, OH
  • NPI 1215907522
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1124322425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 HOSFORD RD",
            "city": "GALION",
            "state": "OH",
            "postal_code": "448339325",
            "telephone_number": "419-468-0935",
            "fax_number": "419-462-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 HOSFORD RD",
            "city": "GALION",
            "state": "OH",
            "postal_code": "44833",
            "telephone_number": "419-468-7059",
            "fax_number": "419-468-6962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 Richland Mall",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "OH",
            "postal_code": "449063802",
            "country_code": "US",
            "telephone_number": "419-468-7059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "LAURIE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lcullen484656@direct.osumc.edu",
            "affiliation": "N",
            "address_1": "955 Hosford Rd",
            "city": "Galion",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lcullen484656@direct.osumc.edu",
            "affiliation": "N",
            "address_1": "715 Richland Mall",
            "city": "Ontario",
            "state": "OH",
            "country_code": "US",
            "postal_code": "449063802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Crawford County Shared Health Services (Avita Home Health and Hospice)
• Crawford County Shared Health Services (Avita Home Health and Hospice)
• Crawford County Surgical Associates, Inc
• Crawford Eye Clinic Inc
• Lynn Creasap
• Todd M Darmody, M.D.
• Michael P Davis, MD
• Raven Davis
• Linda Sue Davy, LPN
• Robert L Dawson, MD

• Physician Assistant in Galion, OH
• Providers in Galion, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.