Laurie A Cullen, PA-C
Individual provider Active NPI Physician Assistant · Galion, OH
NPI 1124322425 · NPPES record last updated Dec 29, 2020
Key facts
- NPI
- 1124322425
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 955 Hosford Rd
Galion, OH 44833 - Phone
- (419) 468-7059
- Fax
- (419) 468-6962
- NPI assigned
- Dec 29, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bucyrus Community Hospital, LLC
North Central Ohio Family Care Center Inc
Practice addresses (Care Compare)
2170 Stumbo Rd
Ontario, OH 44906-1275
Phone (419) 756-2525
2981 W 4TH St
Ontario, OH 44906-1267
Phone (419) 468-0505
629 N Sandusky Ave
Bucyrus, OH 44820-1821
Phone (419) 562-4677
Hospital & facility affiliations
- Galion Community Hospital
- Bucyrus Community Hospital
- Avita Ontario
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110301000806 | OH | Practitioner - Physician Assistant | 2264613868 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galion Community Hospital | Current |
Accepting new patients | |
| Galion Community Hospital | Physician Assistant | Current |
Accepting new patients |
| Bucyrus Community Hospital LLC | Current |
Accepting new patients |
Locations
629 N Sandusky Ave
Bucyrus, OH 44820
Phone (419) 562-4677
700 N Columbus St
Crestline, OH 44827
Phone (419) 462-3485
955 Bucyrus Rd
Galion, OH 44833
Phone (419) 468-4220
269 Portland Way S
Galion, OH 44833
Phone (419) 468-4841
955 Hosford Rd
Galion, OH 44833
Phone (419) 468-7059
2981 W 4th St
Ontario, OH 44906
Phone (419) 468-0505
715 Richland Mall
Ontario, OH 44906
Phone (419) 462-4547
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | OH | Yes |
Addresses
Primary practice location
955 Hosford Rd
Galion, OH 44833
Mailing address
955 Hosford Rd
Galion, OH 44833-9325
Phone (419) 468-0935
Other practice location 1
715 Richland Mall
Ontario, OH 44906-3802
Phone (419) 468-7059
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0084962 | Medicaid | OH |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lcullen484656@direct.osumc.edu | ||
| Direct Messaging Address | lcullen484656@direct.osumc.edu |
Other providers in Galion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.