Colin P McCaul, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MD428049 Issued in PA

Practice address

301 Science Park Rd
Suite 207
State College, PA 16803-2293

Phone

(814) 272-5805

Fax

(814) 272-0110

NPI assigned

Jan 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: cpm106pcs@m1526.primeclinicalsystems.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Centre Geriatric Care, LLC

  • Internal Medicine Physician
  • State College, PA
  • NPI 1962166611
  NPD (past)
• Richard D Allatt MD PC

  • Physical Medicine & Rehabilitation Physician
  • Pleasant Gap, PA
  • NPI 1487634291
  NPD (past)

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1154301950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SCIENCE PARK RD",
            "address_2": "SUITE 207",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032293",
            "telephone_number": "814-272-5805",
            "fax_number": "814-272-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SCIENCE PARK RD",
            "address_2": "SUITE 207",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032293",
            "telephone_number": "814-272-5805",
            "fax_number": "814-272-0110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4830 Londonderry Rd",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171095207",
            "country_code": "US",
            "telephone_number": "717-657-2595",
            "fax_number": "717-657-3091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCAUL",
        "first_name": "COLIN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD428049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016152280001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY GROUP#",
            "identifier": "097686",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GRP#",
            "identifier": "CI7521",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BCBS#",
            "identifier": "50062055",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK#",
            "identifier": "1873055",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE INDIV#",
            "identifier": "P00409316",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeline Fulcher Mattern, NP
• Danielle Maurer Lavan, MS, LPC
• Michael Vincent May
• Jessica E Mayes, LSW
• Molly Suzanne Mazal, PHD
• Mary Kay McClanahan, PH.D.
• Brian R. McCleary, DO
• Chastity Lynn-Wilkinson McCleary., DO
• Mary Jo McClellan, MSPT
• Sidney McConnell, LSW

• Physical Medicine & Rehabilitation Physician in State College, PA
• Providers in State College, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.