William C Cullis, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

8425 Issued in MT

Practice address

126 6TH Ave SW
Ronan, MT 59864-2600

Phone

(406) 676-3600

Fax

(406) 676-3738

NPI assigned

Dec 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• St. Lukes Community Hospital

  dba St. Luke Community Clinic St. Ignatius

  • Rural Health Clinic/Center
  • St Ignatius, MT
  • NPI 1306911169

  Family Medicine

  Medicare reassignment NPD
• St Lukes Community Hospital

  dba St. Luke Community Specialty Clinic

  • Certified Registered Nurse Anesthetist
  • Ronan, MT
  • NPI 1518663608
  NPD
• St. Lukes Community Hospital

  dba St. Luke Community Clinic Ronan

  • Rural Health Clinic/Center
  • Ronan, MT
  • NPI 1093876344
  NPD

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174685374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44997 BEAVER DR",
            "city": "RONAN",
            "state": "MT",
            "postal_code": "598648840",
            "telephone_number": "406-676-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 6TH AVE SW",
            "city": "RONAN",
            "state": "MT",
            "postal_code": "598642600",
            "telephone_number": "406-676-3600",
            "fax_number": "406-676-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLIS",
        "first_name": "WILLIAM",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "8425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107746",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean Allison Church, LCSW
• Tina Colton, P.T.
• Dana Lynn Comes at Night
• Confederated Salish & Kootenai Tribes of the Flathead Reservation (CSKT Ronan Health Center Pharmacy)
• Renae Cornelius, RPH
• Stephen F. Culp, D.D.S.
• Ronald D Dean, DO
• Charlotte D Delaney, M.S., CCC-SLP
• Matthew Delong, PLPC
• Krystal A Diel, LCSW

• Family Medicine Physician in Ronan, MT
• Providers in Ronan, MT by specialty
• Family Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.