Individual provider Active NPI

Reid Eric Culton, D.O.

  • Family Medicine Physician
  • Klamath Falls, OR
National Provider Identifier
1215023791
Registry record updated Jun 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3760 Issued in AZ
Practice address
2865 Daggett Ave
Klamath Falls, OR 97601-1106
Phone
(541) 274-8690
Fax
(541) 884-1540
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO173012 OR
Family Medicine Physician 207Q00000X K2674 TX
Family Medicine Physician 207Q00000X 3760 AZ Primary

Addresses

Primary practice location

2865 Daggett Ave
Klamath Falls, OR 97601-1106

Mailing address

2440 East Winrow Avenue
Fort Huachuca, AZ 85613-1106
Phone (520) 533-2627

Other identifiers 1

IdentifierTypeStateIssuer
130934607MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20180516000339 AZ Practitioner - Family Practice 1153622824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cochise Oncology LLCGroup PAC ID 2567474083, 6 clinicians

Practice addresses (Care Compare)

5151 E Hwy 90
Sierra Vista, AZ 85635-2436
Phone (520) 803-6644

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
K2674TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cochise Oncology LLC CurrentSince May 3, 2018 Accepting new patients
Cochise Medical Oncology, LLC Past Accepting new patients
Scott K Silvia MD PA Family Medicine Past Accepting new patients

Locations

5151 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 803-6644

300 El Camino Real
Sierra Vista, AZ 85635
Phone (520) 417-4594

Interoperability endpoints

  • Direct secure messaging: reid.culton@2042.securemail.mdnavigatorclinical.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496966400000",
    "number": "1215023791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 EAST WINROW AVENUE",
            "city": "FORT HUACHUCA",
            "state": "AZ",
            "postal_code": "856131106",
            "telephone_number": "520-533-2627",
            "fax_number": "548-845-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 DAGGETT AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011106",
            "telephone_number": "541-274-8690",
            "fax_number": "541-884-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULTON",
        "first_name": "REID",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2017-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO173012",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K2674",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "3760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130934607",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

Verify at the official NPI Registry.