Chloe Melissa McCulloch, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

DR.0049373 Issued in CO

Practice address

2410 W 16TH St
Greeley, CO 80634-6004

Phone

(970) 810-6167

NPI assigned

May 3, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

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

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.

• Boulder Valley Anesthesiology, PLLC

  • Anesthesiology Physician
  • Boulder, CO
  • NPI 1962431668
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306058599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 MARINER CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201413",
            "telephone_number": "216-965-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 W 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806346004",
            "telephone_number": "970-810-6167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2620 Mariner Ct",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809201413",
            "country_code": "US",
            "telephone_number": "216-965-5566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Boulder Pain Institute PC",
            "address_2": "3445 Penrose Pl, Suite 140",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803011874",
            "country_code": "US",
            "telephone_number": "303-413-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "888 S Auto Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474015430",
            "country_code": "US",
            "telephone_number": "812-353-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLOCH",
        "first_name": "CHLOE",
        "middle_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2022-07-21",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "DR.0049373",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CO",
            "license": "DR.0049373",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IN",
            "license": "01085130A",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CO",
            "license": "DR.0049373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68083327",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa D McConnell, APN
• Morgan Ellery McConnell
• Dakota Shianne McCoumb
• Riley McCown
• Jerrod McCoy
• Kirsten Jean McCullough, PA-C
• Jennifer McDaniel
• Megan McDaniel, PA-C
• Ashley McDonald, MA
• Joshua Todd McDonald

• Interventional Pain Medicine Physician in Greeley, CO
• Providers in Greeley, CO by specialty
• Interventional Pain Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.