Jonathan McCullough II, DC,EMT

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

DC-002206-L Issued in PA

Practice address

35 Lakeside Dr
Levittown, PA 19054-3901

Phone

(215) 946-0444

Fax

(215) 946-0448

NPI assigned

Sep 7, 2005

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

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

ChiropracticAlso: Osteopathic Manipulative Medicine, Physical Medicine and Rehabilitation

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Emergency Medical Technician

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 and National Provider Directory roles.

• Jonathan W. McCullough, DCPC

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Levittown, PA
  • NPI 1679699052
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1336133263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 LAKESIDE DR",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190543901",
            "telephone_number": "215-946-0444",
            "fax_number": "215-946-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 LAKESIDE DR",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190543901",
            "telephone_number": "215-946-0444",
            "fax_number": "215-946-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DC,EMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "PA",
            "license": "DC-002206-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Massott, LSW
• Keith William Matack Jr., MA
• Nicholas V Matiuck, PT
• Nicole Matyas, OTR/L
• Ann McCormick, RPH
• Riley McDevitt
• Kathrine McDonald, CAADC
• Shyniece McDonald
• James A McHale, D.C.
• Ryan McHenry

• Orthopedic Chiropractor in Levittown, PA
• Providers in Levittown, PA by specialty
• Orthopedic Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.