Mark R. McCutcheon, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11316 Issued in AL

Practice address

5100 Rangeline Service Rd N
Tillman'S Corner
Mobile, AL 36619-9504

Phone

(251) 378-4000

Fax

(251) 378-4006

NPI assigned

May 18, 2006

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 AL

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 and National Provider Directory roles.

• Ihp Al ER PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Grove Hill, AL
  • NPI 1568187359
  Medicare reassignment NPD
• Emcare Physician Providers, Inc.

  • Emergency Medicine Physician
  • Opp, AL
  • NPI 1356391353
  NPD (past)
• Southwest Alabama Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Thomasville, AL
  • NPI 1770530313
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1356394837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 WEST CLINTON STREET",
            "city": "JACKSON",
            "state": "AL",
            "postal_code": "365452623",
            "telephone_number": "251-246-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 RANGELINE SERVICE RD N",
            "address_2": "TILLMAN'S CORNER",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366199504",
            "telephone_number": "251-378-4000",
            "fax_number": "251-378-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUTCHEON",
        "first_name": "MARK",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "11316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "C78586",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret McCulloch
• Ashleigh Diane McCullough
• James Raymond McCullough, FNP
• Jessica Mathews McCullough, CRNP
• Marita McCurdy
• Carey McDade, MD
• Andrew McDaniel
• Brittany Morgan McDaniel, PHARMD
• Justin McDaniel, DPT
• Makenzie McDaniel

• Family Medicine Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.