Patrick T McCulloch, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MD430760 Issued in PA

Practice address

100 Trich Dr
Suite 2
Washington, PA 15301-5990

Phone

(724) 225-8657

Fax

(724) 228-8388

NPI assigned

Feb 5, 2007

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

Other identifiers 1

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

Hand SurgeryAlso: Orthopedic Surgery

Education

West Virginia University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Orthopaedic and Rehabilitation LLCGroup PAC ID 5890866735, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advanced Surgical Hospital Hospital, Washington, PA, CCN 390323
• Wheeling Hospital, Inc Hospital, Wheeling, WV, CCN 510050
• Washington Hospital, the Hospital, Washington, PA, CCN 390042
• Canonsburg General Hospital Hospital, Canonsburg, PA, CCN 390160
• Reynolds Memorial Hospital, Inc Hospital, Glen Dale, WV, CCN 510013

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Advanced Surgical Hospital LLC

  • General Acute Care Hospital
  • Washington, PA
  • NPI 1528398534

  5% Or Greater Direct Ownership Interest, Corporate Director

  CMS ownership

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.

• Advanced Orthopaedic and Rehabilitation LLC

  • Orthopaedic Surgery Physician
  • Washington, PA
  • NPI 1134386246
  Medicare reassignment Care Compare group

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

• Advanced Surgical Hospital LLC

  • General Acute Care Hospital
  • Washington, PA
  • NPI 1528398534
  Care Compare affiliation
• Canonsburg General Hospital

  • General Acute Care Hospital
  • Canonsburg, PA
  • NPI 1962401497
  Care Compare affiliation
• Upmc Washington

  • Special Hospital
  • Washington, PA
  • NPI 1336459452
  Care Compare affiliation
• Upmc Washington

  • General Acute Care Hospital
  • Washington, PA
  • NPI 1609984889
  Care Compare affiliation
• Reynolds Memorial Hospital, Inc

  • General Acute Care Hospital
  • Glen Dale, WV
  • NPI 1144228305
  Care Compare affiliation
• Wheeling Hospital Inc

  • General Acute Care Hospital
  • Wheeling, WV
  • NPI 1104821305
  Care Compare affiliation

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1437297934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TRICH DR",
            "address_2": "SUITE 2",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153015990",
            "telephone_number": "724-225-8657",
            "fax_number": "724-228-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TRICH DR",
            "address_2": "SUITE 2",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153015990",
            "telephone_number": "724-225-8657",
            "fax_number": "724-228-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOCH",
        "first_name": "PATRICK",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD430760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018797720002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonette M McClelland, CRNP
• Angela Marie McClenathan, CRNP
• Emily Clare McClenathan
• William A McCormick III, DDS
• Michael James McCort, D.C.
• Luke Edward McCurry, PMHNP
• Jacqueline J McDaniel, CRNP
• Lauren Faith McDaniel, CRNP
• Rebecca Jean McDonald
• Brian Marc McDonough, D.C.

• Orthopaedic Surgery Physician in Washington, PA
• Providers in Washington, PA by specialty
• Orthopaedic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.