Individual provider Active NPI

Matthew Edwin McCulty, MS CCCA

  • Audiologist
  • Mt Pleasant, PA
National Provider Identifier
1679612816
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A0145 Issued in WV
Practice address
603 N Church St Ste 2
Mt Pleasant, PA 15666-1065
Phone
(724) 547-3445
Fax
(724) 547-3319
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A0145 WV Primary

Addresses

Primary practice location

603 N Church St Ste 2
Mt Pleasant, PA 15666-1065

Mailing address

603 N Church St Ste 2
Mt Pleasant, PA 15666-1065
Phone (724) 547-3445

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090821000018 PA Practitioner - Qualified Audiologist 7911062435 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Hearing Center LLC CurrentSince Apr 1, 2015 Accepting new patients

Locations

430 Pellis Rd
Ste 2
Greensburg, PA 15601

603 N Church St
Ste 2
Mt Pleasant, PA 15666
Phone (724) 547-3445

609 N Church St
Ste 1
Mt Pleasant, PA 15666
Phone (724) 547-4575

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1679612816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N CHURCH ST STE 2",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156661065",
            "telephone_number": "724-547-3445",
            "fax_number": "724-547-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N CHURCH ST STE 2",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156661065",
            "telephone_number": "724-547-3445",
            "fax_number": "724-547-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULTY",
        "first_name": "MATTHEW",
        "middle_name": "EDWIN",
        "credential": "MS CCCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WV",
            "license": "A0145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.