Jonathan W. McCullough, DCPC

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

DC2206P Issued in PA

Legal business name

JONATHAN W. MCCULLOUGH, DCPC

Practice address

35 Lakeside Dr
Levittown, PA 19054-3901

Phone

(215) 946-0444

Fax

(215) 946-0448

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan W McCullough, D.C.NPI 1336133263

Title

President

Phone

(215) 946-0444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan McCullough II, DC,EMT

  • Orthopedic Chiropractor
  • Levittown, PA
  • NPI 1336133263
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1679699052",
    "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": {
        "organization_name": "JONATHAN W. MCCULLOUGH, DCPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-946-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "PA",
            "license": "DC2206P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beulah Abraham John, MD
• Alexander Johnson, M.S.
• Louisa C. Gaiter Johnson, O.D.
• Tony Bernard Johnson Sr.
• Nancy J Jolley, DMD
• Michael Brian Jordan, PH. D.
• Christina M Josephs
• JRVS LLC
• JRVS LLC
• Jill R Kane, D.O.

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Levittown, PA
• Providers in Levittown, PA by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.