Timothy S McCulloch, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3190012 Issued in WI

Practice address

396 Red Cedar Steet
Menomonie, WI 54751-2386

Phone

(715) 231-2533

Fax

(715) 231-2534

NPI assigned

Mar 12, 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

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• McCulloch Chiropractic, S.C.

  • Chiropractor
  • Menomonie, WI
  • NPI 1548407174
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1811029994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 RED CEDAR ST",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512386",
            "telephone_number": "715-231-2533",
            "fax_number": "715-231-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 RED CEDAR STEET",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512386",
            "telephone_number": "715-231-2533",
            "fax_number": "715-231-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOCH",
        "first_name": "TIMOTHY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3190012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayo Clinic Health System-Northwest Wisconsin Region, Inc.
• Mayo Clinic Health System-Northwest Wisconsin Region, Inc.
• Mayo Foundation for Medical Education & Research
• Zachary McCarty
• McCulloch Chiropractic, S.C.
• MCHS Hospitals Inc
• Paula Marie McKee-Ghalib, RN
• Raemalee McMahon
• Paul D. McNally, D.O.
• Bharat Meenavalli, M.D.

• Chiropractor in Menomonie, WI
• Providers in Menomonie, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.