Kenneth McCulloch, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

220173 Issued in NY

Practice address

6336 99TH St
Rego Park, NY 11374-1979

Phone

(718) 275-1919

Fax

(718) 275-1955

NPI assigned

Jul 29, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kem9100@direct.nyp.org

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.

• Atlas Orthosurgery, PC

  • Surgical Physician Assistant
  • New York, NY
  • NPI 1790057354
  NPD (past) Authorized official
• New York Sports and Joints Orthopaedic Specialists PLLC

  • Orthopaedic Surgery Physician
  • Rego Park, NY
  • NPI 1053793356
  NPD (past) Authorized official
• Ny Downtown Faculty Practice Opd

  • Family Medicine Physician
  • New York, NY
  • NPI 1396780581
  NPD (past)
• RJZM LLC

  • General Practice Physician
  • Richmond Hill, NY
  • NPI 1437352119
  NPD (past)
• Seaport Orthopaedic Associates,PC

  • Orthopaedic Surgery Physician
  • New York, NY
  • NPI 1477651800
  NPD (past)
• New York University

  • Cardiovascular Disease Physician
  • Boynton Beach, FL
  • NPI 1285826438

  Orthopaedic Surgery

  NPD (past)

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1831199819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6336 99TH ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741979",
            "telephone_number": "718-275-1919",
            "fax_number": "718-275-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6336 99TH ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741979",
            "telephone_number": "718-275-1919",
            "fax_number": "718-275-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOCH",
        "first_name": "KENNETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "220173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02880679",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maya'S Medical P.C.
• Andrew Maynard-Reid, MSPT
• Carol Arlett Mayott
• Patricia Bernadette MC Dermott, LMSW
• Helen McCarthy Reep, P.T
• Winsome Diana McDermott, LMSW
• Carmen McKoy
• Jamila McLaughlin, LCSW
• Janielle McLeod
• Robert McRae, LCSW

• Orthopaedic Surgery Physician in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.