Organization Active NPI

Radiant Healthcare Physical Medicine of Battle Creek, PC

  • Physical Medicine & Rehabilitation Physician
  • Battle Creek, MI
National Provider Identifier
1831556992
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
RADIANT HEALTHCARE PHYSICAL MEDICINE OF BATTLE CREEK, PC
Practice address
1346 Columbia Ave W
Suite 101
Battle Creek, MI 49015-3067
Phone
(269) 964-3300
Fax
(269) 964-3366
NPI assigned
Jan 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Authorized official

Name
Dr. Mark E McCullough, DCNPI 1033316252
Title
Clinic Director
Phone
(269) 964-3300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1346 Columbia Ave W
Suite 101
Battle Creek, MI 49015-3067

Mailing address

1346 Columbia Ave W
Suite 101
Battle Creek, MI 49015-3067
Phone (269) 964-3300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1831556992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1346 COLUMBIA AVE W",
            "address_2": "SUITE 101",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490153067",
            "telephone_number": "269-964-3300",
            "fax_number": "269-964-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 COLUMBIA AVE W",
            "address_2": "SUITE 101",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490153067",
            "telephone_number": "269-964-3300",
            "fax_number": "269-964-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT HEALTHCARE PHYSICAL MEDICINE OF BATTLE CREEK, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "269-964-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.