Active NPI
Radiant Healthcare Physical Medicine of Battle Creek, PC
- Physical Medicine & Rehabilitation Physician
- Battle Creek, MI
National Provider Identifier
1831556992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark E McCullough, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Battle Creek, MI
- NPI 1033316252
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.