Phillip C Culliton DPM, PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N003003-1 Issued in NY

Legal business name

PHILLIP C CULLITON DPM, PC

Practice address

2700 Sheridan Dr
Tonawanda, NY 14150-9462

Phone

(716) 835-2617

NPI assigned

Jan 14, 2008

Organization subpart

No

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

Authorized official

Name

Phillip C CullitonNPI 1629018734

Title

DPM

Phone

(716) 835-2617

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Phillip C Culliton, DPM

  • Podiatrist
  • East Amherst, NY
  • NPI 1629018734
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1841476405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 SHERIDAN DR",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141509462",
            "telephone_number": "716-835-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 SHERIDAN DR",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141509462",
            "telephone_number": "716-835-2617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP C CULLITON DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "CULLITON",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "716-835-2617"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003003-1",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "N003003",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00687590",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Peterson
• Carlie Pettit
• Justine A Pettit
• Marie Lynn Pettitt
• Gabriella Mercedes Phifer
• Laura Noelle Phillips, LCSW
• Kristine Pieczonka, LCSW
• Brian M Piekarski, PT
• Pine Pharmaceuticals, LLC
• David D Pliss, DMIN, LCSW

• Podiatrist in Tonawanda, NY
• Providers in Tonawanda, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.