John S Cullen, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3426 Issued in AK

Practice address

1001 Meals Ave.
Valdez, AK 99686

Phone

(907) 835-4811

Fax

(907) 835-5162

NPI assigned

Oct 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

City of ValdezGroup PAC ID 3577514694, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Valdez Medical Center Hospital, Valdez, AK, CCN 021301
• Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jcullen293385@ak.providencedirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• City of Valdez

  dba Providence Valdez Medical Center

  • Critical Access Hospital
  • Valdez, AK
  • NPI 1750485488

  Family Medicine

  Medicare reassignment Care Compare group NPD
• City of Valdez

  dba Providence Valdez Medical Center

  • Critical Access Hospital Clinic/Center
  • Valdez, AK
  • NPI 1427424282
  Medicare reassignment
• City of Valdez

  dba Providence Valdez Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Valdez, AK
  • NPI 1336247824
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• City of Valdez

  dba Providence Valdez Medical Center

  • Critical Access Hospital
  • Valdez, AK
  • NPI 1750485488
  Care Compare affiliation
• Providence Health & Services Washington

  dba Providence Alaska Medical Center

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1053363119
  Care Compare affiliation

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881781185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1829",
            "city": "VALDEZ",
            "state": "AK",
            "postal_code": "996861829",
            "telephone_number": "907-835-4811",
            "fax_number": "907-835-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MEALS AVE.",
            "city": "VALDEZ",
            "state": "AK",
            "postal_code": "99686",
            "telephone_number": "907-835-4811",
            "fax_number": "907-835-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "JOHN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "3426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD14902",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Valdez (Providence Valdez Counseling Center)
• Coral A Clark
• Dustin E Clark
• Joel Ray Clark
• Connecting Ties Inc
• Lori Jane Davey, LMT
• Heidi Donohue, LMT
• Merreley Elizabeth Donohue, SEP, CR, LMT
• Sara Melissa Gilmore
• Nathan Goodrich, IDHS

• Family Medicine Physician in Valdez, AK
• Providers in Valdez, AK by specialty
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.