WAYNE M MCCULLOUGH (NPI# 1033284179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033284179 |
| Entity Type | Individual |
| Full Name | WAYNE M MCCULLOUGH |
| Practice Address |
21813 Cappel Ln Frankfort IL 60423-2275 |
| Practice Telephone | 9785496818 |
| Practice Fax Number | 8476740892 |
| Mailing Telephone | 9785496818 |
| Mailing Fax Number | 8476740892 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2015-09-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 1939 | MA | Podiatric Medicine & Surgery Service Providers |
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
1939 | MA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
1939 | MA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
1939 | MA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0363037 | 05 |
| Street Address |
21813 CAPPEL LN |
| City | FRANKFORT |
| State | IL |
| Zip Code | 60423-2275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225535867 | Prairie Podiatry Inc. | Podiatrist | 21813 Cappel Ln, Frankfort, IL 60423-2275 | 2018-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316589542 | Katherine Melissa Helm-lewis | Psychologist | Fox Valley Institute, 640 North River Road, Suite 108, Naperville, IL 60423 | 2019-10-09 |
| 1548819295 | Edith Stemmer | Technician | 22921 Toscana Drive, Frankfort, IL 60423 | 2019-09-05 |
| 1063974343 | Kailan Nicole Kathryn Paul | Occupational Therapist | 21000 S. Frankfort Square Road, Suite D, Frankfort, IL 60423 | 2019-04-04 |
| 1568928687 | Sari Leonela Perez | Behavior Technician | 5419 W. 87th St., Oak Lawn, IL 60423 | 2019-02-13 |
| 1992210322 | Personal Solutions Counseling, PC | Counselor | 20855 S. Lagrange Rd, Suite 202, Frankfort, IL 60423 | 2017-12-07 |
| 1255850038 | Abrahim Alramhi | Specialist/Technologist | 7635 West Juniper Ct, Frankfort, IL 60423 | 2017-09-13 |
| 1982120051 | Jakara Lynne Hubbard | Counselor | 20550 S Lagrange Rd Ste 105, Frankfort, IL 60423 | 2017-08-20 |
| 1922558345 | Madison Gaffney | Behavioral Analyst | 2100 S Frankfort Sq Road, Suite D, Frankfort, IL 60423 | 2016-10-10 |
| 1972050094 | Shannon Schaefer | Occupational Therapist | 21000 S. Frankfort Square Rd, Ste D, Frankfort, IL 60423 | 2016-09-07 |
| 1336515949 | Anthony Joseph Vuckovich | Chiropractor | 9645 Lincolnway Ln Ste 112, Frankfort, IL 60423 | 2015-08-18 |
| Find all providers in zip 60423 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194012328 | Zachary G Jagmin | Podiatrist | 875 Saint Andrews Way, Frankfort, IL 60423-9705 | 2011-07-08 |
| 1043221443 | Christopher A Moon | Podiatrist | 1256 S Jackson St, Frankfort, IN 46041-3311 | 2006-08-10 |
| 1508818980 | Unity Healthcare, LLC | Podiatrist | 54 S Maish Rd, Frankfort, IN 46041-2824 | 2006-05-16 |
| 1174718548 | Frankfort Foot Clinic, Pllc | Podiatrist | 5 Physicians Park, Ste 3, Frankfort, KY 40601-4163 | 2007-09-10 |
| 1346358843 | John Wayne Fricker Jr. | Podiatrist | 5 Physicians Park, #3, Frankfort, KY 40601-4163 | 2006-08-26 |
| 1679681175 | Irma Leticia Altamirano | Podiatrist | 5 Physicians Park, #3, Frankfort, KY 40601-4163 | 2006-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200343 | Podiatric Management Systems LLC | Podiatrist | 1 S067 Summit Ave, Oakbrook Terrace, IL 60181 | 2020-09-21 |
| 1114533700 | Podiatric Management Systems LLC | Podiatrist | 537 W 31st St, Chicago, IL 60616-3294 | 2020-09-18 |
| 1306452099 | Podiatric Management Systems LLC | Podiatrist | 2 W Talcott Rd Ste 23, Park Ridge, IL 60068-5558 | 2020-09-18 |
| 1073129763 | Podiatric Management Systems LLC | Podiatrist | 4310f W Crystal Lake Rd # F, Mchenry, IL 60050-4208 | 2020-09-18 |
| 1679187090 | Podiatric Management Systems LLC | Podiatrist | 5600 W Addison St Lowr 2ll, Chicago, IL 60634-4499 | 2020-09-02 |
| 1932742848 | Foot and Ankle Care & Associates, Ltd | Podiatrist | 3320 W 63rd St, Chicago, IL 60629-3317 | 2019-10-23 |
| 1437622966 | Tomasz Szmyd Dpm, PC | Podiatrist | 1500 E 67th St, Chicago, IL 60637-4427 | 2019-01-08 |
| 1689145898 | S Thomas Sehy D P M L L C | Podiatrist | 213 Nw 10th St Ste B, Fairfield, IL 62837-1219 | 2018-12-16 |
| 1548746761 | Jeremy Marchand | Podiatrist | 2751 W Winona St Rm Ap457, Chicago, IL 60625-2508 | 2018-07-11 |
| 1932693744 | Giovanni Incandela | Podiatrist | 700 E Algonquin Rd Unit 2313, Schaumburg, IL 60173-3835 | 2018-06-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.