DR. GEOFFREY M MCCULLEN (NPI# 1104803931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104803931 |
Entity Type | Individual |
Full Name | DR. GEOFFREY M MCCULLEN |
Credential | MD |
Practice Address |
6900 A St Lincoln Lincoln NE 68510-4120 |
Practice Telephone | 4024362000 |
Practice Fax Number | 4024362090 |
Mailing Telephone | 4024362000 |
Mailing Fax Number | 4024362090 |
Enumeration Date | 2005-12-22 |
Last Update Date | 2014-03-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
21263 | NE | Allopathic & Osteopathic Physicians |
N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
016484 | ME | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | 47061995513 | 05 |
Street Address |
6900 A ST LINCOLN |
City | LINCOLN |
State | NE |
Zip Code | 68510-4120 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679948590 | Lincoln Orthopedic Physical Therapy PC | Durable Medical Equipment & Medical Supplies | 6900 A St, Ste 102, Lincoln, NE 68510-4140 | 2015-12-03 |
1043690928 | Chance D Unger | Physical Therapist | 6900 A St, Ste 102, Lincoln, NE 68510-4120 | 2015-06-04 |
1629472162 | Stacie N. Nieveen | Physical Therapist | 6900 A St, Ste 102, Lincoln, NE 68510-4120 | 2014-10-13 |
1871858001 | Claire G Morris | Physical Therapist | 6900 A St, Suite 102, Lincoln, NE 68510 | 2012-07-13 |
1518228493 | Laura Ann Wegehaupt | Physician Assistant | 6900 A St, Lincoln Orthopaedic Center, Lincoln, NE 68510-4120 | 2012-06-06 |
1639407034 | John F Ayers | Physician Assistant | 6900 A St, Lincoln Orthopaedic Center, PC, Lincoln, NE 68510-4120 | 2009-11-23 |
1407081797 | Bruce Alan Miller | Orthopaedic Surgery | 6900 A St, Lincoln, NE 68510-4120 | 2009-05-15 |
1699909119 | Jason Phillip Weber | Orthopaedic Surgery | 6900 A St, Suite 100, Lincoln, NE 68510-4120 | 2009-05-12 |
1255591764 | Jill R Sanchez | Physical Therapist | 6900 A St, Ste 102, Lincoln, NE 68510-4120 | 2008-06-10 |
1710162748 | Brandon M Seifert | Orthopaedic Surgery | 6900 A St, Lincoln Orthopaedic Center, Lincoln, NE 68510-4120 | 2008-01-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659925121 | Nichole Renee Boggs | Pharmacist | 7045 O St., Lincoln, NE 68510 | 2019-08-01 |
1700361573 | Sue Marie Maxwell | Licensed Practical Nurse | Lincoln Public Schools, 5905 O Street, Lincoln, NE 68510 | 2018-09-27 |
1649752759 | Kathryn Jean Kuzelka | Licensed Practical Nurse | 544 South 28th Street, Lincoln, NE 68510 | 2018-09-05 |
1013404599 | Amanda Ehlers | Registered Nurse | Lps District Office, 5905 O Street, Lincoln, NE 68510 | 2018-04-19 |
1225535081 | Jana Kathleen Mcnemar | Counselor | 245 South 84th Street, Suite 212, Lincoln, NE 68510 | 2018-04-09 |
1265932313 | Kimberly Elwood | Specialist/Technologist | 2229 J St., Lincoln, NE 68510 | 2018-02-15 |
1881193266 | Susan Kangas-packett | Registered Nurse | 1000 South 70th St., East High School, Health Office, Lincoln, NE 68510 | 2018-02-12 |
1023517000 | Tara Johnson | Licensed Practical Nurse | Lpsdo 5905 O St, Lincoln, NE 68510 | 2018-02-06 |
1427566413 | Tracy Russell | Counselor | 245 S 84th Street, Suite 212, Lincoln, NE 68510 | 2018-01-12 |
1447778964 | Erin Elizabeth Cristello | Speech-Language Pathologist | 300 S 48th Street, Lincoln, NE 68510 | 2017-09-05 |
Find all providers in zip 68510 |
Taxonomy Code | 207XS0117X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Surgery of the Spine |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730320722 | Noble Spine Centre PC | Orthopaedic Surgery | 4220 Pioneer Woods Dr, Ste B, Lincoln, NE 68506-7564 | 2009-03-20 |
1538307269 | Brad A. Webb | Orthopaedic Surgery | 6900 A St Ste 100, Lincoln, NE 68510-4120 | 2009-02-03 |
1750590683 | Steven J Volin | Orthopaedic Surgery | Nebraska Orthopaedic and Sports Medicine P.C., 575 S. 70th Suite 200, Lincoln, NE 68510-2472 | 2007-05-21 |
1043269715 | Daniel Ray Ripa | Orthopaedic Surgery | Nebraska Orthopaedic and Sports Medicine P.C., 575 S. 70th Suite 200, Lincoln, NE 68510-2471 | 2006-05-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982103818 | Spine Cin of Omaha LLC | Orthopaedic Surgery | 4611 S 96th St Ste 252, Omaha, NE 68127-1244 | 2018-02-06 |
1700385630 | Joint Replacement Cin of Omaha LLC | Orthopaedic Surgery | 4611 S 96th St Ste 253, Omaha, NE 68127-1244 | 2018-02-06 |
1962560698 | Central Nebraska Spinal Surgery Center, P.C. | Orthopaedic Surgery | 816 22nd Ave Ste 101, Kearney, NE 68845-2226 | 2006-12-05 |
1497704258 | Chris A. Cornett | Orthopaedic Surgery | University of Nebraska Medical, 981080 Nebraska Medical Center, Omaha, NE 68198-1080 | 2006-05-09 |
1275526238 | Allen A Sossan | Orthopaedic Surgery | 109 N 29th St, Norfolk, NE 68701-3261 | 2005-08-25 |
1386106474 | Sne Care of Ne, LLC | Orthopaedic Surgery | 4611 S 96th St, Omaha, NE 68127-1202 | 2019-04-05 |
1336601830 | H Randal Woodward Md PC | Orthopaedic Surgery | 6751 N 72nd St, Omaha, NE 68122-1746 | 2019-04-03 |
1154682052 | Chase Colton Woodward | Orthopaedic Surgery | 13616 California St Ste 100, Omaha, NE 68154-5336 | 2012-06-06 |
1992963631 | Patrick W Bowman | Orthopaedic Surgery | 13616 California St, Ste 100, Omaha, NE 68154-5335 | 2008-05-29 |
1699705640 | Reconstructive Spinal Surgery & Orthopedic Surgery PC | Orthopaedic Surgery | 109 N 29th St, Norfolk, NE 68701-3261 | 2006-07-04 |
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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.