DR. CHLOE MELISSA MCCULLOCH (NPI# 1306058599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306058599 |
| Entity Type | Individual |
| Full Name | DR. CHLOE MELISSA MCCULLOCH |
| Credential | MD |
| Practice Address |
2410 W 16th St Greeley CO 80634-6004 |
| Mailing Address |
2620 Mariner Ct Colorado Springs CO 80920-1413 |
| Practice Telephone | 9708106167 |
| Mailing Telephone | 2169655566 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2018-12-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | DR.0049373 | CO | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
DR.0049373 | CO | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
DR.0049373 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 68083327 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Boulder Pain Institute PC, 3445 Penrose Pl, Suite 140, Boulder, CO 803011874 | 3034130100 | |
| 2620 Mariner Ct, Colorado Springs, CO 809201413 | 2169655566 |
| Street Address |
2410 W 16TH ST |
| City | GREELEY |
| State | CO |
| Zip Code | 80634-6004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942295241 | Paul S Hiratzka | Specialist | 2410 W 16th St, Greeley, CO 80634-6004 | 2005-09-13 |
| 1144702234 | Banner Health Physicians Colorado LLC | Clinic/Center | 2410 W 16th St, Greeley, CO 80634-6004 | 2018-09-05 |
| 1306358429 | Allison Polzin | Nurse Practitioner | 2410 W 16th St, Greeley, CO 80634 | 2017-10-30 |
| 1194093260 | Banner Health Physicians Colorado LLC | Clinic/Center | 2410 W 16th St, Greeley, CO 80634-6004 | 2011-12-05 |
| 1659652758 | Inhyup Kim | Psychiatry & Neurology | 2410 W 16th St, Greeley, CO 80634-6004 | 2011-09-01 |
| 1649579673 | Banner Greeley Specialists | Clinic/Center | 2410 W 16th St, Greeley, CO 80634-6004 | 2011-03-16 |
| 1528180023 | Women's Clinic of Greeley | Specialist | 2410 W 16th St, Greeley, CO 80634-6004 | 2007-04-04 |
| 1215093539 | Sean D Rockett | Physician Assistant | 2410 W 16th St, Greeley, CO 80634 | 2006-12-29 |
| 1841285970 | Neil Allen | Specialist | 2410 W 16th St, Greeley, CO 80634-6004 | 2005-09-14 |
| 1750376885 | Jean Pierre O'neal | Specialist | 2410 W 16th St, Greeley, CO 80634-6004 | 2005-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707843 | Witting Medical, LLC | Pathology | 17 Dos Rios, Greeley, CO 80634 | 2020-07-15 |
| 1730706102 | Heart Centered Counseling | Counselor | 1770 W 25th Street #206, Greeley, CO 80634 | 2020-07-01 |
| 1396374237 | Kidstuff Child and Family Counseling, P.C. | Counselor | 1770 25th Ave., Ste. 102, Greeley, CO 80634 | 2020-04-03 |
| 1164055745 | Stephanie Alexis Balunda | Speech-Language Pathologist | Uchealth Physical Therapy and Rehabilitation Clinic, 6767 West 29th St., Greeley, CO 80634 | 2020-02-21 |
| 1407413727 | Stephen P Street Pllc | Counselor | 4657 W. 20th Street, Unit B, Greeley, CO 80634 | 2019-05-22 |
| 1043797749 | Burt Stewart Dmd Pllc | Clinic/Center | 6937 West 10th Street, Greeley, CO 80634 | 2018-07-25 |
| 1164913885 | Innovations Pediatric Therapy, LLC | Occupational Therapist | 3403 W 7th St Apt A, Greeley, CO 80634 | 2018-05-29 |
| 1003305319 | Austin Michael Lake | Physical Therapist | 4681 W 20th St Unit 202b, Greeley, CO 80634 | 2018-05-02 |
| 1225542004 | Kevin Lichner | Specialist/Technologist | 522 28th Ave, Greeley, CO 80634 | 2017-11-30 |
| 1538683909 | Stacie Jackson | Physician Assistant | 6500 West 29th St Ste 106, Greeley, CO 80634 | 2017-07-27 |
| Find all providers in zip 80634 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013997675 | Phillip A Abston | Pain Medicine | 1800 15th St, Greeley, CO 80631-4500 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415860 | Metamorphosis Ltd | Pain Medicine | 2140 Hollow Brook Dr Ste 110, Colorado Springs, CO 80918-1489 | 2020-10-22 |
| 1346800737 | Pikes Peak Spine & Joint LLC | Pain Medicine | 3604 Galley Rd Ste 202, Colorado Springs, CO 80909-4301 | 2019-06-18 |
| 1528524279 | Colorado Alternative Therapy | Pain Medicine | 1777 S Bellaire St Unit G, Denver, CO 80222-4306 | 2019-02-19 |
| 1700220993 | Grand Mesa Spine and Sport LLC | Pain Medicine | 201 West Park Dr, Grand Junction, CO 81505 | 2013-04-18 |
| 1003909276 | Ricardo A Nieves | Pain Medicine | 1437 Riverside Ave, Fort Collins, CO 80524-4324 | 2006-10-02 |
| 1740239508 | Rocky Mountain Pain Consultants | Pain Medicine | 900 Potomac, Aurora, CO 80011 | 2006-05-09 |
| 1790749604 | Lisa G Pearson | Pain Medicine | 113 Latigo Lane, Suite D, Canon City, CO 81212-8115 | 2006-04-17 |
| 1881655827 | Floyd O Ring | Pain Medicine | 900 Potomac St, Aurora, CO 80011-6716 | 2006-03-29 |
| 1710956735 | Colorado Pain Specialists PC | Pain Medicine | 325 S Teller St, Suite 240, Lakewood, CO 80226-7388 | 2006-03-14 |
| 1679563092 | Christopher James Brian Frandrup | Pain Medicine | 10700 E Bethany Dr Ste 104, Aurora, CO 80014-2625 | 2005-10-26 |
| 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.