DR. PATRICK C MCCULLOCH (NPI# 1366421679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366421679 |
| Entity Type | Individual |
| Full Name | DR. PATRICK C MCCULLOCH |
| Credential | MD |
| Practice Address |
6550 Fannin St Suite 2600 Houston TX 77030-2717 |
| Practice Telephone | 7134419000 |
| Practice Fax Number | 7137902141 |
| Mailing Telephone | 7134419000 |
| Mailing Fax Number | 7137902141 |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2014-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
M4338 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | US DEPT OF LABOR | 610197302 FANNIN | 01 |
| TX | MEDICARE RAILROAD | P00842117 | 01 |
| TX | 181848605 | 05 | |
| US DEPT OF LABOR | 616771101 | 01 | |
| TX | 181848602 | 05 | |
| TX | 181848601 | 05 | |
| US DEPT OF LABOR | 616771110 | 01 | |
| TX | BLUE CROSS BLUE SHIELD | 1366421679 | 01 |
| TX | 181848603 | 05 | |
| TX | RR MEDICARE | P01102952 | 01 |
| TX | DME MEDICARE PROVIDER NUMBER | 0918730002 | 01 |
| US DEPT OF LABOR | 601771109 | 01 | |
| TX | US DEPT OF LABOR | 610197301 CENTERFIEL | 01 |
| US DEPT OF LABOR | 616771105 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437297934 | Patrick T Mcculloch | Orthopaedic Surgery | 100 Trich Dr, Suite 2, Washington, PA 15301-5990 | 2007-02-05 |
| Street Address |
6550 FANNIN ST SUITE 2600 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-2717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558365452 | Donald T. Donovan | Otolaryngology | 6550 Fannin St, Houston, TX 77030-2717 | 2005-06-08 |
| 1386268738 | Elisabeth Anne Plotner | Student in an Organized Health Care Education/Training Program | 6550 Fannin St, Houston, TX 77030-2717 | 2020-06-02 |
| 1750901773 | Stephenia Chiazoka Nwogu | Student in an Organized Health Care Education/Training Program | 6550 Fannin St, Houston, TX 77030-2717 | 2020-04-20 |
| 1174152086 | Okechukwu Onuma Okidi | Student in an Organized Health Care Education/Training Program | 6550 Fannin St, Houston, TX 77030-2717 | 2020-04-02 |
| 1497396808 | Brandon V Barrera | Nurse Practitioner | 6550 Fannin St, Houston, TX 77030-2717 | 2019-10-07 |
| 1588215008 | Aaron Joel Spooner | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6550 Fannin St, Houston, TX 77030-2717 | 2019-09-25 |
| 1376109785 | Paul Haddad | Student in an Organized Health Care Education/Training Program | 6550 Fannin St, Houston, TX 77030-2717 | 2019-05-13 |
| 1275095325 | Jerica Podrat | Student in an Organized Health Care Education/Training Program | 6550 Fannin St, Houston, TX 77030-2717 | 2019-04-05 |
| 1205318235 | William Henry Orme | Psychologist | 6550 Fannin St, Smith Tower, Suite 2509, Houston, TX 77030 | 2018-09-06 |
| 1922580661 | Ugochi Raina Ukachukwu | Registered Nurse | 6550 Fannin St, Houston, TX 77030-2717 | 2018-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
| Find all providers in zip 77030 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194223644 | James R. Bocell | Orthopaedic Surgery | 2639 Fenwood Rd, Houston, TX 77005-3435 | 2018-01-30 |
| 1073039244 | Aa Orthopedics | Orthopaedic Surgery | 2302 Fannin St Ste 410, Houston, TX 77002-9135 | 2017-08-18 |
| 1598203580 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 12211 Kirby Dr, Suite 200, Houston, TX 77045-4859 | 2017-02-09 |
| 1033657002 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 5505 West Loop S Ste 100, Houston, TX 77081 | 2017-02-09 |
| 1407266844 | Mark R Rogers Md Pa | Orthopaedic Surgery | 12000 Richmond Ave Ste 370, Houston, TX 77082-2964 | 2014-05-07 |
| 1639335359 | James Matthew Gregory | Orthopaedic Surgery | 929b Gessner Rd Ste 100, Houston, TX 77024-2854 | 2008-08-01 |
| 1801059977 | Angelo Dushi Parameswaran | Orthopaedic Surgery | 22485 Tomball Pkwy Ste 2100, Houston, TX 77070-1560 | 2008-07-08 |
| 1457499071 | Anastassios Karistinos | Orthopaedic Surgery | 6620 Main Street Suite 1325, Houston, TX 77030 | 2007-02-03 |
| 1770673428 | Mark Stephen Adickes | Orthopaedic Surgery | 7200 Cambridge St Fl 10, Houston, TX 77030-4202 | 2006-10-13 |
| 1093322075 | Para-raghu, LLC | Orthopaedic Surgery | 2302 Fannin St Ste 410, Houston, TX 77002-9135 | 2020-09-24 |
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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.