MCCULLOCH ORTHOPAEDIC SURGICAL SERVICES, PLLC (NPI# 1386963254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386963254 |
| Entity Type | Organization |
| Organization Name | MCCULLOCH ORTHOPAEDIC SURGICAL SERVICES, PLLC |
| Practice Address |
12510 Queens Blvd Ste 9 Kew Gardens NY 11415 |
| Mailing Address |
12510 Queens Blvd Ste 9 Kew Gardens NY 11415-1522 |
| Practice Telephone | 2125881919 |
| Practice Fax Number | 8779920798 |
| Mailing Telephone | 2125881919 |
| Mailing Fax Number | 8779920798 |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2019-07-10 |
| Authorized Official Name | MS. CLAIRE MARTINEZ (OFFICE MANAGER) |
| Authorized Official Telephone | 2125881919 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02880678 | 05 | |
| NY | 02880679 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 110 Duane St, New York, Ny, Usa, New York, NY 100071000 | 2125881919 | 8779920798 |
| 520 Franklin Ave Ste 211, Garden City, NY 115305815 | 2125881919 |
| Street Address |
12510 QUEENS BLVD STE 9 |
| City | KEW GARDENS |
| State | NY |
| Zip Code | 11415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492519 | Si Physical Therapy | Clinic/Center | 119-60 Metropolitan Ave, Kew Gardens, NY 11415 | 2020-09-17 |
| 1760036073 | Alina Alayev | Nurse Practitioner | 123-60 83rd Ave 11d, Kew Gardens, NY 11415 | 2019-07-25 |
| 1659860435 | Karolina Pinkhasova | Developmental Therapist | 11917 83rd Ave, Kew Gardens, NY 11415 | 2018-05-07 |
| 1508395989 | Hiral Patel | Physician Assistant | 125-10 Queens Blvd, Suite 2701, Kew Gardens, NY 11415 | 2017-06-08 |
| 1912432147 | Jessica Stefanie Minsky | Speech-Language Pathologist | 82-34 Kew Gardens Rd, Kew Gardens, NY 11415 | 2017-04-25 |
| 1629426697 | Muhammad Usman | Physical Therapist | 8526 126th St Fl 2, Kew Gardens, NY 11415 | 2016-05-31 |
| 1598126260 | Chinonye Benjamin | Licensed Practical Nurse | 85-35 Leffert Blvd, Kew Gardens, Queens, NY 11415 | 2016-03-09 |
| 1730559105 | Mohamed Abaza | Physical Therapist | 119-05 80th Road, Kew Gardens, NY 11415 | 2015-09-29 |
| 1457737306 | Noelle Elizabeth Lenti-nightengale | Registered Nurse | 124-16 85 Avenue, Kew Gardens, NY 11415 | 2015-08-03 |
| 1871996983 | Zinovia Ioannou | Dental Hygienist | 121-56 Metropolitan Ave, Kew Gardens, NY 11415 | 2014-10-02 |
| Find all providers in zip 11415 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| 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 |
|---|---|---|---|---|
| 1811040843 | Mohammad Namazian | Orthopaedic Surgery | 11880 Metropolitan Ave Apt 5f, Kew Gardens, NY 11415-2063 | 2007-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366077760 | City Motion Orthopaedics Pllc | Orthopaedic Surgery | 51 E 25th St Fl 6, New York, NY 10010-8207 | 2020-03-05 |
| 1760967723 | William J Lackey Md PC | Orthopaedic Surgery | 153 W 27th St Ste 1101, New York, NY 10001-6251 | 2018-09-26 |
| 1427438753 | Cameron Yau | Orthopaedic Surgery | 50 E 76th St, Apt 5a, New York, NY 10021-2707 | 2015-06-02 |
| 1790027415 | Seth Korbin | Orthopaedic Surgery | Department of Orthopaedics Hsc T 18, Stony Brook University Medical Ctr, Stony Brook, NY 11794-8181 | 2013-03-20 |
| 1689973091 | Jonathan Robert Danoff | Orthopaedic Surgery | 611 Northern Blvd Ste 200, Great Neck, NY 11021-5208 | 2011-03-24 |
| 1689971434 | Dassa Orthopedic Medical Services, P.C. | Orthopaedic Surgery | 453 State Route 211 E, Middletown, NY 10940 | 2011-02-14 |
| 1215231485 | Abhijit Pawar | Orthopaedic Surgery | 400 E 71st St Apt 11-0, New York, NY 10021-4808 | 2011-01-03 |
| 1194959577 | John J. Demarchi M.d., P.C. | Orthopaedic Surgery | 3673 Southwestern Blvd., Orchard Park, NY 14127-1732 | 2009-05-13 |
| 1811142367 | Amrit Goyal | Orthopaedic Surgery | 130 E 77th Street, Lenox Hill Hospital, New York, NY 10021 | 2008-11-25 |
| 1528215068 | Daniel W. Wilen, Orthopaedic Surgery,m.d., P.C. | Orthopaedic Surgery | 9202 Fort Hamilton Pkwy, Brooklyn, NY 11209-7407 | 2008-08-27 |
| Find all providers with the same taxonomy | ||||
| City | KEW GARDENS |
| Zip Code | 11415 |
Please comment or provide details below to improve the information on MCCULLOCH ORTHOPAEDIC SURGICAL SERVICES, PLLC.
| 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.