Allen W Mcculloch


Address: 2300 E, 30th Bldg B Suite 106, Farmington, NM 87401-1529

Allen W Mcculloch (NPI# 1881778215, PAC ID# 7113830969) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.

Physician Overview

Nation Provider ID (NPI) 1881778215
PAC ID by PECOS 7113830969
Professional Enrollment ID I20091214000778
Full Name Allen W Mcculloch
Address 2300 E
30th Bldg B Suite 106
Farmington
NM 87401-1529
Gender M
Credential MD
Medical School UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduation Year 1983
Primary Specialty UROLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
320005 SAN JUAN REGIONAL MEDICAL CENTER
061327 SOUTHWEST MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
2300 E, 30th Bldg B Suite 106, Farmington, NM 87401-1529

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 83%
ACI_EC_TRANS_HIE_1 Health Information Exchange 94%
ACI_EC_TRANS_MR_1 Medication Reconciliation 100%
ACI_EC_TRANS_PEA_1 Provide Patient Access 100%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 1%
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 12%
ACI_EC_TRANS_SM_1 Secure Messaging 0%

Organization Information

Office Location

Street Address 2300 E
30TH BLDG B SUITE 106
City FARMINGTON
State NM
Zip 87401-1529

Physicians in the same location

Name Specialty Organization Address
James F Burpee Urology Adult and Pediatric Urology, LLC 2300 E, Farmington, NM 87401-1529

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Name Specialty Organization Address
Denise Dorner Podiatry Family Foot Health Specialists, P.C. 4801 N Butler, Suite 14102, Farmington, NM 87401-0815
Edmund W Mcnally Physician Assistant Genesis Physician Associates LLC 4801 N Butler Ave, Suite 8102, Farmington, NM 87401-0818
Swayzee Lei Ramage Nurse Practitioner Genesis Physician Associates LLC 4801 N Butler Ave, Suite 8102, Farmington, NM 87401-0818
Erica L Sussex-grant Chiropractic Sussex Chiropractic Pa 4740 N Butler Ave, Farmington, NM 87401-0826
Randall M Sussex Chiropractic Sussex Chiropractic Pa 4740 N Butler Ave, Farmington, NM 87401-0826
Brenna Camille Price Speech Language Pathologist 3001 Northridge Dr, Suite C., Farmington, NM 87401-2084
Mark A Braunstein Psychiatry San Juan Health and Wellness Center LLC 1009 Ridgeway Pl, Suite 100, Farmington, NM 87401-2092
Eva Jean Morales Clinical Social Worker San Juan Health and Wellness Center LLC 1009 Ridgeway Pl, Suite 100, Farmington, NM 87401-2092
Kaylene Cribbs Nurse Practitioner San Juan Health and Wellness Center LLC 1009 Ridgeway Pl, Suite 100, Farmington, NM 87401-2092
Thomas L Mccolloch Clinical Social Worker San Juan Health and Wellness Center LLC 1009 Ridgeway Pl, Suite 100, Farmington, NM 87401-2092
Find all physicians in zip 87401

Competitor

Search similar physicians

City FARMINGTON
Zip Code 87401
Specialty UROLOGY
City + Specialty FARMINGTON + UROLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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