KELLY LOREN MCCULLOUGH PA-C NPI 1497088025

NPI Information

NPI: 1497088025
Provider Name: KELLY LOREN MCCULLOUGH, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: UPMC MULTISPECIALTY GROUP INC

PECOS Registration: Yes

Address:
9104 BABCOCK BLVD
SUITE 2120
PITTSBURGH, PA
ZIP 15237
Phone: (412) 367-0600
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Kelly Loren Mccullough, PA-C is a medical physician assistant in Pittsburgh, PA with 22 years of experience. Kelly Loren Mccullough, PA-C NPI is 1497088025. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9104 BABCOCK BLVD
SUITE 2120
PITTSBURGH, PA
ZIP 15237-818
Phone: (412) 367-0600
Fax: (412) 367-7079

The NPI 1497088025 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/15/2009 and was last updated on 12/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	MA051371	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1497088025	OTHER		AETNA BETTER HEALTH
2	1497088025	OTHER		HIGHMARK BLUE SHIELD
3	1497088025	OTHER		DEVON
4	1497088025	OTHER		FLORA
5	1497088025	OTHER		AMERIHEALTH MERCY
6	1497088025	OTHER		CIGNA
7	1497088025	OTHER		FIDELIS CARE MA
8	1497088025	OTHER		GATEWAY HEALTH PLAN
9	1497088025	OTHER		GEISINGER MEDICARE
10	1497088025	OTHER		HIGHMARK MANAGED CARE
11	1497088025	OTHER		GREAT WEST
12	1497088025	OTHER		PALMETTO--RAILROAD MEDICARE
13	1497088025	OTHER		CORVEL
14	1497088025	OTHER		UPMC FOR LIFE
15	1497088025	OTHER		VANTAGE PPO
16	1490788025	OTHER		GATEWAY MEDICARE ASSURED
17	1497088025	OTHER		UNISON OF OH
18	1497088025	OTHER		FIDELIS CARE MEDICARE
19	1497088025	OTHER		HPUOV
20	1497088025	OTHER		UPMC COMMERCIAL
21	1497088025	OTHER		AETNA COMMERCIAL
22	1497088025	OTHER		CIGNA BEHAVIORAL HEALTH
23	1497088025	OTHER		GEISINGER HEALTH
24	1497088025	OTHER		PRIVATE HEALTH CARE SYSTEM
25	1497088025	OTHER		HEALTH AMERICA
26	1497088025	OTHER		AETNA MEDICARE
27	1497088025	OTHER		UNITED HEALTHCARE/UNISON
28	1497088025	OTHER		UNITED HEALTHCARE COMMERCIAL
29	1497088025	OTHER		WEXFORD HEALTH SERVICES
30	1497088025	OTHER		COMMUNITY LIFE
31	1497088025	OTHER		KEYSTONE MANAGED CARE
32	1497088025	OTHER		HUMANA COMMERCIAL
33	1497088025	OTHER		INTERGROUP
34	1497088025	OTHER		MEDICARE-NOVITAS
35	1497088025	OTHER		UNITED HEALTHCARE/OPTUM
36	1497088025	OTHER		UPMC FOR YOU
37	1497088025	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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