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Deactivated NPI 1396755427 Deactivated / Inactive NPI Male Practitioner

Dennis James Mccullough , PA-C

Physician Assistant • Yakima, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dennis Mccullough has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 09, 2006
NPI Deactivation Date June 19, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dennis Mccullough, PA-C was a registered Physician Assistant practicing in Yakima, WA. Throughout an active medical career spanning 12 years, Dennis Mccullough provided care at the practice location at 3902 CREEKSIDE LOOP until profile deactivation on 2018-06-19.

Practice Location & Contact Primary Location

Practice Address

3902 Creekside Loop
Suite 105

Yakima, WA 989024876

Telephone 5092486414
Fax 5092486409
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Yakima, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.4 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
61 Specialists

Practicing in Yakima, WA (3774 Statewide)

Telehealth Adoption Rate
14.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA OA10000104

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1730157892

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 19, 2018

Record deactivated on June 19, 2018

NPI Profile Active June 24, 2013

NPI status registered as active in NPPES database

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Updated Practice Location June 24, 2013

Registered at 3902 CREEKSIDE LOOP, SUITE 105, YAKIMA, WA 989024876 (Tel: 5092486414)

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Updated Business Mailing Address June 24, 2013

Registered at 3902 CREEKSIDE LOOP, SUITE 105, YAKIMA, WA 989024876 (Tel: 5092486414)

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Provider Name / Credentials Updated June 24, 2013

Recorded as DENNIS MCCULLOUGH, PAC

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2013

Physician Assistant (License #OA10000104 in WA)

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Initial NPI Registration & Enumeration August 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396755427
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2006
Last Update: June 24, 2013
Deactivation Date: June 19, 2018

Mailing Address

3902 Creekside Loop, Suite 105

Yakima, WA 989024876

Phone: 5092486414

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.