Timothy M McCulloch, MD
Otolaryngology in Madison, WI. Individual provider (NPI-1).
NPI number1477686830
StatusActive
Last updated in NPPESJan 27, 2021
Details
- NPI
- 1477686830
- Entity type
- Individual (NPI-1)
- Name
- Timothy M McCulloch
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2007
- Certification date
- Jan 27, 2021
- Last updated
- Jan 27, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OTOLARYNGOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | 50467 | WI | Yes |
| 207YX0007X | Otolaryngology, Plastic Surgery within the Head & Neck | 50467-20 | WI |
Practice location
600 Highland AveMadison, WI 53792-0001
Phone 608-263-6190 · Fax 608-263-6199
Mailing address
7974 Uw Health CtMiddleton, WI 53562-5531
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