Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Ryan T Mcculloch, PA
Physician Assistant in Chubbuck, ID · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1720195530
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Registry record
Entity type Individual (Type 1)
Name Ryan T Mcculloch
Credential PA
Sex Male
Practice address 147 W Chubbuck Rd, Chubbuck, ID, 83202
Phone (208) 238-7546
Fax (208) 237-9643
Enumeration date Aug 25, 2006
Last updated in NPPES Dec 20, 2010
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA405 (ID) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00329828 | Other | ID | RAILROAD MEDICARE PTAN |
| 806497600 | Medicaid | ID | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What specialty is Ryan Mcculloch?
Ryan Mcculloch is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-12-20.