MR. CLINTON MCCULLOUGH ATC
NPI 1487030490
Specialist/Technologist - Athletic Trainer in Saint Paul, MN

NPI Status: Active since August 03, 2015

Contact Information

435 PHALEN BLVD
SAINT PAUL, MN
ZIP 55130
Phone: (651) 254-8368
Fax: (651) 254-8361

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  • Individual
  • Male
  • Specialist/Technologist
  • Athletic Trainer

About CLINTON MCCULLOUGH

This page provides the complete NPI Profile along with additional information for Clinton Mccullough, a provider established in Saint Paul, Minnesota with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1487030490 assigned on August 2015. The practitioner's primary taxonomy code is 2255A2300X with license number 2331 (MN). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1487030490
Provider Name
MR. CLINTON MCCULLOUGH ATC
Gender
Male
Entity Type
Individual
Location Address
435 PHALEN BLVD SAINT PAUL, MN 55130
Location Phone
(651) 254-8368
Location Fax
(651) 254-8361
Mailing Address
435 PHALEN BLVD SAINT PAUL, MN 55130
Mailing Phone
(651) 254-8368
Mailing Fax
(651) 254-8361
Is Sole Proprietor?
No
Enumeration Date
08-03-2015
Last Update Date
08-03-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist Athletic Trainer

Taxonomy Code
2255A2300X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
2331
License State
MN
Taxonomy Description
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1487030490, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
7
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 0 → 0 0 → 0 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 6 + 7 + 0 + 3 + 0 + 4 + 1 + 8 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1487030490.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Orthopaedic Surgery (Orthopaedic Trauma)
435 PHALEN BLVD, HEALTHPARTNERS SPECIALITY CENTER 435
ST. PAUL, MN 55130
Pediatrics (Sports Medicine)
435 PHALEN BLVD, MAIL STOP 51103H
SAINT PAUL, MN 55130
Family Medicine (Sports Medicine)
435 PHALEN BLVD, MAIL STOP 51103H
SAINT PAUL, MN 55130
Physician Assistant
435 PHALEN BLVD, HP SPECIALTY CENTER; MAIL STOP 51103H
SAINT PAUL, MN 55130
Nurse Practitioner (Family)
435 PHALEN BLVD
SAINT PAUL, MN 55130
Nurse Practitioner (Family)
435 PHALEN BLVD
SAINT PAUL, MN 55130
Specialist/Technologist (Athletic Trainer)
435 PHALEN BLVD
SAINT PAUL, MN 55130
Nurse Anesthetist, Certified Registered
435 PHALEN BLVD
ST. PAUL, MN 55130
Physical Medicine & Rehabilitation
435 PHALEN BLVD
SAINT PAUL, MN 55130
Nurse Practitioner
435 PHALEN BLVD, MS51103B
SAINT PAUL, MN 55130
Specialist/Technologist (Athletic Trainer)
435 PHALEN BLVD
SAINT PAUL, MN 55130
Physician Assistant
435 PHALEN BLVD
SAINT PAUL, MN 55130
Specialist
435 PHALEN BLVD
SAINT PAUL, MN 55130
Occupational Therapist
435 PHALEN BLVD
SAINT PAUL, MN 55130
Physician Assistant
435 PHALEN BLVD
SAINT PAUL, MN 55130
Occupational Therapist
435 PHALEN BLVD
SAINT PAUL, MN 55130
Occupational Therapist
435 PHALEN BLVD
SAINT PAUL, MN 55130
Orthopaedic Surgery
435 PHALEN BLVD
SAINT PAUL, MN 55130
Speech-Language Pathologist
435 PHALEN BLVD
SAINT PAUL, MN 55130
Physical Therapist
435 PHALEN BLVD
SAINT PAUL, MN 55130

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487030490, enumerated as an "individual" on August 03, 2015.

The provider is located at 435 PHALEN BLVD SAINT PAUL, MN 55130 and the phone number is (651) 254-8368.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.