Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mathew R McCullough, PA-C

Individual provider Family Medicine Physician · NPI 1184189425

Mathew R McCullough, PA-C is a Physician Assistant in Delta, Colorado. Qualified in 2019, 7 years ago. Practices with Olathe Community Clinic Inc, a 24-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
7
Licensed in
CO
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1250 Valley View Dr
Delta, CO 81416-3138
Phone: (970) 874-8981
Fax: (855) 299-7586
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1010 Rio Grande Ave, Montrose, CO 81401-4831 — (970) 497-3333
  • 308 Main St, Olathe, CO 81425-0529 — (970) 323-6141

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA.0006103 (CO)
Family Medicine Physician Taxonomy 207Q00000X · Licence PA.0006103 (CO)

Record details

NPI number1184189425
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 31, 2019
Last updated in NPPESJanuary 3, 2024
Certification dateJanuary 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Olathe Community Clinic Inc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Delta