DR. TYLER JACOB CELUCK MD
NPI 1700413739
Student in an Organized Health Care Education/Training Program in Charleston, WV
NPI Status: Active since March 27, 2020
Contact Information
3200 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304
Phone: (304) 388-5590
- Individual
- Male
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About TYLER CELUCK
This page provides the complete NPI Profile along with additional information for Tyler Celuck, a primary care provider established in Charleston, West Virginia with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1700413739 assigned on March 2020. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1700413739
- Provider Name
- DR. TYLER JACOB CELUCK MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3200 MACCORKLE AVE SE CHARLESTON, WV 25304
- Location Phone
- (304) 388-5590
- Mailing Address
- 3200 MACCORKLE AVE, SE CHARLESTON, WV 25304
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-27-2020
- Last Update Date
- 03-27-2020
- Code Navigator
A primary care provider (PCP) like Tyler Celuck sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
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
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare Participation & PECOS Enrollment Status
Tyler Celuck is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Orthotic Devices
DME-Orthotic Devices (DF010N)
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each (HCPCS:A5063)
1 DME suppliers used 11 Medicare Claims 210 Services Paid
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 0 | 0 | 4 | 1 | 3 | 7 | 3 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 8 | 1 | 6 | 7 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 8 + 1 + 6 + 7 + 6 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1700413739 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1245216639 | KRISTOPHER MUSICK PA Individual | Physician Assistant | 3200 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 388-4170 |
| 1609852920 | DR. BRENDAN O'HARA MD Individual | Emergency Medicine | 3200 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 388-4170 |
| 1437135530 | DR. GEORGE PULLIN MD Individual | Emergency Medicine | 3200 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 388-4170 |
| 1700862661 | JENNIFER M WILES PAC Individual | Physician Assistant | 3200 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 388-4170 |
| 1710964069 | DR. CHRISTOPHER LAMBERT MD Individual | Emergency Medicine | 3200 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 388-4170 |
| 1225015571 | NEW CENTURY EMERGENCY PHYSICIAN OF WEST VIRGINIA INC Organization | Emergency Medicine | 3200 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 388-4170 |
| 1215915954 | DR. JOHN CHAPMAN MD Individual | Emergency Medicine | 3200 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 388-4170 |
| 1386623783 | NEW CENTURY MEDICAL OBSERVATION SERVICES OF WEST VIRGINIA, INC Organization | Emergency Medicine | 3200 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 388-4170 |
| 1538139852 | DR. CLYDE EDMUND SPENCE JR. PHARMD, MBA Individual | Pharmacist | 3200 MACCORKLE AVE SE DEPT OF PHARMACY & DRUG INFORMATION CHARLESTON, WV 25304 (304) 388-4716 |
| 1497726228 | ANN CHRISTINE TEAGUE PHARMD Individual | Pharmacist (Pharmacotherapy) | 3200 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 388-8106 |
| 1922072156 | CHRISTOPHER MIKEAL JAMES RPH Individual | Pharmacist | 3200 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 388-4210 |
| 1023082997 | KARA M. HOPPER R. PH. Individual | Pharmacist | 3200 MACCORKLE AVE SE CHARLESTON AREA MEDICAL CENTER INPATIENT PHARMACY CHARLESTON, WV 25304 (304) 388-9270 |
| 1134193378 | DR. DAVID RANDALL ROLLINS PHARMD Individual | Pharmacist (Pharmacotherapy) | 3200 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 388-8841 |
| 1194790600 | MR. JOHN A DERENBURGER Individual | Pharmacist | 3200 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 388-4210 |
| 1548236086 | TERRY S PRETTYMAN RPH Individual | Pharmacist | 3200 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 388-9270 |
| 1841257227 | MRS. MARY ELLEN PAULEY FNP Individual | Nurse Practitioner (Family) | 3200 MACCORKLE AVE SE CAMC VASCULAR CENTER MEMORIAL HOSPITAL CHARLESTON, WV 25304 (304) 388-8100 |
| 1730125972 | MR. GRACIANO E CENDANA JR. MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 3200 MACCORKLE AVE SE CAMC MEMORIAL HOSPITAL CHARLESTON, WV 25304 (304) 388-5550 |
| 1003829532 | MS. BRENDA LOU KEEFER ANP Individual | Nurse Practitioner (Family) | 3200 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 925-3436 |
| 1134202708 | MRS. MYRTLE A SMITH CRNA Individual | Registered Nurse | 3200 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 388-4077 |
| 1396828992 | MRS. JESSICA BLOOM BUCKLEY Individual | Registered Nurse | 3200 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 388-4077 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700413739, enumerated in the NPI registry as an "individual" on March 27, 2020
The provider is located at 3200 Maccorkle Ave Se Charleston, Wv 25304 and the phone number is (304) 388-5590
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on March 27, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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