MICHAEL A MCCULLOCH


Address: 1204 W Main St, Charlottesville, VA 22903-2824
Phone: 4349240123

MICHAEL A MCCULLOCH (NPI# 1033324488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033324488
Entity Type Individual
Full Name MICHAEL A MCCULLOCH
Credential MD
Practice Address 1204 W Main St
Charlottesville
VA 22903-2824
Mailing Address Po Box 9007
Charlottesville
VA 22906-9007
Practice Telephone 4349240123
Practice Fax Number 4342433300
Enumeration Date 2007-05-11
Last Update Date 2020-09-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0202X Pediatrics
Specialization: Pediatric Cardiology
0101262131 VA Allopathic & Osteopathic Physicians
N 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
0101262131 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 102117382 05
MD 4144660-00 05

Other Providers MICHAEL MCCULLOCH

NPI Name Taxonomy Address Enumeration
1538299029 Michael Mcculloch Acupuncturist 124 Pine St, San Anselmo, CA 94960-2602 2007-03-06
1891935367 Michael Ray Mcculloch Dentist 23020 Highland Knolls #b, Katy, TX 77494-8347 2009-02-24
1770742140 Michael D. Mcculloch Internal Medicine 5121 S Cottonwood St, Murray, UT 84107-5701 2008-06-02

Office Location

Street Address 1204 W MAIN ST
City CHARLOTTESVILLE
State VA
Zip Code 22903-2824

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811980287 Ann Lenox Kellams Pediatrics 1204 W Main St, Charlottesville, VA 22903-2824 2005-08-31
1982210357 Olivia Oriana Obertello Dietitian, Registered 1204 W Main St, Charlottesville, VA 22903-2824 2020-09-21
1417563180 Caitlin E Anderson Psychologist 1204 W Main St, Charlottesville, VA 22903-2824 2020-09-18
1821611286 Mackenzie Trapp Genetic Counselor, MS 1204 W Main St, Charlottesville, VA 22903-2824 2020-05-20
1740836287 Sarah Burnett Pediatrics 1204 W Main St, Charlottesville, VA 22903-2824 2019-08-12
1609439207 Meredith Jordan Student in an Organized Health Care Education/Training Program 1204 W Main St, Charlottesville, VA 22903-2824 2019-04-18
1376007328 Kaitlyn Geib Nurse Practitioner 1204 W Main St, Charlottesville, VA 22903-2824 2019-01-24
1275017147 Haley F. Stephens Pediatrics 1204 W Main St, Charlottesville, VA 22903-2824 2018-09-18
1114414919 Shelley Towner Genetic Counselor, MS 1204 W Main St, Charlottesville, VA 22903-2824 2018-04-17
1891291944 Elina Bank Dietitian, Registered 1204 W Main St, Charlottesville, VA 22903 2018-04-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326671009 Ticynn Symone London Specialist/Technologist 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 2020-02-20
1043853542 Elaine Mccall Dietitian, Registered 1335 Jefferson Park Ave, Charlottesville, VA 22903 2019-10-28
1205480753 Sean Robert Bennett Clinic/Center 433 Ednam Drive, Charlottesville, VA 22903 2019-08-01
1922562818 Lynn Owen Taggart Student in an Organized Health Care Education/Training Program 300 Grassmere Rd, Charlottesville, VA 22903 2019-01-25
1831636166 Sarah Michelle Richin Social Worker 709 A West Main St, Charlottesville, VA 22903 2017-01-25
1962868851 Kelly Stewart Maurer Counselor 3101 Fontaine Avenue, Charlottesville, VA 22903 2016-01-07
1831592039 Bearley Dental PC Dentist 901 Preston Ave, Suite 200, Charlottesville, VA 22903 2014-10-01
1730437823 Frances Eva Demmerle Neuromusculoskeletal Medicine & OMM 1149 Rose Hill Dr., Charlottesville, VA 22903 2012-08-21
1801142229 University of Virginia General Acute Care Hospital 1925 Beechcrest Court, Charlottesville, VA 22903 2012-08-03
1407123516 Laura P. Handler Counselor 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 2011-11-18
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Taxonomy Information

Taxonomy Code 2080P0202X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Cardiology

Taxonomy Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144547449 Michael R. Hainstock Pediatrics 1204 W Main St, Charlottesville, VA 22903-2824 2010-04-26
1750605374 Shelby C. White Pediatrics 1204 W Main St, Charlottesville, VA 22903-2824 2010-03-25
1134396252 Peter N. Dean Pediatrics 1204 W Main St, Charlottesville, VA 22903-2824 2008-05-08
1073702122 Jeffrey E. Vergales Pediatrics 1204 W Main St, Charlottesville, VA 22903-2824 2007-10-15
1073721742 Shetarra Walker Pediatrics 1215 Lee St, Charlottesville, VA 22908-0001 2007-05-18
1295773315 Thomas J Lecuyer Pediatrics 1204 W Main St, Charlottesville, VA 22903-2824 2006-06-02
1437196458 George M Mcdaniel Pediatrics 1204 W Main St, Charlottesville, VA 22903-2824 2006-05-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962757336 Ramiro Wladimir Lizano Santamaria Pediatrics Children's Heart Institute, P. O Box 10066, Mclean, VA 22102 2012-07-20
1891073110 Aron K Mccloud Pediatrics 629 Cedar Creek Grade Ste B, Winchester, VA 22601-2786 2011-08-03
1346566189 Kalpana Thammineni Pediatrics 171 Elden Street, 200, Herndon, VA 20170 2010-04-19
1710216734 Richard Merrill Schieken Pediatrics 422 September Dr, Richmond, VA 23229-7318 2009-12-22
1447210802 Jonathan Todd Fleenor Pediatrics 601 Children's Lane, Norfolk, VA 23507 2006-03-27
1750369351 Alan Eric Benheim Pediatrics 8500 Executive Park Ave Ste 110, Fairfax, VA 22031-2228 2006-01-04
1487170841 Bluefield Pediatric Cardiology Associates Pediatrics 2221 W Cumberland Rd, Bluefield, VA 24605 2017-08-17
1265898142 Blue Ridge Medical Management Corporation Pediatrics 16000 Johnston Memorial Dr, Suite 312e, Abingdon, VA 24211-7664 2016-01-08
1558747592 Pediatric Cardiology of Central Virginia PC Pediatrics 7603 Forest Ave, Suite 401, Richmond, VA 23229-4942 2015-07-31
1033519855 Casa Pediatrics Pediatrics 14130 Noblewood Plz, Suite 306, Woodbridge, VA 22193-1464 2014-08-28
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Competitor

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City CHARLOTTESVILLE
Zip Code 22903

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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