MRS. MADELAINE CATHLEEN MCCULLOUGH (NPI# 1225070923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225070923 |
Entity Type | Individual |
Full Name | MRS. MADELAINE CATHLEEN MCCULLOUGH |
Credential | PA-C |
Practice Address |
10900 E Briarwood Ave Centennial CO 80112-3820 |
Mailing Address |
17950 Preston Rd Ste 250 Dallas TX 75252-5793 |
Practice Telephone | 3039742092 |
Practice Fax Number | 3039742093 |
Mailing Telephone | 9723545720 |
Mailing Fax Number | 9723545747 |
Enumeration Date | 2006-06-10 |
Last Update Date | 2008-06-10 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1858 | CO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 25954555 | 05 |
Street Address |
10900 E BRIARWOOD AVE |
City | CENTENNIAL |
State | CO |
Zip Code | 80112-3820 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598325540 | Michelle Moyn | Pharmacist | 10900 E Briarwood Ave, Centennial, CO 80112-3820 | 2019-06-20 |
1588227136 | Suneetha Bikkumalla | Pharmacist | 10900 E Briarwood Ave, Centennial, CO 80112-3820 | 2019-04-19 |
1760045306 | Shahrukh Saleem Joseph | Pharmacist | 10900 E Briarwood Ave, Centennial, CO 80112-3820 | 2019-04-18 |
1710540570 | Mary Aguilera | Pharmacist | 10900 E Briarwood Ave, Centennial, CO 80112-3820 | 2019-04-17 |
1437712403 | Nathan Wade Schoenauer | Pharmacist | 10900 E Briarwood Ave, Centennial, CO 80112-3820 | 2019-04-16 |
1326194325 | Healthstop Acquisitions, LLC | Clinic/Center | 10900 E Briarwood Ave, Centennial, CO 80112-3820 | 2007-01-25 |
1134206964 | Smartcare Operations Group, Inc. | Clinic/Center | 10900 E Briarwood Ave, Centennial, CO 80112-3820 | 2006-11-01 |
1053494765 | Wal-mart Stores, Inc. | Technician/Technologist | 10900 E Briarwood Ave, Centennial, CO 80112-3820 | 2006-10-24 |
1508883885 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 10900 E Briarwood Ave, Centennial, CO 80112-3820 | 2006-07-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750921177 | Natalie Jo Stevenson | Social Worker | 12835 E Arapahoe Rd., Tower 2, Suite 400, Centennial, CO 80112 | 2020-01-14 |
1033757109 | Sauder Psychology, Inc | Psychologist | 9085 E. Mineral Cir, Suite 235, Centennial, CO 80112 | 2019-12-19 |
1588213581 | Myappstorebiz | Special Hospital | 13033 E Adam Aircraft Circle B 53, Englewood, CO 80112 | 2019-09-11 |
1669930319 | Linked To Craig 501c3 | Dentist | 9085 E. Mineral Circle, Suite 350, Centennial, CO 80112 | 2019-03-12 |
1528538311 | Cherish Mitchell | Behavior Technician | 12660 E Briarwood Ave, Suite 207, Centennial, CO 80112 | 2018-12-05 |
1144706920 | Margaret Mary Froehlke | Homemaker | 6278 E Jamison Dr, Centennial, CO 80112 | 2018-07-16 |
1376038240 | Elizabeth Ann Dickason | Physician Assistant | 9094 East Mineral Avenue, #100, Englewood, CO 80112 | 2018-06-24 |
1770075467 | Dry Creek Surgery Center, LLC | Clinic/Center | 125 Inverness Dr E Ste 150, Englewood, CO 80112 | 2018-05-30 |
1639669476 | Uchealth Ambulatory Surgery Centers | Clinic/Center | 175 Inverness Drive West, Englewood, CO 80112 | 2018-05-17 |
1427545227 | Patterns Behavioral Services Colorado Inc | Assistant Behavior Analyst | 7600 E Arapahoe Rd Ste 211, Centennial, CO 80112 | 2018-04-17 |
Find all providers in zip 80112 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013478445 | Robin Elise Feldman | Physician Assistant | 17033 E Dorado Dr, Centennial, CO 80015-3029 | 2019-03-28 |
1548669054 | Kyla C Conway | Physician Assistant | 7180 E Orchard Rd Ste 306, Centennial, CO 80111-1727 | 2014-08-20 |
1295012508 | Shannon Christina Johnson | Physician Assistant | 13111 E. Briarwood Ave #15, Centennial, CO 80112 | 2011-11-15 |
1942538707 | Jamie W Lam | Physician Assistant | 5555 East Arapahoe Road, Centennial, CO 80122-2312 | 2009-12-04 |
1831210434 | Mani Shahidi | Physician Assistant | 6342 E Geddes Ave, Centennial, CO 80112-1536 | 2007-04-02 |
1528137817 | Judith Mochizuki | Physician Assistant | 5161 E Arapahoe Rd Ste 290, Centennial, CO 80122-4810 | 2006-11-08 |
1558348391 | Joy Garrison | Physician Assistant | 5555 E Arapahoe Rd, Centennial, CO 80122-2312 | 2005-12-22 |
1861916116 | Joseph Rosas | Physician Assistant | 9094 E Mineral Cir Ste 100, Centennial, CO 80112-7201 | 2017-07-28 |
1104360668 | Lindsay N Kotal | Physician Assistant | 14100 E Arapahoe Rd, Suite 170, Centennial, CO 80112-4028 | 2016-12-16 |
1770935371 | Leslie Will | Physician Assistant | 9094 E Mineral Cir Ste 120, Centennial, CO 80112-7201 | 2016-07-07 |
Find all providers in CENTENNIAL |
City | CENTENNIAL |
Zip Code | 80112 |
Please comment or provide details below to improve the information on MRS. MADELAINE CATHLEEN MCCULLOUGH.
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.