MICHAEL MCCULLOUGH I (NPI# 1255448122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255448122 |
| Entity Type | Individual |
| Full Name | MICHAEL MCCULLOUGH I |
| Practice Address |
2823 Fresno St Fresno CA 93721-1324 |
| Mailing Address |
1824 Oak Creek Dr # 308 Palo Alto CA 94304-2158 |
| Practice Telephone | 5594596000 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2015-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A63113 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A631130 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962049593 | Michael Wayne Mccullough | Obstetrics & Gynecology | 500 N Keene St Ste 400, Columbia, MO 65201-8104 | 2019-12-02 |
| 1982704771 | Michael Lee Mccullough | Internal Medicine | 8411 Preston Road #200, Dallas, TX 75225 | 2006-09-22 |
| 1053415166 | Michael Warren Mccullough | Chiropractor | 6003 Overland Rd Ste 104, Ste 104, Boise, ID 83709 | 2006-09-11 |
| 1982692661 | Michael Patrick Mccullough | Podiatrist | 2200 Bryant Williams Drive, Suite 1, Klamath Falls, OR 97601-1121 | 2005-10-07 |
| 1639656523 | Michael Burks Mccullough | Optometrist | 3929 N Gloster St, Tupelo, MS 38804-0915 | 2018-07-24 |
| 1861830622 | Michael Scott Mccullough | Dentist | 11400 Palm Dr, Desert Hot Springs, CA 92240-3167 | 2013-06-13 |
| 1316298870 | Michael Allen Mccullough | Nurse Practitioner | 101 Yorktown Dr, Fayetteville, GA 30214-1578 | 2012-09-25 |
| 1932135704 | Michael Reid Mccullough | Obstetrics & Gynecology | 643 S Great Southwest Pkwy, Suite 101, Grand Prairie, TX 75051-1056 | 2006-06-24 |
| 1902878903 | Michael Mccullough | Radiology | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2006-02-03 |
| 1447257019 | Michael David Mccullough | Radiology | Delaney Radiologists Group, Pllc, 1025 Medical Center Dr, Wilmington, NC 28401 | 2005-06-28 |
| Street Address |
2823 FRESNO ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93721-1324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073502449 | Catherine C Thaxter | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2005-10-19 |
| 1558973362 | Craig M Peek | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-08-21 |
| 1336759513 | James M Nguyen | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-08-03 |
| 1205445715 | Mckinsey Holthaus | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-07-30 |
| 1285257063 | Blake Phillip Dreihaus | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-05-27 |
| 1639792831 | Surpreme Health | Internal Medicine | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-05-21 |
| 1588286439 | Haylee Degrood | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-05-14 |
| 1710509013 | Katherine Marie Pate | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-05-11 |
| 1154941011 | Kylie Wermund | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-04-21 |
| 1326674292 | Amritpal Singh Padda | Nurse Practitioner | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
| 1619521929 | Kepler Education Incorporation | Local Education Agency (LEA) | 1462 Broadway St., Fresno, CA 93721 | 2019-07-25 |
| 1588156434 | Micha Ramirez | Case Manager/Care Coordinator | 2140 Merced St., Fresno, CA 93721 | 2018-06-05 |
| 1649798992 | Nadia C Martinez | Licensed Vocational Nurse | 1310 M. Street, Fresno, CA 93721 | 2017-09-07 |
| 1538604251 | Be Together Home Care LLC | In Home Supportive Care | 2014 Tulare St Ste 605, Fresno, CA 93721 | 2017-01-04 |
| 1124426705 | Central California Faculty Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2554 Merced Street, Fresno, CA 93721 | 2014-12-12 |
| 1427455336 | University Medical Supply | Durable Medical Equipment & Medical Supplies | 2554 Merced St, Fresno, CA 93721 | 2014-11-21 |
| 1154723542 | Ryan Gil | Physical Therapist | 1350 O St Ste 201, Fresno, CA 93721 | 2014-09-17 |
| 1831526250 | Tiffany Marie Gonzalez | Counselor | 2409 Mered St #106, Fresno, CA 93721 | 2013-09-30 |
| 1972939783 | Reshale L Thomas | Psychologist | 2900 Fresno St Ste 108, Fresno, CA 93721 | 2013-09-25 |
| Find all providers in zip 93721 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952677155 | Sarah G Sifuentez | Emergency Medicine | 6148 N Delbert Ave, Fresno, CA 93722-2419 | 2012-04-02 |
| 1134420045 | Tetsuo Ted Shigyo | Emergency Medicine | 2763 W Wrenwood Ave, Fresno, CA 93711-2562 | 2010-11-09 |
| 1215174602 | Jason Christopher Tsukamaki | Emergency Medicine | 6355 N Rafael Ave, Fresno, CA 93711-0956 | 2009-01-07 |
| 1780868158 | Robert P. Hansen, Inc. | Emergency Medicine | 6721 N Willow Ave Ste 104, Fresno, CA 93710-5950 | 2007-12-20 |
| 1265626378 | Kanwar Partap Singh Gill | Emergency Medicine | 8408 N Ann Ave, Fresno, CA 93720-4987 | 2007-08-31 |
| 1366635484 | Oleh J Wolowodiuk | Emergency Medicine | 521 E Mariners Cir, Fresno, CA 93730-0848 | 2007-08-22 |
| 1508906405 | Badrinath Kulkarni | Emergency Medicine | 1570 E. Herndon Avenue, Fresno, CA 93720 | 2007-02-08 |
| 1447261144 | Jacob M. Khushigian | Emergency Medicine | 5431 E Lane Ave, Fresno, CA 93727 | 2006-08-10 |
| 1346275625 | Gene Wayne Kallsen | Emergency Medicine | 290 N Wayte Ln # 1800, Fresno, CA 93701-2124 | 2006-07-12 |
| 1295735538 | Michael David Cawdery | Emergency Medicine | 155 N Fresno St, Ucsf-fresno Dept of Emergency Medicine, Fresno, CA 93701-2302 | 2005-07-28 |
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| 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.