MRS. JACQUELINE MARY MCCULLOUGH (NPI# 1356312771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356312771 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE MARY MCCULLOUGH |
| Credential | MS RD CDN |
| Practice Address |
2200 Whitney Ave Suite 180 Hamden CT 06518-3691 |
| Mailing Address |
2470 Boston Post Rd Suite 180 Guilford CT 06437-1467 |
| Practice Telephone | 2034072500 |
| Practice Fax Number | 2034075812 |
| Mailing Telephone | 2034072500 |
| Mailing Fax Number | 2034075812 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2016-09-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
000730 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659555035 | Jacqueline Doreen Mccullough | Social Worker | 13101 Allen Rd, Southgate, MI 48195-2216 | 2007-12-21 |
| Street Address |
2200 WHITNEY AVE SUITE 180 |
| City | HAMDEN |
| State | CT |
| Zip Code | 06518-3691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750382156 | Anesthesia Services of Meriden PC | Anesthesiology | 2200 Whitney Ave, Ste 310, Hamden, CT 06518-3691 | 2005-08-09 |
| 1366969065 | Cristina Perez | Nurse Practitioner | 2200 Whitney Ave, Hamden, CT 06518-3691 | 2017-08-24 |
| 1134673957 | Endoscopy Center of Connecticut Anesthesia | Anesthesiology | 2200 Whitney Ave, Suite 380, Hamden, CT 06518-3691 | 2016-08-10 |
| 1023488095 | Christine Salamida | Nurse Practitioner | 2200 Whitney Ave, Suite 360, Hamden, CT 06518-3691 | 2015-10-02 |
| 1487039525 | New Haven Radiology Associates, P.C. | Radiology | 2200 Whitney Ave, Suite 120, Hamden, CT 06518-3691 | 2015-07-29 |
| 1881078699 | Connecticut Orthopaedic Specialists, PC | Internal Medicine | 2200 Whitney Ave, Suite 170, Hamden, CT 06518-3691 | 2015-07-13 |
| 1053711200 | Samantha Radin | Dietitian, Registered | 2200 Whitney Ave, Suite 180, Hamden, CT 06518-3691 | 2014-08-25 |
| 1356757686 | Connecticut Orthopaedic Specialists, PC | Physical Therapist | 2200 Whitney Ave, Suite 270, Hamden, CT 06518-3691 | 2014-07-08 |
| 1902211154 | Connecticut Orthopaedic Specialists, PC | Physical Therapist | 2200 Whitney Ave, Suite 270, Hamden, CT 06518-3691 | 2014-06-26 |
| 1366876476 | Michael J Selmont | Physician Assistant | 2200 Whitney Ave, Suite 360, Hamden, CT 06518-3691 | 2013-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871082032 | Lynne Severance | Registered Nurse | 121 Highland Ave, Hamden, CT 06518 | 2018-05-03 |
| 1912446782 | Associates In Medical & Cosmetic Dermatology, PC | Dermatology | 9 Washington Avenue, Hamden, CT 06518 | 2017-02-14 |
| 1700338738 | The Lasik Vision Institute LLC | Clinic/Center | 2313 Whitney Avenue, Suite 1b, Hamden, CT 06518 | 2016-10-25 |
| 1639441934 | Michael Tonkyu Kim | Dentist | 2880 Old Dixwell Ave., Hamden, CT 06518 | 2012-02-01 |
| 1174751598 | Yetsa Adebodunde Tuakli-wosornu | Physical Medicine & Rehabilitation | 2080 Whitney Ave Ste 280, Hamden, CT 06518 | 2009-06-24 |
| 1619112133 | Priority Healthcare, LLC | Home Health | 12213 Town Walk Drive, Hamden, CT 06518 | 2008-12-12 |
| 1306095864 | Uttampal Singh | Dentist | 2832 Whitney Avenue- Advanced Orthodontics LLC, Suite- A, Hamden, CT 06518 | 2008-09-09 |
| 1790942100 | Wellcare of Connecticut, Inc. | Health Maintenance Organization | 2319 Whitney Avenue, 6th Floor, Hamden, CT 06518 | 2008-05-22 |
| 1720295165 | Susan Norkus | Specialist/Technologist | 275 Mt. Carmel Ave., Quinnipiac University, Hamden, CT 06518 | 2007-05-16 |
| 1447385620 | Fritz & Hawley Vision Center | Technician/Technologist | 2313 Whitney Ave, Suite 1d, Hamden, CT 06518 | 2007-02-21 |
| Find all providers in zip 06518 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023019726 | Leonard E Grauer | Internal Medicine | 1952 Whitney Ave, Hamden, CT 06517-1209 | 2005-08-03 |
| 1801322912 | Cardiology Group LLC | Internal Medicine | 1952 Whitney Ave, Hamden, CT 06517-1209 | 2017-05-10 |
| 1376742395 | Cardiology Consultants, P.C. | Internal Medicine | 2416 Whitney Ave, Hamden, CT 06518-3248 | 2007-07-11 |
| 1023125523 | Louis A. Telesford | Internal Medicine | 2337 Whitney Ave, Hamden, CT 06518-3539 | 2006-08-23 |
| 1043229784 | Robert E Lebson | Internal Medicine | 2440 Whitney Ave, Hamden, CT 06518 | 2006-08-05 |
| 1871522169 | Heartcare Associates of Connecticut, LLC | Internal Medicine | 2200 Whitney Ave, Suite 180, Hamden, CT 06518-3691 | 2006-07-01 |
| 1376582296 | Alan Michael Radoff | Internal Medicine | 1952 Whitney Ave, Hamden, CT 06517-1209 | 2006-06-06 |
| 1356398093 | Martin Plavec | Internal Medicine | 1952 Whitney Ave, Hamden, CT 06517-1209 | 2006-05-28 |
| 1366432700 | Siegfried J Kra | Internal Medicine | 2200 Whitney Ave, Ste 180, Hamden, CT 06518-3691 | 2005-10-26 |
| 1003806456 | Ricardo F Cordido | Internal Medicine | 2200 Whitney Ave, Suite 180, Hamden, CT 06518-3691 | 2005-10-26 |
| Find all providers in HAMDEN | ||||
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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.