DR. MARY ELLEN K MCCULLOUGH (NPI# 1407840812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407840812 |
| Entity Type | Individual |
| Full Name | DR. MARY ELLEN K MCCULLOUGH |
| Credential | MD |
| Practice Address |
5525 Marie Ave Cincinnati OH 45248-3200 |
| Mailing Address |
5053 Wooster Rd Cincinnati OH 45226-2326 |
| Practice Telephone | 5137512273 |
| Practice Fax Number | 5135747062 |
| Mailing Telephone | 5137512145 |
| Mailing Fax Number | 5137512138 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2012-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
35069652 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64089188 | 05 | |
| IN | 200499880 | 05 | |
| OH | 2048733 | 05 |
| Street Address |
5525 MARIE AVE |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45248-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306292909 | Allysia R Billow | Nurse Practitioner | 5525 Marie Ave, Cincinnati, OH 45248-3200 | 2016-05-12 |
| 1194187641 | Nikki D Bonhaus | Internal Medicine | 5525 Marie Ave, Cincinnati, OH 45248-3200 | 2016-03-23 |
| 1639559867 | Mary Warner | Nurse Practitioner | 5525 Marie Ave, Cincinnati, OH 45248-3200 | 2015-06-03 |
| 1699946947 | Alliance Primary Care | Internal Medicine | 5525 Marie Ave, Cincinnati, OH 45248-3200 | 2008-03-14 |
| 1710018619 | Oncology Hematology Care, Inc | Home Infusion | 5525 Marie Ave, Cincinnati, OH 45248-3230 | 2007-03-09 |
| 1053349738 | Westside Endoscopy | Clinic/Center | 5525 Marie Ave, Cincinnati, OH 45248-3230 | 2006-06-29 |
| 1356397608 | Sharon A. Sax | Internal Medicine | 5525 Marie Ave, Cincinnati, OH 45248-3230 | 2006-05-26 |
| 1174579429 | William David Smith | Internal Medicine | 5525 Marie Ave, Cincinnati, OH 45248-3230 | 2006-05-26 |
| 1407802754 | John J. Leisgang | Internal Medicine | 5525 Marie Ave, Cincinnati, OH 45248 | 2006-05-26 |
| 1184679516 | Matthew Gerald Witsken | Internal Medicine | 5525 Marie Ave, Cincinnati, OH 45248-3230 | 2006-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215575436 | Carol S Grimm | Nurse Practitioner | 5702 Bridgetown Rd Apt 8, Street Address 2, Cincinnati, OH 45248 | 2019-12-18 |
| 1588188726 | Billie Jo Whitfield | Counselor | 7597 Bridgetown Rd., Cincinnati, OH 45248 | 2017-07-31 |
| 1154851756 | Nick Robert Nortmann | Physical Therapist | 6331 Carriageview Lane, Cincinnati, OH 45248 | 2017-06-15 |
| 1447667050 | Marcia Lester Cook | Speech-Language Pathologist | 5858 Bridgetown Road, Cincinnati, OH 45248 | 2014-07-15 |
| 1568608479 | Alterna Care Providers LLC | Nurse Practitioner | 6349 Starridge Court, Cincinnati, OH 45248 | 2008-12-23 |
| 1114142155 | Victoria H Nguyen | Dentist | 6090 Campbell Rd, #114, Dallas, TX 45248 | 2007-04-16 |
| 1417095217 | Stephen J Wachendorf | Dentist | 6059 Bridgetown Rd, Cincinnati, OH 45248 | 2007-02-02 |
| 1598860462 | Joyce M Meyer | Physical Therapist | 3260 Westbourne Drive, Cincinnati, OH 45248 | 2006-09-14 |
| 1275579633 | Monique Wilson | Registered Nurse | 5899 Harrison Avenue, Mlc 6011, Cincinnati, OH 45248 | 2006-06-22 |
| 1205806320 | Robert J Schrimpf and Thomas M Schrimpf Mds | Ophthalmology | 5630 Bridgetown Rd, Ste 4, Cincinnati, OH 45248 | 2006-01-23 |
| Find all providers in zip 45248 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508959784 | Yu-hwa Peter Sheng | Internal Medicine | 8280 Montgomery Rd Ste 100, Cincinnati, OH 45236-6101 | 2006-10-02 |
| 1194765800 | Kurt P Leuenberger | Internal Medicine | 3301 Mercy Health Blvd Ste 100, Cincinnati, OH 45211-1108 | 2006-06-08 |
| 1689629156 | Oncology/ Hematology Care, Inc | Internal Medicine | 2450 Kipling Ave Ste 111, Cincinnati, OH 45239-6699 | 2006-05-23 |
| 1821084088 | Cincinnati Hematology-oncology, Inc | Internal Medicine | 2727 Madison Rd, Suite 400, Cincinnati, OH 45209-2276 | 2005-09-23 |
| 1669465910 | Oncology/ Hematology Care, Inc. | Internal Medicine | 5310 Rapid Run Rd, Cincinnati, OH 45238-4244 | 2005-08-23 |
| 1720082472 | Oncology/ Hematology Care, Inc. | Internal Medicine | 4777 E Galbraith Rd Ste 320, Cincinnati, OH 45236-2725 | 2005-06-10 |
| 1063416808 | Oncology Hematology Care, Inc. | Internal Medicine | 4350 Malsbary Rd, Cincinnati, OH 45242-5621 | 2005-06-09 |
| 1033112693 | Oncology-hematology Care Inc | Internal Medicine | 8000 5 Mile Rd, Ste 100, Cincinnati, OH 45230-2163 | 2005-05-27 |
| 1740785179 | Eric J Vick | Internal Medicine | 234 Goodman St, Cincinnati, OH 45219-2364 | 2018-03-27 |
| 1932455896 | Samer Alsidawi | Internal Medicine | 5520 Cheviot Rd, Cincinnati, OH 45247-7069 | 2012-07-30 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45248 |
Please comment or provide details below to improve the information on DR. MARY ELLEN K 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.