DR. LAURA CECCHI MCCULLOUGH (NPI# 1417114695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417114695 |
| Entity Type | Individual |
| Full Name | DR. LAURA CECCHI MCCULLOUGH |
| Credential | M.D. |
| Practice Address |
340 Wood Rd Suite 301 Braintree MA 02184-2401 |
| Practice Telephone | 7813566200 |
| Practice Fax Number | 7813566299 |
| Mailing Telephone | 7813566200 |
| Mailing Fax Number | 7813566299 |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2011-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 228621 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679586820 | Laura M Mccullough | Physical Therapist | 5610 Bridge Street, Supplemental Healthcare, Fort Worth, TX 76112 | 2006-08-15 |
| Street Address |
340 WOOD RD SUITE 301 |
| City | BRAINTREE |
| State | MA |
| Zip Code | 02184-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538140868 | Kathryn Anne Foley Ferrari | Physical Therapist | 340 Wood Rd, Suite 303, Braintree, MA 02184-2401 | 2005-11-14 |
| 1578054730 | Angela Tchao | Optometrist | 340 Wood Rd, Braintree, MA 02184 | 2018-05-23 |
| 1598219313 | Sydney Galvin | Physical Therapist | 340 Wood Rd, Ste 303, Braintree, MA 02184-2401 | 2016-08-10 |
| 1184002180 | Jack and Jill Pediatric Dentistry, LLC | Dentist | 340 Wood Rd, Suite 288, Braintree, MA 02184-2401 | 2015-05-11 |
| 1396150629 | Blue Hills Sport & Spine Rehabilitation, LLC | Physical Therapist | 340 Wood Rd, Ste 303, Braintree, MA 02184-2401 | 2014-06-25 |
| 1881024545 | Crowning Moment LLC | Preferred Provider Organization | 340 Wood Rd, Suite 288, Braintree, MA 02184-2401 | 2013-11-16 |
| 1750654018 | Brad Thorne | Counselor | 340 Wood Rd, Braintree, MA 02184-2401 | 2012-02-17 |
| 1992935381 | Allison P Daly | Nurse Practitioner | 340 Wood Rd, 305, Braintree, MA 02184-2401 | 2009-07-20 |
| 1780819300 | New England Pain Associates, PC | Anesthesiology | 340 Wood Rd, Ste. 204, Braintree, MA 02184-2401 | 2009-05-27 |
| 1710145867 | Deborah Levenson | Physical Therapist | 340 Wood Rd, Suite 102, Braintree, MA 02184-2401 | 2008-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342234 | Albert Jusu | Counselor | Arbour Counseling Services, 400 Washington Street, Braintree, MA 02184 | 2020-10-05 |
| 1356952378 | Samantha Taylor O'malley | Student in an Organized Health Care Education/Training Program | 639 Granite Street, N/a, Brainetree, MA 02184 | 2020-08-13 |
| 1184104499 | Andrea Boudreau | Social Worker | Coastal Dcf, 220 R Forbes Road, Braintree, MA 02184 | 2018-08-16 |
| 1144747221 | Mina Schafft Dmd Pllc | Dentist | 321 Washington Street, Unit 101, Westwood, MA 02184 | 2017-08-29 |
| 1922520592 | Samson Michel | Counselor | 400 Washington St. Suite 106, Braintree, MA 02184 | 2017-07-14 |
| 1760912653 | Shannon R Harvey | Behavioral Analyst | 501 Commerce Dr 4207, Braintree, MA 02184 | 2017-06-14 |
| 1275074429 | Colleen Dalton | Behavioral Analyst | 32 Powder Hill Dr, Braintree, MA 02184 | 2017-03-20 |
| 1295273266 | Jessica Morris | Occupational Therapist | 16 Kensington Street, Braintree, MA 02184 | 2017-02-09 |
| 1568834562 | Lisa Morrill | Counselor | 400 Washington St Ste 106, Braintree, MA 02184 | 2015-10-29 |
| 1831560382 | Dr Dental of Braintree PC | Dentist | 284 Grove St, Braintree, MA 02184 | 2015-10-09 |
| Find all providers in zip 02184 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437543923 | Natan Seidel | Pediatrics | 340 Wood Rd Ste 301, Braintree, MA 02184-2418 | 2015-03-24 |
| 1063805687 | Tufts Medical Center Community Care, Inc | Pediatrics | 325 Wood Rd, Suite 210, Braintree, MA 02184-2413 | 2015-03-06 |
| 1053501189 | Jonathan H Brenner | Pediatrics | 340 Wood Rd, Suite 301, Braintree, MA 02184-2401 | 2007-07-25 |
| 1053452458 | Scott R. Paul | Pediatrics | 340 Wood Rd, Suite 301, Braintree, MA 02184-2401 | 2007-02-09 |
| 1790896355 | Sari Miettinen | Pediatrics | 111 Grossman Dr, Braintree, MA 02184-4997 | 2006-08-31 |
| 1174572689 | Ben Matthews Willwerth Jr. | Pediatrics | 340 Wood Road, Suite 301, Braintree, MA 02184 | 2006-05-10 |
| 1730147760 | Katherine A Jin | Pediatrics | 340 Wood Rd, Suite 301, Braintree, MA 02184-2401 | 2006-05-01 |
| 1013986694 | Milton Pediatric Associates LLC | Pediatrics | 340 Wood Road, Suite 301, Braintree, MA 02184 | 2006-03-16 |
| 1316927320 | Lydia E Rios | Pediatrics | 111 Grossman Dr, Braintree, MA 02184-4997 | 2006-01-18 |
| 1972581411 | Thomas J Hathaway | Pediatrics | 111 Grossman Dr, Braintree, MA 02184-4997 | 2006-01-05 |
| Find all providers in BRAINTREE | ||||
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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.