TINA L MCCULLOUGH (NPI# 1558636332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558636332 |
| Entity Type | Individual |
| Full Name | TINA L MCCULLOUGH |
| Credential | NP-C |
| Practice Address |
1330 Clark St Cambridge OH 43725-9614 |
| Mailing Address |
859 N Main St Malta OH 43758-9007 |
| Practice Telephone | 7404219530 |
| Practice Fax Number | 7404219531 |
| Mailing Telephone | 7409626111 |
| Mailing Fax Number | 7409622182 |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2015-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
COA.12918-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0062479 | 05 |
| Street Address |
1330 CLARK ST |
| City | CAMBRIDGE |
| State | OH |
| Zip Code | 43725-9614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972711851 | Michael Albert Dundr | General Practice | 1330 Clark St, Cambridge, OH 43725-9614 | 2007-05-21 |
| 1528671955 | Bobak Youssefi | Registered Nurse | 1330 Clark St, Cambridge, OH 43725-9614 | 2020-08-25 |
| 1902418411 | Emily Grace Yanico | Physician Assistant | 1330 Clark St, Cambridge, OH 43725-9614 | 2020-08-18 |
| 1033595673 | Kadi Lepi Addy | Nurse Practitioner | 1330 Clark St, Cambridge, OH 43725-9614 | 2015-08-05 |
| 1881078566 | Muskingum Valley Health Centers | Clinic/Center | 1330 Clark St, Cambridge, OH 43725-9614 | 2015-07-13 |
| 1295118883 | Muskingum Valley Health Centers | Clinic/Center | 1330 Clark St, Cambridge, OH 43725-9614 | 2015-07-01 |
| 1275826463 | Andrea Nicole O'hanlon | Physician Assistant | 1330 Clark St, Cambridge, OH 43725-9614 | 2011-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849619 | Judith Olden | Home Health Aide | 807 N7th St., Cambridge, OH 43725 | 2020-10-19 |
| 1215419676 | Zak Harper | Student in an Organized Health Care Education/Training Program | 4245 College Hill Road, Cambridge, OH 43725 | 2018-09-02 |
| 1184133720 | Nancy Lou Mcintire | Counselor | 927 Wheeling Ave Suite 310, Cambridge, OH 43725 | 2017-09-27 |
| 1356877559 | Jane Engott | Counselor | 841 Stubenville Ave, Cambridge, OH 43725 | 2017-05-08 |
| 1316470701 | Kendra Winland | Case Management | 841 Steubenville Ave., Cambridge, OH 43725 | 2017-04-04 |
| 1609319870 | Candi Frame | Social Worker | 225 Woodlawn Ave, Cambridge, OH 43725 | 2016-11-21 |
| 1659727808 | William Andrew Kuebler | Pharmacist | 61690 Southgate Pkwy, Cambridge, OH 43725 | 2016-05-06 |
| 1790176758 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 503 Columbia Court, Cambridge, OH 43725 | 2015-02-12 |
| 1508257569 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 66620 Westgate Drive, Cambridge, OH 43725 | 2015-02-12 |
| 1558773432 | Altens Womens Health, LLC | Obstetrics & Gynecology | 65007 Old 21 Rd, Cambridge, OH 43725 | 2014-05-27 |
| Find all providers in zip 43725 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379844 | Austin Keith Gydesen | Nurse Practitioner | 1022 Pacific St, Cambridge, NE 69022-3517 | 2020-09-03 |
| 1922626068 | Holly Grace Duddy | Nurse Practitioner | 111 Sciarappa St Apt 3, Cambridge, MA 02141-2149 | 2020-07-06 |
| 1447877311 | Page Tomlinson | Nurse Practitioner | 272 No Main St Suite 101, Cambridge, VT 05444-0102 | 2020-06-26 |
| 1053948828 | Afomia Bekele | Nurse Practitioner | 603 Concord Ave Unit 204, Cambridge, MA 02138-1198 | 2020-03-23 |
| 1366072647 | Megan Oslund | Nurse Practitioner | 1586 345th Trl Ne, Cambridge, MN 55008-5711 | 2020-01-25 |
| 1538705314 | Jennifer Marlene Hess | Nurse Practitioner | 14011 E Pike Rd, Cambridge, OH 43725-9166 | 2019-11-27 |
| 1841780038 | Cassie Lynn Hugebeck | Nurse Practitioner | 62089 Savage Rd, Cambridge, OH 43725-9760 | 2018-05-14 |
| 1497275804 | Blake Coulter Mcknight | Nurse Practitioner | 272 North Main Street, #101, Cambridge, VT 05444 | 2017-06-27 |
| 1669922589 | Molly Ariel Shear | Nurse Practitioner | 29 Copley St, Cambridge, MA 02138-1238 | 2016-10-04 |
| 1508268061 | Erica Tassinari | Nurse Practitioner | 300 Mount Auburn St Ste 310, Cambridge, MA 02138-5665 | 2014-09-16 |
| Find all providers in CAMBRIDGE | ||||
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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.