GARY LEE MCCULLOCH SR. (NPI# 1568410181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568410181 |
| Entity Type | Individual |
| Full Name | GARY LEE MCCULLOCH SR. |
| Credential | MD |
| Practice Address |
575 Claud Rd Eclectic AL 36024-6318 |
| Mailing Address |
Po Box 241120 Eclectic AL 36024 |
| Practice Telephone | 3345413020 |
| Practice Fax Number | 3345413109 |
| Mailing Telephone | 3345413020 |
| Mailing Fax Number | 3345413109 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2009-12-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 12809 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
575 CLAUD RD |
| City | ECLECTIC |
| State | AL |
| Zip Code | 36024-6318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376613869 | Eclectic Family Care, LLC | Specialist | 575 Claud Rd, Eclectic, AL 36024-6318 | 2006-11-09 |
| 1205905155 | Eclectic Family Pharmacy, Inc. | Pharmacy | 575 Claud Rd, Ste 2000, Eclectic, AL 36024-6318 | 2006-11-07 |
| 1558452771 | Teresa B Hodge | Physician Assistant | 575 Claud Rd, Eclectic, AL 36024-6318 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538564638 | Matthew Lock | Student in an Organized Health Care Education/Training Program | 800 Mullins Rd, Eclectic, AL 36024 | 2014-10-31 |
| 1871739904 | Teresa Lynn Lett | Pharmacist | 575 Claud Road, Suite 2000, Eclectic, AL 36024 | 2008-12-19 |
| 1295833093 | Town of Eclectic | Ambulance | 140 1st Ave, Eclectic, AL 36024 | 2006-09-20 |
| 1760934202 | Ryan Peaden | Chiropractor | 8341 Kowaliga Rd, Eclectic, AL 36024-3749 | 2016-11-01 |
| 1013433861 | Lake Martin Chiropractic Health Center, LLC | Chiropractor | 8341 Kowaliga Rd, Eclectic, AL 36024-3749 | 2017-08-14 |
| 1316205982 | Angels of Compassion LLC. | Home Health | 400 Birmingham Rd, Eclectic, AL 36024-4606 | 2012-05-01 |
| 1982067500 | Kelly Mooney | Pharmacist | 5024 Kowaliga Rd, Eclectic, AL 36024-4809 | 2016-03-31 |
| 1982626842 | Health Services Inc | Clinic/Center | 30 Main St, Eclectic, AL 36024-5614 | 2006-07-23 |
| 1538583570 | Vernita Russell | Community Health Worker | 40 Kowaliga Rd, Eclectic, AL 36024-5618 | 2014-02-11 |
| 1255429197 | Tim Allen Needham | Dentist | 585 Claud Rd, Eclectic, AL 36024-6318 | 2006-10-10 |
| Find all providers in zip 36024 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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| 1750906921 | Doctors Making Home Visits 1st Inc | Family Medicine | 922 S Perry St, Montgomery, AL 36104-5022 | 2020-06-12 |
| Find all providers with the same taxonomy | ||||
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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.