ETHANY LEA CULLEN (NPI# 1679771497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679771497 |
| Entity Type | Individual |
| Full Name | ETHANY LEA CULLEN |
| Credential | MD |
| Practice Address |
421 12th St Nw Byron MN 55920-1391 |
| Mailing Address |
11995 Singletree Ln Ste 500 Eden Prairie MN 55344-5347 |
| Practice Telephone | 9525951100 |
| Practice Fax Number | 6122944903 |
| Mailing Telephone | 9525951301 |
| Mailing Fax Number | 6122944903 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2014-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
51214 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
421 12TH ST NW |
| City | BYRON |
| State | MN |
| Zip Code | 55920-1391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477888949 | Byron Dental Group Pa | Dentist | 21 Ne Frontage Rd., Byron, MN 55920 | 2009-10-16 |
| 1780876557 | Byron Chiropractic, Inc. | Chiropractor | 501 Nw Frontage Rd, Byron, MN 55920 | 2007-08-15 |
| 1881772754 | Douglas Michael Trebtoske | Dentist | 21 Ne Frontage Rd, Byron, MN 55920 | 2006-11-01 |
| 1316105083 | Northwest Dental Group of Rochester | Clinic/Center | 111 Frontage Rd Ne, Byron, MN 55920 | 2008-05-29 |
| 1396818654 | Christina Chew Ganfield | Dentist | 21 Ne Frontage Rd, Byron, MN 55920 | 2006-11-16 |
| 1265599138 | Frederick William Nolting | Dentist | 111 Frontage Rd Ne, Byron, MN 55920-0367 | 2007-01-02 |
| 1225248925 | Dean William Ferber | Chiropractor | 501 Frontage Rd Nw, Byron, MN 55920-1275 | 2007-05-23 |
| 1235301433 | Barrier Free Access Inc | Durable Medical Equipment & Medical Supplies | 1207 Frontage Rd Nw, Byron, MN 55920-1386 | 2008-03-27 |
| 1710066386 | Zumbro Education District #6012 | Local Education Agency (LEA) | 801 Frontage Rd Nw, Byron, MN 55920-1396 | 2006-11-03 |
| 1619118346 | Jeffrey James Glessing | Speech-Language Pathologist | 200 6th St Ne, Byron, MN 55920-1464 | 2009-03-09 |
| Find all providers in zip 55920 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730386111 | Michel Mikhail | Radiology | 202 Timber Ridge Blvd, Byron, GA 31008 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457967234 | Central Imaging LLC | Radiology | 3351 Roosevelt Rd, Saint Cloud, MN 56301-6270 | 2020-09-17 |
| 1053930578 | Dmitriy Shchegolev | Radiology | 14346 Wilson Dr, Eden Prairie, MN 55347-4179 | 2020-04-14 |
| 1306333109 | John Warren Kirby | Radiology | 200 1st St Sw # 507284, Rochester, MN 55905 | 2018-04-17 |
| 1861904765 | Stephanie Dykema | Radiology | 6809 Sandlewood Rd, Woodbury, MN 55125-2175 | 2017-10-31 |
| 1609392349 | Rai Keystone Imaging Services, LLC | Radiology | 5775 Wayzata Blvd Ste 400, St Louis Park, MN 55416-1271 | 2017-08-15 |
| 1235687088 | Jeffery E. Illman | Radiology | 1082 Southern Ridge Dr Sw, Rochester, MN 55902-1854 | 2016-09-21 |
| 1407226582 | Keith W. Johnson | Radiology | 450 Bayview Dr, Roseville, MN 55113-6907 | 2015-10-01 |
| 1164765822 | Robben Andrew Schat | Radiology | 420 Delaware St Se - Mmc 292, Minneapolis, MN 55455-0341 | 2013-04-01 |
| 1326363102 | Gilda Boroumand | Radiology | 1901 Irving Ave S, Minneapolis, MN 55403-2824 | 2010-04-05 |
| 1477880276 | Siobhan Moira Flanagan | Radiology | Mmc 292,420 Delaware Street Se, University of Minnesota Department of Radiology, Minneapolis, MN 55455 | 2009-11-16 |
| 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.