MICHAEL D. MCCULLOCH


Address: 5121 S Cottonwood St, Murray, UT 84107-5701
Phone: 8015074000

MICHAEL D. MCCULLOCH (NPI# 1770742140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770742140
Entity Type Individual
Full Name MICHAEL D. MCCULLOCH
Credential MD
Practice Address 5121 S Cottonwood St
Murray
UT 84107-5701
Practice Telephone 8015074000
Mailing Telephone 8015074000
Enumeration Date 2008-06-02
Last Update Date 2019-04-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
10304627-1205 UT Allopathic & Osteopathic Physicians
Y 207RA0001X Internal Medicine
Specialization: Advanced Heart Failure and Transplant Cardiology
10304627-1205 UT Allopathic & Osteopathic Physicians

Other Providers MICHAEL MCCULLOCH

NPI Name Taxonomy Address Enumeration
1538299029 Michael Mcculloch Acupuncturist 124 Pine St, San Anselmo, CA 94960-2602 2007-03-06
1891935367 Michael Ray Mcculloch Dentist 23020 Highland Knolls #b, Katy, TX 77494-8347 2009-02-24
1033324488 Michael A Mcculloch Pediatrics 1204 W Main St, Charlottesville, VA 22903-2824 2007-05-11

Office Location

Street Address 5121 S COTTONWOOD ST
City MURRAY
State UT
Zip Code 84107-5701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609873595 Sarah Dawn Majercik Surgery 5121 S Cottonwood St, Murray, UT 84107-5701 2005-07-07
1093312183 Cherysh Hubbard Stock Obstetrics & Gynecology 5121 S Cottonwood St, Murray, UT 84107-5701 2020-10-02
1922605062 Sydney Schuessler Occupational Therapist 5121 S Cottonwood St, Murray, UT 84107-5701 2020-10-01
1790398931 Elayne Manuela Pereira Physical Therapist 5121 S Cottonwood St, Murray, UT 84107-5701 2020-08-27
1205449436 Jared Hunt Physical Therapist 5121 S Cottonwood St, Murray, UT 84107-5701 2020-08-27
1386256428 Sarah Emily Boyt Dietitian, Registered 5121 S Cottonwood St, Murray, UT 84107-5701 2020-08-19
1972111417 Megan Neiheiser Occupational Therapist 5121 S Cottonwood St, Murray, UT 84107-5701 2020-07-21
1114535515 Cory Ray Briggle Occupational Therapist 5121 S Cottonwood St, Murray, UT 84107-5701 2020-07-21
1528676509 Melanie Nicole Emmerson Genetic Counselor, MS 5121 S Cottonwood St, Murray, UT 84107-5701 2020-07-16
1205452844 Kendall Snyder Genetic Counselor, MS 5121 S Cottonwood St, Murray, UT 84107-5701 2020-06-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902410517 Brielle Nicole Poulter Student in an Organized Health Care Education/Training Program 345 East 4500 So #260, Murray, UT 84107 2020-09-01
1467016592 Ashlee Brown Social Worker C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 2019-04-24
1568940633 Samantha Duff Occupational Therapist 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 2018-08-01
1881185247 Derek John Sharp Occupational Therapist 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 2018-05-22
1093223091 Erin Nicole Hill Counselor 345 East 4500 South Suite 260, Murray, UT 84107 2018-01-12
1588171219 Nicole Danielle Jensen Counselor 345 East 4500 South, Suite 260, Murray, UT 84107 2018-01-03
1043725799 Greater Endodontics LLC Dentist 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 2017-12-04
1043739667 Karyn K Hodge Audiologist 4500 So. 777. E. Ste #110, Murray, UT 84107 2017-09-14
1912426750 Brandon C Burton Specialist/Technologist, Other Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 2017-09-13
1396261152 Megan Lehane Delano Plastic Surgery 5169 Cottonwood St Ste 420, Murray, UT 84107 2017-08-14
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Taxonomy Information

Taxonomy Code 207RA0001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Advanced Heart Failure and Transplant Cardiology

Taxonomy Definition

Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Notes: Source: American Board of Internal Medicine, www.abim.org [7/1/2015: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417377615 Kevin Felpel Internal Medicine 30 N 1900 E Rm 4a100, Salt Lake City, UT 84132-0002 2014-04-26
1538390869 Poorna Lingeswari Nalabothu Internal Medicine 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124-1236 2009-08-04

Competitor

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City MURRAY
Zip Code 84107

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Dataset Information

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.

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