MR. HUGH CHARLES MCCULLOUGH (NPI# 1891068052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891068052 |
| Entity Type | Individual |
| Full Name | MR. HUGH CHARLES MCCULLOUGH |
| Credential | PA-C |
| Practice Address |
2210 Wilborn Ave South Boston VA 24592-1630 |
| Mailing Address |
7203 Quincy Ave Falls Church VA 22042-1621 |
| Practice Telephone | 4345755864 |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2012-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110003825 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942446604 | Hugh Bennett Mccullough | Family Medicine | 910 Independence St, Sturgis, MI 49091-2306 | 2008-12-31 |
| Street Address |
2210 WILBORN AVE |
| City | SOUTH BOSTON |
| State | VA |
| Zip Code | 24592-1630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922077254 | Terrance J Truitt | Internal Medicine | 2210 Wilborn Ave, South Boston, VA 24592-1630 | 2006-03-17 |
| 1659842557 | Blake Aaron Rogers | Physician Assistant | 2210 Wilborn Ave, South Boston, VA 24592-1630 | 2018-12-17 |
| 1548530827 | Nicholas Robert Hall | Physician Assistant | 2210 Wilborn Ave, South Boston, VA 24592-1630 | 2012-01-04 |
| 1154593036 | Chad Michael Henry | Internal Medicine | 2210 Wilborn Ave, South Boston, VA 24592-1630 | 2008-03-31 |
| 1659388981 | Robert A Durr | Internal Medicine | 2210 Wilborn Ave, South Boston, VA 24592-1630 | 2006-08-01 |
| 1023025202 | Joseph Michael Compton | Physician Assistant | 2210 Wilborn Ave, South Boston, VA 24592-1630 | 2006-08-01 |
| 1386609899 | Remberto Jose Bitar | Internal Medicine | 2210 Wilborn Ave, South Boston, VA 24592-1630 | 2006-04-18 |
| 1427018829 | James F Witko | Internal Medicine | 2210 Wilborn Ave, South Boston, VA 24592-1630 | 2006-03-28 |
| 1275502510 | Jonathan M Lenzen | Internal Medicine | 2210 Wilborn Ave, South Boston, VA 24592-1630 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966398 | Transformations Center for Health Wellness LLC | Counselor | 2170 Sandy Beach Road, South Boston, VA 24592 | 2019-11-12 |
| 1740830215 | Kirstyn Lokker | Occupational Therapist | 1 High School Circle, South Boston, South Boston, VA 24592 | 2019-09-17 |
| 1841764248 | Nicole Ivey | Occupational Therapy Assistant | 103 Rosehil Rd, South Boston, VA 24592 | 2019-01-18 |
| 1841700960 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 130 Aubreys Loop, South Boston, VA 24592 | 2017-10-03 |
| 1659828820 | Family Preservation Services, Inc | Community/Behavioral Health | 1 High School Circle, South Boston, VA 24592 | 2016-09-06 |
| 1316222821 | Family and Children Enrichment Services Inc. | Health Maintenance Organization | 220 Paradise Lane, South Boston, VA 24592 | 2011-10-15 |
| 1326365578 | Brinda Howard | Nurse's Aide | 104 Love Shop Park Rd Lot #25, South Boston, VA 24592 | 2010-04-28 |
| 1356513543 | Betts Medical Supplies, LLC. | Durable Medical Equipment & Medical Supplies | 403 Factory Street, Suite B, South Boston, VA 24592 | 2008-03-27 |
| 1407051873 | Dominion Health Medical Assoc | Legal Medicine | 101 Aubrey's Loop Rd, South Boston, VA 24592 | 2007-06-18 |
| 1437352945 | Behavioral Health Associates, Inc. | Non-emergency Medical Transport (VAN) | 515 Yancey Ave, South Boston, VA 24592 | 2007-06-11 |
| Find all providers in zip 24592 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538723820 | Rebecca Rejto | Physician Assistant | 777 E 4th St, South Boston, MA 02127-3259 | 2019-04-23 |
| 1023567153 | Mulbriar Emergency Physicians LLC | Physician Assistant | 2204 Wilborn Ave, South Boston, VA 24592-1645 | 2016-09-30 |
| 1205381621 | Banister River Emergency Physicians LLC | Physician Assistant | 2204 Wilborn Ave, South Boston, VA 24592-1645 | 2016-08-16 |
| 1508258013 | Mary Courtney Capstack | Physician Assistant | 2204 Wilborn Ave, South Boston, VA 24592-1645 | 2015-02-21 |
| 1538570742 | Ashley Pritchett | Physician Assistant | 2204 Wilborn Ave, South Boston, VA 24592-1645 | 2014-05-12 |
| 1629499082 | Rodney Bowen | Physician Assistant | 2204 Wilborn Ave, South Boston, VA 24592-1645 | 2014-01-02 |
| 1285970236 | Katherine Gambino | Physician Assistant | 2232 Wilborn Ave, Suite G, South Boston, VA 24592-1662 | 2012-12-19 |
| 1457646861 | Dustin B Allen | Physician Assistant | 2204 Wilborn Ave, South Boston, VA 24592-1645 | 2011-06-14 |
| 1861641540 | Jenilee Rose Foster | Physician Assistant | 2204 Wilborn Ave, South Boston, VA 24592-1645 | 2008-09-17 |
| 1235388125 | Christopher Charles Kemp | Physician Assistant | 2204 Wilborn Ave, South Boston, VA 24592-1645 | 2008-09-16 |
| Find all providers in SOUTH BOSTON | ||||
| City | SOUTH BOSTON |
| Zip Code | 24592 |
Please comment or provide details below to improve the information on MR. HUGH CHARLES MCCULLOUGH.
| 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.