Kim Leslie Mccullough (NPI# 1194777680, PAC ID# 2769676006) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
Nation Provider ID (NPI) | 1194777680 |
PAC ID by PECOS | 2769676006 |
Professional Enrollment ID | I20101101001022 |
Full Name | Kim Leslie Mccullough |
Address |
550 Osborn Blvd Suite 2600 Sault Sainte Marie MI 49783-1852 |
Phone Number | 9066351048 |
Gender | M |
Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
Graduation Year | 1984 |
Primary Specialty | GENERAL SURGERY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
230239 | CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
550 Osborn Blvd, Suite 2600, Sault Sainte Marie, MI 49783-1852 | 9066351048 |
Street Address |
550 OSBORN BLVD SUITE 2600 |
City | SAULT SAINTE MARIE |
State | MI |
Zip | 49783-1852 |
Name | Specialty | Organization | Address |
---|---|---|---|
Phillip W Niemi | General Practice | 550 Osborn Blvd, Suite 202, Sault Sainte Marie, MI 49783-1852 | |
Easa M Al-ghandour | Pulmonary Disease | Chippewa County War Memorial Hospital Inc | 550 Osborn Blvd, Sault Sainte Marie, MI 49783-1899 |
Lorraine Land | Nurse Practitioner | Chippewa County War Memorial Hospital Inc | 550 Osborn Blvd, Sault Sainte Marie, MI 49783-1899 |
Eero J Ranta | Internal Medicine | 550 Osborn Blvd, Suite 204, Sault Sainte Marie, MI 49783-4303 | |
Amy Korzecke | Family Medicine | Chippewa County War Memorial Hospital Inc | 550 Osborn Blvd, Sault Sainte Marie, MI 49783-1899 |
Jaak M Pahn | Family Medicine | 550 Osborn Blvd, Suite 101, Sault Sainte Marie, MI 49783-1852 | |
Paul Troost | Family Practice | Chippewa County War Memorial Hospital Inc | 550 Osborn Blvd, Sault Sainte Marie, MI 49783-1899 |
Name | Specialty | Organization | Address |
---|---|---|---|
Erin M Meehan Amo | Physician Assistant | Lake Superior State University | 650 W Easterday Blvd, Sault Ste Marie, MI 49783 |
Rachel Ann Cron | Physician Assistant | Chippewa County War Memorial Hospital Inc | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 |
Felix Winkler | Anesthesiology | Chippewa County War Memorial Hospital Inc | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 |
Jaimee S Brow | Nurse Practitioner | Chippewa County War Memorial Hospital Inc | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 |
Scott Bartz | Physician Assistant | Chippewa County War Memorial Hospital Inc | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 |
Andres M Seidner | Emergency Medicine | Chippewa County War Memorial Hospital Inc | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 |
Ahmed Abdo Abdel-maksoud | Internal Medicine | Chippewa County War Memorial Hospital Inc | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 |
Kristen N Sawruk | Nurse Practitioner | Chippewa County War Memorial Hospital Inc | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 |
Hannah Patience Eves | Physician Assistant | Chippewa County War Memorial Hospital Inc | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 |
George Abraham | Internal Medicine | Chippewa County War Memorial Hospital Inc | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 |
Find all physicians in zip 49783 |
City | SAULT SAINTE MARIE |
Zip Code | 49783 |
Specialty | GENERAL SURGERY |
City + Specialty | SAULT SAINTE MARIE + GENERAL SURGERY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.