Charles L Mccullouch (NPI# 1710964754, PAC ID# 8729066923) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1710964754 |
| PAC ID by PECOS | 8729066923 |
| Professional Enrollment ID | I20040713001089 |
| Full Name | Charles L Mccullouch |
| Organization Legal Name | EMERGENCY ROOM MD LLC |
| Address |
562 E Main St Er Services Louisville MS 39339-2742 |
| Phone Number | 6627795150 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 7517134638 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250027 | WINSTON MEDICAL CENTER & SWINGBED |
| Address | Phone | Organization |
|---|---|---|
| 562 E Main St, Er Services, Louisville, MS 39339-2742 | 6627795150 | EMERGENCY ROOM MD LLC |
| Organization Legal Name | EMERGENCY ROOM MD LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marcus A Crittenden | Emergency Medicine | Emergency Room Md LLC | 562 E Main St, Er Services, Louisville, MS 39339-2742 |
| Joel A Butler | Emergency Medicine | Emergency Room Md LLC | 562 E Main St, Physician Services, Louisville, MS 39339-2742 |
| Christopher Behr | Emergency Medicine | Emergency Room Md LLC | 562 E Main St, Louisville, MS 39339-2742 |
| Michael A Henry | General Surgery | Emergency Room Md LLC | 562 E Main St, Louisville, MS 39339-2742 |
| Street Address |
562 E MAIN ST ER SERVICES |
| City | LOUISVILLE |
| State | MS |
| Zip | 39339-2742 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marcus A Crittenden | Emergency Medicine | Emergency Room Md LLC | 562 E Main St, Er Services, Louisville, MS 39339-2742 |
| Joel A Butler | Emergency Medicine | Emergency Room Md LLC | 562 E Main St, Physician Services, Louisville, MS 39339-2742 |
| Christopher Behr | Emergency Medicine | Emergency Room Md LLC | 562 E Main St, Louisville, MS 39339-2742 |
| Michael A Henry | General Surgery | Emergency Room Md LLC | 562 E Main St, Louisville, MS 39339-2742 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica C Mills | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Hayden Stokes Kilgore | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Emily Jenkins Stidham | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| James Dustin Gentry | Family Medicine | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Ashley Thomas Davis | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Jennifer Palmer | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Emily Davis Perkins | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Kali Dempsey Rogers | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Michael L Ard | Family Medicine | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Hannah Stewart | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Find all physicians in zip 39339 | |||
| City | LOUISVILLE |
| Zip Code | 39339 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | LOUISVILLE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Charles L Mccullouch.
| 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.