Timothy J Mccullough (NPI# 1841345725, PAC ID# 9638448160) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1841345725 |
| PAC ID by PECOS | 9638448160 |
| Professional Enrollment ID | I20170627000821 |
| Full Name | Timothy J Mccullough |
| Organization Legal Name | CENTRA MEDICAL GROUP, LLC |
| Address |
1911 Thomson Dr Lynchburg VA 24501-1008 |
| Phone Number | 4342003901 |
| Gender | M |
| Graduation Year | 1980 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 4789606088 |
| Number of Group Practice Members | 446 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490021 | CENTRA |
| Address | Phone | Organization |
|---|---|---|
| 1911 Thomson Dr, Lynchburg, VA 24501-1008 | 4342003901 | CENTRA MEDICAL GROUP, LLC |
| Organization Legal Name | CENTRA MEDICAL GROUP, LLC |
| Physicians | 53 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laurie R Taylor | Nurse Practitioner | Centra Medical Group, LLC | 130 Enterprise Dr, Danville, VA 24540-4070 |
| Amie E Kennedy | Certified Nurse Midwife | Centra Medical Group, LLC | 2007 Graves Mill Rd, Forest, VA 24551-2656 |
| Assaad M Mounzer | Urology | Centra Medical Group, LLC | 800 Oak St, Farmville, VA 23901-1199 |
| Erin M Baird | Certified Nurse Midwife | Centra Medical Group, LLC | 2007 Graves Mill Rd, Forest, VA 24551-2656 |
| Matthew A Johnson | Family Practice | Centra Medical Group, LLC | 915 S Main St, Farmville, VA 23901-2211 |
| Terry Lea Yeager | Certified Registered Nurse Anesthetist | Centra Medical Group, LLC | 1613 Oakwood St, Suite 101, Bedford, VA 24523-1213 |
| Michelle Adams | Nurse Practitioner | Centra Medical Group, LLC | 800 Oak St, Farmville, VA 23901-1199 |
| Tracy J Langebeck | Nurse Practitioner | Centra Medical Group, LLC | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 |
| Arthur Frank Selden | Clinical Psychologist | Centra Medical Group, LLC | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 |
| Benjamin Taylor Colston | Physician Assistant | Centra Medical Group, LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Street Address |
1911 THOMSON DR |
| City | LYNCHBURG |
| State | VA |
| Zip | 24501-1008 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marie Andrea Lopez | Physician Assistant | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Russell W Campbell | Vascular Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Rachel H Behrmann | Physician Assistant | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| William F Weber Iv | General Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Robert Joseph Albrecht | Vascular Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Christopher K Vincent | Vascular Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| David Cassada | Vascular Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Lawrence F Poletti | General Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Peter J Ploch | General Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Sanam Anwer | Neurology | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Kw Hevener | Physical Therapy | Tidewater Physical Therapy LLC | 2400 Lakeside Dr, Suite 602f, Lynchburg, VA 24501 |
| Jeffrey Kang | General Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Joshua B Alley | General Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Benjamin Taylor Colston | Physician Assistant | Centra Medical Group, LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| John B Blalock Jr. | General Surgery | Centra Medical Group LLC | 1906 Thomson Dr, Lynchburg, VA 24501-1009 |
| Sydney M Ozmar | Physician Assistant | Centra Medical Group LLC | 1906 Thomson Dr, Lynchburg, VA 24501-1009 |
| Amanda B Mcclung | General Surgery | Centra Medical Group LLC | 1906 Thomson Dr, Lynchburg, VA 24501-1009 |
| Clinton S Beverly | General Surgery | Centra Medical Group LLC | 1906 Thomson Dr, Lynchburg, VA 24501-1009 |
| Andrea N Harris | Nurse Practitioner | Centra Medical Group LLC | 1906 Thomson Dr, Lynchburg, VA 24501-1009 |
| Gabrielle Mr Crawford | Nurse Practitioner | Centra Medical Group LLC | 1906 Thomson Dr, Lynchburg, VA 24501-1009 |
| Find all physicians in zip 24501 | |||
| City | LYNCHBURG |
| Zip Code | 24501 |
| Specialty | GENERAL SURGERY |
| City + Specialty | LYNCHBURG + GENERAL SURGERY |
Please comment or provide details below to improve the information on Timothy J Mccullough.
| 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.