BRIAN PETER MCCULLOCH (NPI# 1013943117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013943117 |
| Entity Type | Individual |
| Full Name | BRIAN PETER MCCULLOCH |
| Credential | M.D. |
| Practice Address |
1875 Dempster St Suite 325 Park Ridge IL 60068-1186 |
| Practice Telephone | 8477238610 |
| Mailing Telephone | 8477238610 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
036076949 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ILLINOIS STATE LICENSE NU | 036076949 | 01 |
| IL | TAX ID | 36-4024817 | 01 |
| Street Address |
1875 DEMPSTER ST SUITE 325 |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068-1186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952307092 | The Spine Center, S.c | Orthopaedic Surgery | 1875 Dempster St, Ste 425, Park Ridge, IL 60068-1129 | 2005-06-23 |
| 1124680640 | Heather Ann-marie Owens | Physical Therapist | 1875 Dempster St, Park Ridge, IL 60068-1186 | 2019-07-04 |
| 1467012187 | Eric Joseph Leadley | Nurse Practitioner | 1875 Dempster St, Park Ridge, IL 60068-1186 | 2019-06-14 |
| 1619495868 | Kelly Ryan Warf | Audiologist | 1875 Dempster St, Park Ridge, IL 60068-1186 | 2017-09-07 |
| 1164946919 | Olga Gilman | Nurse Practitioner | 1875 Dempster St, Park Ridge, IL 60068-1186 | 2017-08-02 |
| 1275060972 | Anne Frances Wright | Nurse Practitioner | 1875 Dempster St, Park Ridge, IL 60068-1186 | 2017-05-12 |
| 1558892166 | Maricar A Virina | Obstetrics & Gynecology | 1875 Dempster St, Ste. 330, Park Ridge, IL 60068 | 2017-03-24 |
| 1649711995 | Brian Saliba | Obstetrics & Gynecology | 1875 Dempster St, Suite 330, Park Ridge, IL 60068-1186 | 2017-03-19 |
| 1174069363 | Laura Hunnell | Physician Assistant | 1875 Dempster St, Suite 410, Park Ridge, IL 60068-1186 | 2017-01-11 |
| 1871035121 | Rosina Hannilora Victor | Nurse Practitioner | 1875 Dempster St, #465, Park Ridge, IL 60068-1186 | 2016-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194805002 | Calla M Holmgren | Obstetrics & Gynecology | 1875 Dempster St, Park Ridge, IL 60068-1186 | 2006-10-16 |
| 1366545360 | Guy Steinberg | Obstetrics & Gynecology | 1875 Dempster St, Suite 325, Park Ridge, IL 60068-1186 | 2006-09-06 |
| 1639107360 | James Keller | Obstetrics & Gynecology | 1875 Dempster St, Suite 325, Park Ridge, IL 60068-1186 | 2006-06-29 |
| 1568499044 | Barbara V Parilla | Obstetrics & Gynecology | 1875 W Dempster St, Suite 325, Park Ridge, IL 60068-1186 | 2006-06-28 |
| 1669416756 | Bruce William Pielet | Obstetrics & Gynecology | 1875 Dempster St, Suite 325, Park Ridge, IL 60068-1186 | 2006-06-16 |
| 1225070014 | Thomas A. Iannucci | Obstetrics & Gynecology | 1875 Dempster St, Suite 325, Park Ridge, IL 60068-1186 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639550767 | Robert Kaufmann | Obstetrics & Gynecology | 8220 Farmington Cemetery Rd, Pleasant Plains, IL 62677-3748 | 2015-06-15 |
| 1023413382 | Yvon Jeune Nazon | Obstetrics & Gynecology | 2315 E 93rd St Ste 309, Chicago, IL 60617 | 2014-10-29 |
| 1669761177 | Bethany Treas Stetson | Obstetrics & Gynecology | Northwestern Medical Group, 250 E Superior/03-2304, Chicago, IL 60611 | 2011-04-05 |
| 1821272162 | Farhan Hanif | Obstetrics & Gynecology | 1555 Barrington Rd Ste 215, Hoffman Estates, IL 60169-1063 | 2007-12-21 |
| 1922162551 | Andre Bieniarz | Obstetrics & Gynecology | 820 S. Wood St., M/c 808, Chicago, IL 60612-7313 | 2006-12-20 |
| 1366454316 | Franklyn C Christensen | Obstetrics & Gynecology | 611 W. Park St, Urbana, IL 61801-2500 | 2006-08-11 |
| 1548203615 | Lee C Yang | Obstetrics & Gynecology | 1555 North Barrington Road, Hoffman Estates, IL 60194 | 2006-06-14 |
| 1235171877 | Jude R Duval | Obstetrics & Gynecology | 1425 N Randall Rd Ste 1-2150, Maternal Fetal Consultants, Sc, Elgin, IL 60123-2300 | 2006-06-11 |
| 1679524581 | Jill Kathleen Moran | Obstetrics & Gynecology | 3743 Highland Ave Ste 1002, Downers Grove, IL 60515-1594 | 2006-05-15 |
| 1679549299 | Nawar Hatoum | Obstetrics & Gynecology | 2507 N Halsted St, Chicago Maternal Fetal Medicine, S.c, Chicago, IL 60614-9267 | 2006-02-23 |
| Find all providers with the same taxonomy | ||||
| City | PARK RIDGE |
| Zip Code | 60068 |
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| 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.