DAVID LEGARDE MCCULLOUGH (NPI# 1093798795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093798795 |
| Entity Type | Individual |
| Full Name | DAVID LEGARDE MCCULLOUGH |
| Credential | MD |
| Practice Address |
500 Pineview Dr Suite 101 Kernersville NC 27284-3812 |
| Practice Telephone | 3364235085 |
| Mailing Telephone | 3364235085 |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2007-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 14259 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS NC | 55826 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245738178 | David Earl Mccullough | Counselor | 414 E Tuscaloosa St, Florence, AL 35630 | 2018-01-25 |
| 1780811042 | David Bruce Mccullough | Physical Therapy Assistant | 3050 N Ormsby Blvd, Carson City, NV 89703-8378 | 2009-06-14 |
| 1740433663 | David R Mccullough | Registered Nurse | 5901 Zuni Rd Se, Albuquerque, NM 87108-3073 | 2008-10-23 |
| 1063590024 | David Reese Mccullough | Counselor | 2 N Water St, Sapulpa, OK 74066-2816 | 2006-11-01 |
| 1336174549 | David W Mccullough | Family Medicine | 6475 Camden Ave, Suite 105, San Jose, CA 95120 | 2006-07-12 |
| 1669437851 | David Hurd Mccullough | Ophthalmology | 112 Quarry Rd, Suite 150, Trumbull, CT 06611-4816 | 2006-04-19 |
| Street Address |
500 PINEVIEW DR SUITE 101 |
| City | KERNERSVILLE |
| State | NC |
| Zip Code | 27284-3812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134677396 | Anesthesia Services Associates Pllc | Anesthesiology | 500 Pineview Dr, Ste 205, Kernersville, NC 27284-3812 | 2016-09-16 |
| 1487902789 | Forsyth Memorial Hospital Inc | Family Medicine | 500 Pineview Dr, Suite 101, Kernersville, NC 27284-3813 | 2012-08-17 |
| 1417242439 | Forsyth Memorial Hospital Inc | Internal Medicine | 500 Pineview Dr, Suite 101, Kernersville, NC 27284-3813 | 2011-06-17 |
| 1255481180 | Matthew E Levy | Internal Medicine | 500 Pineview Dr, Suite 101, Kernersville, NC 27284-3812 | 2007-01-11 |
| 1588711303 | John Lambeth | Internal Medicine | 500 Pineview Dr, Suite 101, Kernersville, NC 27284-3812 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549047 | Katie Lee Sherman | Student in an Organized Health Care Education/Training Program | 9372 Pumpkin Ridge Rd, Kernersville, NC 27284 | 2020-02-07 |
| 1861049231 | Bethany Medical Center | Internal Medicine | 975 Hwy 66 S, Kernersville, NC 27284 | 2019-08-21 |
| 1114490810 | Lindsey Sarvis | Social Worker | 2301 Lake Shore Reserve Court, Kernersville, NC 27284 | 2019-01-04 |
| 1073091088 | Gastroenterology Associates of The Piedmont, P.a. | Internal Medicine | 445 Pineview Dr Ste 200b, Kernersville, NC 27284 | 2018-08-01 |
| 1942786629 | Brea Anjanee' Washington | Nurse Practitioner | 1635 Nc 66 South, Suite 145, Kernersville, NC 27284 | 2018-07-16 |
| 1992216246 | Charley Elizabeth Cummings | Physician Assistant | 1635 Nc-66, Kernersville, NC 27284 | 2017-10-13 |
| 1902324304 | Susan Marie Garcia | Counselor | 822 Old Winston Road, Suite 5, Kernersville, NC 27284 | 2017-09-06 |
| 1871034603 | Ljp Lab LLC | Clinical Medical Laboratory | 495 Arbor Hill Rd Ste S, Kernersville, NC 27284 | 2017-03-13 |
| 1912446253 | Knew Era Consulting | Counselor | 335 Creekview Drive, Kernersville, NC 27284 | 2017-02-20 |
| 1144686593 | Amber Moore | Counselor | 822 Old Winston Rd, Suite 5, Kernersville, NC 27284 | 2016-01-14 |
| Find all providers in zip 27284 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063963080 | Novant Medical Group, Inc | Urology | 1730 Kernersville Medical Pkwy Ste 303, Kernersville, NC 27284-7198 | 2016-10-14 |
| 1326538984 | Forsyth Memorial Hospital, Inc | Urology | 1730 Kernersville Medical Pkwy Ste 303, Kernersville, NC 27284-7198 | 2018-05-18 |
| 1164881462 | Novant Medical Group Inc | Urology | 445 Pineview Dr, Suite 200, Kernersville, NC 27284-3818 | 2016-02-15 |
| 1841487006 | Carolina Urological Associates, P.a. | Urology | 445 Pineview Dr, Suite 230, Kernersville, NC 27284-3817 | 2007-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528673423 | Meredith Abernethy | Urology | 140 Kimel Park Dr # 100, Winston Salem, NC 27103-6184 | 2020-09-09 |
| 1942833678 | Joshua Daniel Howell | Urology | 10650 Park Rd Ste 320, Charlotte, NC 28210-8543 | 2020-02-21 |
| 1144887019 | Shuo Liu | Urology | Department of Urology Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2019-05-25 |
| 1427563725 | Hifu Prostate Services, LLC | Urology | 4108 Park Rd Ste 205, Charlotte, NC 28209-2260 | 2017-12-08 |
| 1134644859 | Ilan Binyamin Klein | Urology | Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 | 2017-08-03 |
| 1184163883 | Dlp Central Carolina Medical Group LLC | Urology | 1139 Carthage St Ste 110-b, Sanford, NC 27330-4111 | 2017-02-15 |
| 1578007225 | Cumberland County Hospital System Inc | Urology | 805 Tilghman Dr, Suite A, Dunn, NC 28334-5887 | 2016-12-15 |
| 1588019152 | Murphy Medical Center, Inc. | Urology | 75 Medical Park Ln Ste A, Murphy, NC 28906-6673 | 2016-05-02 |
| 1427446723 | Regional Physicians LLC | Urology | 217- 218 Gatewood Ave, High Point, NC 27262-4877 | 2015-01-08 |
| 1841695004 | Thomas Barnett Mobley IIi | Urology | 1413 Landfall Dr, Wilmington, NC 28405-4251 | 2014-10-30 |
| Find all providers with the same taxonomy | ||||
| City | KERNERSVILLE |
| Zip Code | 27284 |
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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.