THOMAS CULLEN (NPI# 1124347117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124347117 |
| Entity Type | Individual |
| Full Name | THOMAS CULLEN |
| Credential | M.D. |
| Practice Address |
2925 Ryan Dr Se Salem OR 97301-9687 |
| Practice Telephone | 5033991262 |
| Practice Fax Number | 5033710777 |
| Mailing Telephone | 5033991262 |
| Mailing Fax Number | 5033710777 |
| Enumeration Date | 2010-05-31 |
| Last Update Date | 2018-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
MD175488 | OR | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD175488 | OR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3181 Sw Sam Jackson Park Rd, Portland, OR 972393011 | 5034940990 | 5034944982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548481971 | Thomas Peter Cullen | Counselor | 123 South Cayuga St. #2, Ithaca, NY 14850 | 2007-05-02 |
| 1285632802 | Thomas J Cullen Jr. | Psychologist | 9331 Old Bustleton Ave, Suite 101, Philadelphia, PA 19115-4634 | 2005-07-08 |
| 1245254481 | Thomas Patrick Cullen | Social Worker | 4184 Seneca St, Suite 208, West Seneca, NY 14224-3051 | 2006-07-27 |
| 1730156043 | Thomas Edward Cullen | Internal Medicine | 777 Rural Ave, Williamsport, PA 17701-3109 | 2006-03-06 |
| Street Address |
2925 RYAN DR SE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-9687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417908757 | Jose Novoa | Radiology | 2925 Ryan Dr Se, Salem, OR 97301-9687 | 2006-05-12 |
| 1083255541 | Kristi Souza | Physician Assistant | 2925 Ryan Dr Se, Salem, OR 97301-9687 | 2019-10-04 |
| 1306494638 | Hazel Milano | Physician Assistant | 2925 Ryan Dr Se, Salem, OR 97301-9687 | 2019-08-29 |
| 1255804233 | Shannon Jean Palmer | Physician Assistant | 2925 Ryan Dr Se, Salem, OR 97301-9687 | 2019-01-02 |
| 1326454885 | Jessica M Hoyle | Radiology | 2925 Ryan Dr Se, Salem, OR 97301-9687 | 2014-07-05 |
| 1104236371 | Lauren A Hodgson | Physician Assistant | 2925 Ryan Dr Se, Salem, OR 97301-9687 | 2014-04-28 |
| 1053721258 | Jason Cody Hedge | Radiology | 2925 Ryan Dr Se, Salem, OR 97301-9687 | 2014-04-28 |
| 1174940126 | David Prosser | Radiology | 2925 Ryan Dr Se, Salem, OR 97301-9687 | 2014-03-27 |
| 1659639557 | Ryan Moore | Radiology | 2925 Ryan Dr Se, Salem, OR 97301 | 2012-04-27 |
| 1710252036 | Tyler Robert Moore | Radiology | 2925 Ryan Dr Se, Salem, OR 97301 | 2012-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 2085P0229X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Pediatric Radiology |
| A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184067076 | Emily Amos Edwards | Radiology | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 | 2013-04-10 |
| 1568620821 | Andrew Phelps | Radiology | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2008-05-22 |
| 1356540314 | Peter Andrew Marcovici | Radiology | 10180 Se Sunnyside Rd, Kaiser Sunnyside Medical Center, Clackamas, OR 97015-8970 | 2007-07-11 |
| 1952510778 | Chirag V Patel | Radiology | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2007-05-21 |
| 1639384035 | Paul Marten | Radiology | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2007-05-11 |
| 1063428308 | North Bend Medical Center Inc | Radiology | 1900 Woodland Dr, Coos Bay, OR 97420-0000 | 2006-07-31 |
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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.