SHAINA MCCULLOUGH (NPI# 1164080685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164080685 |
| Entity Type | Individual |
| Full Name | SHAINA MCCULLOUGH |
| Credential | PA-C |
| Practice Address |
1717 N Interstate 35 Ste 200 Round Rock TX 78664-2901 |
| Mailing Address |
1717 N Interstate 35 Ste 200 Round Rock TX 78664-2901 |
| Practice Telephone | 5129646992 |
| Mailing Telephone | 7123147268 |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2020-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA12984 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1717 N INTERSTATE 35 STE 200 |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78664-2901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710538566 | Brendan Tyler Moores | Physician Assistant | 1717 N Interstate 35 Ste 200, Round Rock, TX 78664-2901 | 2019-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710526900 | Yan Wei Chan | Acupuncturist | 894 Summit St. Suite 109, Round Rock, TX 78664 | 2020-01-06 |
| 1285139030 | Coffee Rx LLC | Pharmacy | 106 S Mays St Ste 100, Round Rock, TX 78664 | 2018-03-26 |
| 1508369224 | Daniel Bernard Hall | Nurse Practitioner | 1700 East Palm Valley Blvd, Roundrock, TX 78664 | 2018-03-09 |
| 1407361561 | Double Creek Assisted Living Lp | Assisted Living Facility | 3200 Louis Henna Blvd., Round Rock, TX 78664 | 2017-12-11 |
| 1396254694 | Gezahgne T Bogale | Driver | 1908 Huxley Ln, Round Rock, TX 78664 | 2017-09-29 |
| 1942728563 | Kathryn Dufresne | Massage Therapist | 896 Summit Street Suite 104b, Round Rock, TX 78664 | 2017-09-04 |
| 1699213686 | I&r Health Services | Case Management | 2501 Louis Henna Blvd Apt 914, Round Rock, TX 78664 | 2017-02-09 |
| 1588018394 | The Heidi Group | Family Medicine | 894 Summit St Ste 108, Round Rock, TX 78664 | 2016-04-18 |
| 1902264963 | Round Rock Emergency Physicians | Clinic/Center | 1925 Aw Grimes Blvd, Round Rock, TX 78664 | 2016-02-05 |
| 1508230137 | Michael Fuentes | Community Health Worker | 117-b Louis Henna Blvd, Ste. 200, Round Rock, TX 78664 | 2015-11-19 |
| Find all providers in zip 78664 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033510151 | Shobha Mathew David | Physician Assistant | 201 University Blvd., Suite 1260, Round Rock, TX 78665 | 2014-09-08 |
| 1538490719 | Debra Kay Smith | Physician Assistant | One Dell Way, Mailstop Rr 8-49 Well At Dell Health Center, Round Rock, TX 78682 | 2010-01-27 |
| 1538338306 | Round Rock Mental Health Pa | Physician Assistant | 1717 N Ih 35 Ste 200, Round Rock, TX 78664-2901 | 2008-02-26 |
| 1760412738 | Julie Anne Schueller | Physician Assistant | 117-b Louis Henna Blvd., Suite 200, Round Rock, TX 78664 | 2006-07-04 |
| 1225021058 | Julie Anne Huela | Physician Assistant | 1240 E Palm Valley Blvd, Round Rock, TX 78664-3202 | 2005-08-26 |
| 1255830345 | Stefany Delascurain | Physician Assistant | 302 University Blvd, Round Rock, TX 78665 | 2018-02-05 |
| 1407366230 | Laura Lovins | Physician Assistant | 4681 College Park, Round Rock, TX 78665-1526 | 2017-10-06 |
| 1699217877 | Elinore Marie Schmidt | Physician Assistant | 7200 Wyoming Springs Dr, Ste. 600, Round Rock, TX 78681-4303 | 2016-11-05 |
| 1972961407 | Kaitlyn Wilkins | Physician Assistant | 2120 N Mays St Ste 430, Round Rock, TX 78664-2108 | 2016-01-28 |
| 1316311913 | Megan Maloney | Physician Assistant | 2400 Round Rock Ave, Round Rock, TX 78681-4004 | 2015-11-19 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78664 |
Please comment or provide details below to improve the information on SHAINA MCCULLOUGH.
| 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.