GEORGE DAVID MCCULLOUGH (NPI# 1184618233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184618233 |
| Entity Type | Individual |
| Full Name | GEORGE DAVID MCCULLOUGH |
| Credential | PA |
| Practice Address |
1051 S Hickory St Ste A Melbourne FL 32901-1962 |
| Mailing Address |
Po Box 561600 Health First Physicians Inc Rockledge FL 32956-1600 |
| Practice Telephone | 3214348878 |
| Practice Fax Number | 3214348881 |
| Mailing Telephone | 3214348878 |
| Mailing Fax Number | 3214348881 |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA 1918 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013226455 | George W. Mccullough | Registered Nurse | 125 N. Bloomfield Rd., #15, Canandaigua, NY 14424-1008 | 2010-10-04 |
| 1780802397 | George Landon Mccullough | Pharmacist | 175 Flower Valley Shopping Ctr, Lindbergh At New Halls Ferry Rd, Florissant, MO 63033-1643 | 2007-04-22 |
| Street Address |
1051 S HICKORY ST STE A |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-1962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386617066 | Vonda Bobart | Anesthesiology | 1051 S Hickory St, Melbourne, FL 32901-1962 | 2006-02-11 |
| 1679556864 | Doctors Gi Partnership Ltd | Clinic/Center | 1051 S Hickory St, Suite K, Melbourne, FL 32901-1962 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093263873 | Kaitlin Lassen | Physician Assistant | 8057 Spyglass Hill Rd Ste 104, Melbourne, FL 32940-8565 | 2016-09-21 |
| 1386815835 | Jessica L Boudreaux-milligan | Physician Assistant | 2290 W Eau Gallie Blvd Ste 210b, Melbourne, FL 32935 | 2008-03-12 |
| 1013106376 | Sabrina Wu Staples | Physician Assistant | 3337 Hoofprint Dr, Melbourne, FL 32940-2304 | 2007-10-23 |
| 1528032547 | David A Harris | Physician Assistant | 1341 Medical Park Dr Ste 201, Melbourne, FL 32901 | 2006-02-15 |
| 1023094414 | Patrick Gene Campbell | Physician Assistant | 1494 Avocado Ave, Melbourne, FL 32935-6532 | 2005-12-19 |
| 1255877981 | Michael Paul Teepe | Physician Assistant | 1341 Medical Park Dr Ste 201, Melbourne, FL 32901-3235 | 2017-01-19 |
| 1336597137 | Barbara Suzanne Coleman | Physician Assistant | 1341 Medical Park Dr Ste 201, Melbourne, FL 32901-3235 | 2016-06-02 |
| 1144687534 | Alexis Best | Physician Assistant | 1223 Gateway Dr Ste 1e, Melbourne, FL 32901-2607 | 2016-01-15 |
| 1346662103 | Casey W Langel | Physician Assistant | 2222 S Harbor City Blvd, Suite 610, Melbourne, FL 32901-5594 | 2014-01-14 |
| 1538501879 | Jennifer J Odom | Physician Assistant | 1350 Hickory St, Melbourne, FL 32901-3224 | 2013-07-29 |
| Find all providers in MELBOURNE | ||||
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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.