DR. ALVIE CARL MCCULLY (NPI# 1225133739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225133739 |
| Entity Type | Individual |
| Full Name | DR. ALVIE CARL MCCULLY |
| Credential | M.D. |
| Practice Address |
730 Live Oak Plantation Rd Tallahassee FL 32312-2411 |
| Practice Telephone | 8503853633 |
| Mailing Telephone | 8503853633 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | ME10310 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAL LICENSE. | ME10310 | 01 |
| Street Address |
730 LIVE OAK PLANTATION RD |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32312-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184274235 | Jennifer Stinson | Technician | 10014 Journeys En, Tallahassee, FL 32312 | 2019-09-19 |
| 1528581766 | Amanda Michele Chandler | Counselor | 2634 Capital Circle N.e., Tallahassee, FL 32312 | 2017-07-19 |
| 1902330871 | Therese Melendez | Recreation Therapist | 9346 Buck Haven Trl, Tallahassee, FL 32312 | 2017-04-17 |
| 1104373240 | Comfortable Care Dental Health Professionals, Pa | Dentist | 5442 Thomasville Rd, Suite 1, Tallahassee, FL 32312 | 2016-09-07 |
| 1568819753 | Kaydi Blackstock | Specialist/Technologist | 7200 Lawton Chiles Ln, Tallahassee, FL 32312 | 2016-05-18 |
| 1275994212 | Tiffany Coleman | Pharmacist | 6680 Thomasville Road, Tallahassee, FL 32312 | 2016-03-18 |
| 1659743235 | Psychological Center | Community/Behavioral Health | 8819 Minnow Creek Dr, Tallahassee, FL 32312 | 2015-10-22 |
| 1780098723 | Andrew Bellebaum | Dentist | 554 Keily Street Bureau of Med and Sur, Centralized Credentials and Privilegeing, Jacksonville, FL 32312 | 2014-06-18 |
| 1851714299 | Hf Acupuncture and Chinese Medicine Center LLC | Acupuncturist | 1282 Timberlane Rd, Tallahassee, FL 32312 | 2014-01-21 |
| 1629326061 | Ana E Raynolds | Speech-Language Pathologist | 3457 Cedarwood Trail, Tallahassee, FL 32312 | 2012-08-15 |
| Find all providers in zip 32312 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972085587 | Passport Health Holdings, LLC | Clinic/Center | 3375 E. Capital Circle Ne Bldg E, Suite 3, Tallahassee, FL 32308-3778 | 2018-08-30 |
| 1639344765 | Tallahassee Vein & Face Clinic Inc | Clinic/Center | 2822 Remington Green Cir, Suite 102, Tallahassee, FL 32308-3769 | 2008-04-29 |
| 1497352587 | Cdr Health Care Inc | Clinic/Center | 1981 Capital Cir Ne, Tallahassee, FL 32308-4421 | 2020-10-02 |
| 1245850239 | Boxton Community Health | Clinic/Center | 2121 W Pensacola St Ste B2, Tallahassee, FL 32304-3151 | 2020-04-20 |
| 1467080036 | Boxton Cares, Inc. | Clinic/Center | 2121 W Pensacola St, Tallahassee, FL 32304-3149 | 2020-03-30 |
| 1467012393 | Tallahassee Memorial Healthcare Inc | Clinic/Center | 2633 Centennial Blvd Ste 100, Tallahassee, FL 32308-0606 | 2019-06-13 |
| 1619536190 | Tallahassee Memorial Healthcare Inc | Clinic/Center | 1609 Physicians Dr, Tallahassee, FL 32308-4620 | 2019-06-10 |
| 1306314190 | Tallahassee Memorial Healthcare Inc | Clinic/Center | 2888 Mahan Dr Ste 6, Tallahassee, FL 32308-5465 | 2018-11-09 |
| 1578075503 | Tallahassee Memorial Healthcare Inc | Clinic/Center | 2929 Capital Medical Blvd, Tallahassee, FL 32308-4407 | 2017-10-31 |
| 1841701729 | Tallahassee Memorial Healthcare Inc | Clinic/Center | 1607 Saint James Ct Ste 2, Tallahassee, FL 32308-5352 | 2017-10-18 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32312 |
Please comment or provide details below to improve the information on DR. ALVIE CARL MCCULLY.
| 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.