DR. JOHN JEFFREY MCCULLOUGH (NPI# 1275605768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275605768 |
| Entity Type | Individual |
| Full Name | DR. JOHN JEFFREY MCCULLOUGH |
| Credential | MD |
| Practice Address |
420 Delaware Street Se, Room 760 University of Minnesota Physicians Minneapolis MN 55455 |
| Mailing Address |
University of Minnesota Physicians 420 Delaware Street Se, Mmc 609 Minneapolis MN 55455 |
| Practice Telephone | 6126260622 |
| Practice Fax Number | 6126262696 |
| Mailing Telephone | 6126260622 |
| Mailing Fax Number | 6126262696 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207ZB0001X |
Pathology Specialization: Blood Banking & Transfusion Medicine |
19412 | MN | Allopathic & Osteopathic Physicians |
| X | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
19412 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UCARE | 101363 | 01 | |
| BLUE CROSS BLUE SHIELD | 2T225MC | 01 | |
| IA | 0513234 | 05 | |
| MEDICA CHOICE | 1122551 | 01 | |
| HEALTH PARTNERS | HP22294 | 01 | |
| WI | 34601900 | 05 | |
| PREFERRED ONE | 1009234 | 01 | |
| MEDICA PRIMARY | 11-74546 | 01 | |
| ARAZ | 768254 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407849144 | John Michael Mccullough | Family Medicine | 1739 Schertz Pkwy, Schertz, TX 78154-1639 | 2005-08-29 |
| 1558333062 | John Scott Mccullough | Pathology | 1771 Madison St, Clarksville, TN 37043-4990 | 2006-02-07 |
| 1811979180 | John P Mccullough | Emergency Medicine | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2005-11-14 |
| Street Address |
420 DELAWARE STREET SE, ROOM 760 UNIVERSITY OF MINNESOTA PHYSICIANS |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| Taxonomy Code | 207ZB0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Blood Banking & Transfusion Medicine |
| A physician who specializes in blood banking/transfusion medicine is responsible for the maintenance of an adequate blood supply, blood donor and patient-recipient safety and appropriate blood utilization. Pre-transfusion compatibility testing and antibody testing assure that blood transfusions, when indicated, are as safe as possible. This physician directs the preparation and safe use of specially prepared blood components, including red blood cells, white blood cells, platelets and plasma constituents, and marrow or stem cells for transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033474267 | Patient Readiness Instutute, Inc. | Pathology | 5004 1/2 Xerxes Ave S, Suite 3, Minneapolis, MN 55410-2226 | 2012-07-13 |
| 1992898464 | David Conrad Mair | Pathology | Dept of Lab Med & Path; Univ. of Mn Med. Ctr., 420 Delaware St Se; Mayo Bldg-mmc 609-room D251, Minneapolis, MN 55455 | 2006-10-02 |
| 1194816918 | Sabeen Askari | Pathology | One Veterans Drive, Va Medical Center, Mail Code #113, Minneapolis, MN 55417 | 2006-09-27 |
| 1750732780 | Alexander Lane Braun | Pathology | 420 Delaware St Se, Mmc 609, Mayo D142, Minneapolis, MN 55455 | 2016-06-30 |
| 1962729111 | Andrew David Johnson | Pathology | 420 Delaware St Se, Mmc 609, Minneapolis, MN 55455-0341 | 2010-04-28 |
| 1396906566 | Gizem Tumer | Pathology | 516 Delaware St Se, 7-128 Pwb Mmc 724, Minneapolis, MN 55455-0356 | 2008-06-20 |
| 1841345790 | Linda Roy Varghese | Pathology | 420 Delaware St Se, Mmc293, Minneapolis, MN 55455-0341 | 2007-01-23 |
| 1750476727 | Nicole Zantek | Pathology | 500 Harvard Street Se, Ump Laboratory Medicine & Pathology, Minneapolis, MN 55455 | 2006-10-04 |
| 1972697993 | David Hurley Mckenna Jr. | Pathology | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2006-10-03 |
| 1699783365 | Maya Sasi | Pathology | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2006-08-04 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
Please comment or provide details below to improve the information on DR. JOHN JEFFREY 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.