MARK C CULLEN (NPI# 1497722219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497722219 |
| Entity Type | Individual |
| Full Name | MARK C CULLEN |
| Credential | MD |
| Practice Address |
67 Corporate Dr, 2nd Fl Portsmouth NH 03801 |
| Mailing Address |
7 Marsh Brook Dr Ste 205 Somersworth NH 03878-6523 |
| Practice Telephone | 6038108078 |
| Mailing Telephone | 6037422007 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2020-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
19638 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3117862 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 551 Lone Pine Blvd, The Dalles, OR 97058 | 5415066500 | 5415066501 |
| 7 Marsh Brook Dr Ste 205, Somersworth, NH 03878 | 6037422007 | 6037494605 |
| 73 Corporate Dr Ste 100, Portsmouth, NH 038012847 | 6037422007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215919956 | Mark Richard Cullen | Preventive Medicine | 251 Campus Dr, Msob X338, Stanford, CA 94305-5101 | 2005-11-17 |
| 1033259528 | Mark T Cullen | Dentist | 32850 Us Highway 19 N, Palm Harbor, FL 34684-3115 | 2007-02-07 |
| 1992855753 | Mark S Cullen | Anesthesiology | 1229 Madison St, Suite 1440, Seattle, WA 98104-3586 | 2007-01-11 |
| Street Address |
67 CORPORATE DR, 2ND FL |
| City | PORTSMOUTH |
| State | NH |
| Zip Code | 03801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470305 | Nisha Vanmali | Student in an Organized Health Care Education/Training Program | 25 Newhampshire Ave, Suite 100, Portsmouth, NH 03801 | 2020-06-05 |
| 1528687456 | Raji Shaher | Student in an Organized Health Care Education/Training Program | Portsmouth Regional Hospital, 333 Borthwick Avenue Portsmouth, Nh 03801, Portsmouth, NH 03801 | 2020-04-10 |
| 1790262988 | Naturae, LLC | Naturopath | 501 Islington St., Ste 2b, Portsmouth, NH 03801 | 2018-07-20 |
| 1053854224 | Dewey Theodore Kahn II | Specialist | 105 Corporate Drive, Pease International Tradeport, Northeast Rehabilitation Hospital, Portsmouth, NH 03801 | 2016-11-21 |
| 1609322635 | Cvs Pharmacy | Pharmacist | 674 Islington Street, Portsmouth, NH 03801 | 2016-08-30 |
| 1164978375 | Maureen Mcpadden | Pharmacist | 117 Bow St Unit 114, Portsmouth, NH 03801 | 2016-08-28 |
| 1679922579 | Portsmouth Eye Pllc | Optometrist | 38 Daniel St., Portsmouth, NH 03801 | 2016-06-10 |
| 1659734127 | Sarah Jean Trafton | Nurse Practitioner | 79 Wibird St Apt #1, Portsmouth, NH 03801 | 2016-04-01 |
| 1184095002 | Holding Hope Healing Services, LLC. | Social Worker | 104 Congress St., Suite 303, Portsmouth, NH 03801 | 2015-10-19 |
| 1093185415 | Johanna Miriam Simmerman Mauss | Naturopath | 501 Islington Street, Suite 2b, Portsmouth, NH 03801 | 2015-09-28 |
| Find all providers in zip 03801 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487722377 | Gerardo Dumlao Trinidad | Orthopaedic Surgery | 1729 Kinneys Ln Ste 102, Portsmouth, OH 45662-3166 | 2006-12-01 |
| 1962663237 | Tyler P Welch | Orthopaedic Surgery | 1900 Lafayette Rd, Suite A, Portsmouth, NH 03801-5679 | 2008-06-19 |
| 1851591374 | Charles Joseph Osier Jr. | Orthopaedic Surgery | 620 John Paul Jones Circle, Naval Medical Center Portsmouth, Portsmouth, VA 23708-2178 | 2007-07-23 |
| 1891747770 | Donald Russell Carr Jr. | Orthopaedic Surgery | 620 John Paul Jones Cir, Bone & Joint / Sportsmedicine Institute, Portsmouth, VA 23708-2111 | 2006-05-17 |
| 1417926585 | Christopher Ingard Ellingson | Orthopaedic Surgery | 620 John Paul Jones Cir, Dept. of Orthopaedic Surgery -, Portsmouth, VA 23708 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619268646 | Brendan Thomas Higgins | Orthopaedic Surgery | 264 Pleasant St, Concord, NH 03301 | 2011-04-25 |
| 1942496377 | Jason E Simon | Orthopaedic Surgery | 168 Kinsley St, Nashua, NH 03060-3634 | 2007-09-19 |
| 1225106818 | John M Grobman | Orthopaedic Surgery | 14 Maple St, Suite 100, Gilford, NH 03249-6580 | 2006-12-01 |
| 1285643114 | Kenneth J. Weintraub | Orthopaedic Surgery | 21 E Hollis St, Nashua, NH 03060-2928 | 2006-08-07 |
| 1760416234 | Patrick J Casey | Orthopaedic Surgery | 264 Pleasant St, Concord, NH 03301-2551 | 2006-07-10 |
| 1306870860 | Douglas J Moran | Orthopaedic Surgery | 264 Pleasant St, Concord, NH 03301-2551 | 2006-07-10 |
| 1487687364 | John J O'connor | Orthopaedic Surgery | 264 Pleasant St, Concord, NH 03301-2551 | 2006-07-07 |
| 1518996214 | Peter G Noordsij | Orthopaedic Surgery | 264 Pleasant St, Concord, NH 03301-2551 | 2006-07-03 |
| 1508896176 | Charles Carr | Orthopaedic Surgery | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-07-03 |
| 1770562407 | Gregory W Soghikian | Orthopaedic Surgery | 700 Lake Ave, Suite One, Manchester, NH 03103-2734 | 2006-01-11 |
| Find all providers with the same taxonomy | ||||
| City | PORTSMOUTH |
| Zip Code | 03801 |
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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.