ELIZABETH MCCULLOUGH (NPI# 1508060898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508060898 |
| Entity Type | Individual |
| Full Name | ELIZABETH MCCULLOUGH |
| Credential | M.D. |
| Practice Address |
4266 Sunbeam Rd Jacksonville FL 32257-2425 |
| Mailing Address |
623 N Blandena St Portland OR 97217-2618 |
| Practice Telephone | 9044077700 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2017-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME116553 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447416169 | Elizabeth Ann Mccullough | Specialist | 430 Sardis Rd, Union, SC 29379-8715 | 2008-08-01 |
| 1649227802 | Elizabeth Lane Mccullough | Psychiatry & Neurology | 16836 Newburgh Rd, Upc Livonia, Livonia, MI 48154 | 2006-05-30 |
| 1548496763 | Elizabeth Ann Mccullough | Counselor | 1814 Franklin St, Oakland, CA 94612-3487 | 2009-06-02 |
| Street Address |
4266 SUNBEAM RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32257-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134126774 | Community Hospice of N.e. Florida | Hospice Care, Community Based | 4266 Sunbeam Rd, Jacksonville, FL 32257-6030 | 2005-06-28 |
| 1851909808 | Allison Raquel Monique Sapp | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2020-07-15 |
| 1366066615 | Caitlin Elizabeth Mills | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2020-06-02 |
| 1407495062 | Kizzy Michelle Mccray-sheppard | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2019-12-31 |
| 1275016560 | Paula J Hoffman | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2018-09-12 |
| 1033620208 | Jennifer A Schroeder | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2017-10-16 |
| 1245770379 | Latonya Denise Green | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257 | 2017-03-08 |
| 1255877452 | Tiffany Lynne Odell | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2017-01-11 |
| 1336683705 | Adrienne Boyd Hampton | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2016-12-05 |
| 1932651528 | Tameka Nicole Hammond | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2016-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835842 | Majdoline Kasera | Pharmacist | 11250-4 Old St Augustine Rd, Jacksonville, FL 32257 | 2019-08-06 |
| 1386203859 | Jetaime Y Lewis | Physical Therapist | 9765 San Jose Blvd Ste 6, Jacksonville, FL 32257 | 2019-06-10 |
| 1437622107 | Michelle Espanol Garcia | Nurse Practitioner | 9957 Moorings Dr Ste 204, Jacksonville, FL 32257 | 2019-01-05 |
| 1982172995 | Pacifica Augustine Road LLC | Alzheimer Center (Dementia Center) | 10660 Old Augustine Road, Jacksonville, FL 32257 | 2018-11-07 |
| 1659860492 | Andrea Leigh Miller | Social Worker | 10416 Spotted Fawn Lane, Jacksonville, FL 32257 | 2018-05-08 |
| 1376049965 | Stephanie Lynne Jordon | Nurse Practitioner | 9765 San Jose Blvd Ste 102, Jacksonville, FL 32257 | 2018-04-02 |
| 1205335619 | Annetta Aileen Brown | Respite Care | 4901 Sunbeam Rd Apt 1016, Jacksonville, FL 32257 | 2018-02-12 |
| 1841714888 | Freda Stevens | Counselor | 9521 Shellie Road Unit 13, Jacksonville, FL 32257 | 2017-08-01 |
| 1659821353 | Jennifer Lavoro | Acupuncturist | 11259 Thomaston Pl, Jacksonville, FL 32257 | 2016-10-06 |
| 1225488232 | Avenues Dental LLC | Dentist | 6144 Gazebo Park Place South, Ste 210, Jacksonville, FL 32257 | 2016-06-21 |
| Find all providers in zip 32257 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004329 | Colin Craig Rowell | Internal Medicine | 4500 San Pablo Rd S Fl 32, Jacksonville, FL 32224-1865 | 2020-05-17 |
| 1457982977 | Ateeque Khan, Md P.a. | Internal Medicine | 3659 Eastbury Dr, Jacksonville, FL 32224-1659 | 2020-02-03 |
| 1013478221 | Naji Maaliki | Internal Medicine | 653-1 W 8th St Fl L184, Jacksonville, FL 32209-6511 | 2019-03-29 |
| 1770043259 | Fadi Kandah | Internal Medicine | 653-1 W 8th St # L15, Jacksonville, FL 32209-6511 | 2019-03-21 |
| 1346696002 | Alana Akers | Internal Medicine | 203 Nacogdoches St Ste 290, Jacksonville, TX 75766-2444 | 2016-05-11 |
| 1346602927 | Kevin Roy Green | Internal Medicine | 653-1 W 8th St # L18, Jacksonville, FL 32209-6511 | 2016-03-23 |
| 1093175770 | Alex Balmir | Internal Medicine | 655 W 8th St # Cc262, Jacksonville, FL 32209-6511 | 2016-02-24 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1316338957 | Deep Patel | Internal Medicine | 5238 Norwood Ave Ste 16, Jacksonville, FL 32208-5005 | 2015-02-17 |
| 1063801934 | Avecina Medical | Internal Medicine | 9580 Applecross Rd, 106, Jacksonville, FL 32222-5845 | 2015-01-15 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32257 |
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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.