NANCY NAYLOR MCCULLUM


Address: 205 St. Charles Way, The Center for Cosmetic Dermatology, York, PA 17402
Phone: 7177415512

NANCY NAYLOR MCCULLUM (NPI# 1528189610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528189610
Entity Type Individual
Full Name NANCY NAYLOR MCCULLUM
Credential M.D.
Practice Address 205 St. Charles Way
The Center for Cosmetic Dermatology
York
PA 17402
Mailing Address 1050 Wyndward Ct
York
PA 17403-4494
Practice Telephone 7177415512
Practice Fax Number 7177419649
Mailing Telephone 7178482724
Mailing Fax Number 7177419649
Enumeration Date 2007-04-03
Last Update Date 2011-12-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 170100000X Medical Genetics, Ph.D. Medical Genetics MD041481E PA Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA NPI 1528189610 01

Office Location

Street Address 205 ST. CHARLES WAY
THE CENTER FOR COSMETIC DERMATOLOGY
City YORK
State PA
Zip Code 17402

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1407327992 Tariro Manamike Pharmacist Weis Markets Pharmacy, 2400 E Market Street, York, PA 17402 2018-12-10
1689120925 Benjamin Stahle Emergency Medicine 70 Locust Grove Road, York, PA 17402 2016-08-28
1275905614 Ultra Dental I, LLC Dentist 233 Pauline Drive, York, PA 17402 2015-10-26
1215323878 Sonya Maria Korda Dentist 332 Shasta Dr., York, PA 17402 2015-04-10
1588909691 Kimberly Sue Marsico Counselor 3110 East Market St, York, PA 17402 2012-11-29
1184995797 Ivan Lewis Butler General Practice 204 St. Charles Way, Unit 364e, York, PA 17402 2012-01-13
1801117783 Active Life Chiropractic Chiropractor 1915 E. Market Street, York, PA 17402 2010-06-15
1578881652 Oss Orthopaedic Hospital, LLC General Acute Care Hospital 1861 Powder Mill Rd., York, PA 17402 2010-05-13
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Taxonomy Information

Taxonomy Code 170100000X
Grouping Other Service Providers
Classification Medical Genetics, Ph.D. Medical Genetics

Taxonomy Definition

A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists.
Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366911190 Mitchell Seth Littleton Medical Genetics, Ph.D. Medical Genetics 721 Chambers Rd, York, SC 29745-1280 2018-11-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659553576 Enrico Nicolo, M.d. PC Medical Genetics, Ph.D. Medical Genetics 100 Stoops Dr Ste 230, Monongahela, PA 15063-3556 2007-12-03
1790992717 Larry E Maglicco Medical Genetics, Ph.D. Medical Genetics Upmc Mckeesport Hospital, 1500 Fith Ave, Mckeesport, PA 15133 2007-05-17
1841331915 Connie J Kennedy Medical Genetics, Ph.D. Medical Genetics 263 Summer Avenue, Horsham, PA 19044-2607 2007-02-09
1619173192 Anuja Rohatgi M.d.p.c. Medical Genetics, Ph.D. Medical Genetics 117 N 4th St, Easton, PA 18042-3503 2007-06-22
1720162654 Michael John Paszek Medical Genetics, Ph.D. Medical Genetics 503 N 21st St, Camp Hill, PA 17011-2204 2006-10-25
1609804897 Miguel Amora De Castro Medical Genetics, Ph.D. Medical Genetics 1018 W Lehigh Ave, Philadelphia, PA 19133-1640 2006-06-28

Competitor

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City YORK
Zip Code 17402

Improve Information

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Dataset Information

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.

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