DR. JOHN SCOTT MCCULLOUGH (NPI# 1558333062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558333062 |
| Entity Type | Individual |
| Full Name | DR. JOHN SCOTT MCCULLOUGH |
| Credential | M.D. |
| Practice Address |
1771 Madison St Clarksville TN 37043-4990 |
| Mailing Address |
Po Box 30309 Charleston SC 29417-0309 |
| Practice Telephone | 9315511939 |
| Practice Fax Number | 9312212236 |
| Mailing Telephone | 8435549300 |
| Mailing Fax Number | 8435668780 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2008-02-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
34439 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3858460 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275605768 | John Jeffrey Mccullough | Pathology | 420 Delaware Street Se, Room 760, University of Minnesota Physicians, Minneapolis, MN 55455 | 2006-11-14 |
| 1407849144 | John Michael Mccullough | Family Medicine | 1739 Schertz Pkwy, Schertz, TX 78154-1639 | 2005-08-29 |
| 1811979180 | John P Mccullough | Emergency Medicine | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2005-11-14 |
| Street Address |
1771 MADISON ST |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37043-4990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083601827 | Thomas Lee Ely | Family Medicine | 1771 Madison St, Clarksville, TN 37043-4990 | 2005-10-05 |
| 1083221733 | Hallie Lee | Pharmacist | 1771 Madison St, Clarksville, TN 37043-4990 | 2020-09-27 |
| 1316599434 | Nicola Elizabeth Martin | Pharmacist | 1771 Madison St, Clarksville, TN 37043-4990 | 2019-07-09 |
| 1427396993 | Teresa Edger | Pharmacist | 1771 Madison St, Clarksville, TN 37043-4990 | 2013-01-17 |
| 1710224506 | Kyle Williams | Pharmacist | 1771 Madison St, Clarksville, TN 37043-4990 | 2013-01-14 |
| 1316218894 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 1771 Madison St, Clarksville, TN 37043-4990 | 2012-01-16 |
| 1033248679 | Kara Merriam | Counselor | 1771 Madison St, Clarksville, TN 37043-4990 | 2007-03-02 |
| 1164578159 | Linda Wooten Highers | Pharmacist | 1771 Madison St, Clarksville, TN 37043-3160 | 2007-01-25 |
| 1659457224 | Amy Marie Robinson | Dietitian, Registered | 1771 Madison St, Clarksville, TN 37043-4990 | 2006-10-27 |
| 1003823097 | Clarksville Health System Gp | Psychiatry & Neurology | 1771 Madison St, Clarksville, TN 37043-4990 | 2006-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952958464 | Barbara Gallahan | Technician | 3992 Lakewood Dr., Clarksville, TN 37043 | 2019-08-20 |
| 1144874728 | Intricate Care | Registered Nurse | 2299 Raleigh Ct, Clarksville, TN 37043 | 2019-07-31 |
| 1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
| 1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
| 1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
| 1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
| 1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
| 1043736119 | Megan Pritchett Landre | Behavior Technician | 990 South Ridge Trail, Clarksville, TN 37043 | 2017-08-20 |
| 1932624798 | Sandra Melissa Corral | Behavior Technician | 139e Old Trenton Rd, Suite B, Clarksville, TN 37043 | 2017-08-13 |
| 1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
| Find all providers in zip 37043 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467424978 | Gary Lynn Silvey | Pathology | 1711 Madison St, Clarksville, TN 37043-4912 | 2006-02-07 |
| 1720050594 | Randall Robert Haase | Pathology | 1771 Madison St, Clarksville, TN 37043-4990 | 2006-02-06 |
| 1568434256 | Cumberland Pathology Associates Pllc | Pathology | 1771 Madison St, Clarksville, TN 37043-4990 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780046888 | Jennifer Reppucci | Pathology | 1301 Medical Center Drive, 4605 Tvc, Nashville, TN 37232-3003 | 2016-03-28 |
| 1902276454 | William Bucher | Pathology | 306 Whiteamore Run, Murfreesboro, TN 37128-6904 | 2015-09-28 |
| 1982015152 | Irina Perjar | Pathology | 725 Glenwood Dr Ste E888, Chattanooga, TN 37404-1156 | 2014-05-09 |
| 1417290263 | Kimberley Brown | Pathology | 1317 Brow Estates Dr, Signal Mountain, TN 37377-3267 | 2013-03-30 |
| 1992062038 | Meghan Kapp | Pathology | Cc3322 Medical Ctr N, 1161 21st Avenue South, Nashville, TN 37232-0001 | 2012-04-13 |
| 1558637082 | Elizabeth Mary Arze | Pathology | East Tn State Univ., Dept. of Pathology, Vamc, Bldg. 1, Mountain Home, TN 37684 | 2012-03-29 |
| 1427328442 | Arthur James Wilson | Pathology | 1901 Chatsworth Dr, Germantown, TN 38138-2666 | 2012-01-06 |
| 1972811503 | Status Allergy Clinic of Kingsport | Pathology | 1516 Bridgewater Dr., Kingsport, TN 37660 | 2010-09-16 |
| 1841424058 | Jeremy Vincent | Pathology | 501 19th St Ste 301, Knoxville, TN 37916-1839 | 2009-05-04 |
| 1083866925 | Aml Girgis | Pathology | C2317 Medical Ctr N, Nashville, TN 37232-0001 | 2008-10-22 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSVILLE |
| Zip Code | 37043 |
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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.