JOHN L CULLETON (NPI# 1619917309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619917309 |
| Entity Type | Individual |
| Full Name | JOHN L CULLETON |
| Credential | MD |
| Practice Address |
360 N Irby St Florence SC 29501 |
| Mailing Address |
360 N Irby St Florence SC 29501-2808 |
| Practice Telephone | 8436679414 |
| Practice Fax Number | 8436671362 |
| Mailing Telephone | 8436679414 |
| Mailing Fax Number | 8436671362 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2019-01-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
15905 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE GROUP ID | 7153 | 01 |
| SC | MEDICARE RR | P00695482 | 01 |
| NC | 890540V | 05 | |
| SC | TL9504 | 05 | |
| SC | GROUP NPI | 145301848 | 01 |
| SC | MEDICARE RR GRUOP | CG3543 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1594 Freedom Blvd, Suite 102 B, Florence, SC 295056046 | 8436737560 | 8436737563 |
| Street Address |
360 N IRBY ST |
| City | FLORENCE |
| State | SC |
| Zip Code | 29501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386628147 | Brian Ansel Hanna | Family Medicine | 360 N Irby St, Florence, SC 29501-2808 | 2005-12-05 |
| 1255950606 | Taylor Nicole Thompson | Nurse Practitioner | 360 N Irby St, Florence, SC 29501-2808 | 2020-04-15 |
| 1235761339 | Sonda Jett-clair | Health Educator | 360 N Irby St, Florence, SC 29501-2808 | 2020-02-06 |
| 1629617907 | Atalee Moore Jones | Physician Assistant | 360 N Irby St, Florence, SC 29501-2808 | 2020-01-03 |
| 1295382059 | Kristina M Washington | Physician Assistant | 360 N Irby St, Florence, SC 29501-2808 | 2019-08-26 |
| 1306493200 | Meredith Coker Nobles | Pharmacist | 360 N Irby St, Florence, SC 29501-2808 | 2019-08-25 |
| 1578110581 | Jessica Lynn Robertson | Social Worker | 360 N Irby St, Florence, SC 29501-2808 | 2019-08-23 |
| 1831751486 | Faith Tangel Scott | Nurse Practitioner | 360 N Irby St, Florence, SC 29501-2808 | 2019-07-03 |
| 1285102442 | William Marion Hunter IIi | Psychologist | 360 N Irby St, Florence, SC 29501-2808 | 2018-11-06 |
| 1285120048 | Timothy C Weaver | Nurse Practitioner | 360 N Irby St, Florence, SC 29501-2808 | 2018-07-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700350444 | Angel Edwards Brown | Nurse Practitioner | Mcleod Health, 555 East Cheves Street, Florence, SC 29501 | 2019-01-16 |
| 1497229124 | Fred L. Evans IIi | Physical Therapy Assistant | 2439 Willwood Dr., Florence, SC 29501 | 2019-01-16 |
| 1841715596 | Faith Hope Love Homecare | Home Health | 604 S. Coit Street, Florence, SC 29501 | 2017-08-03 |
| 1083156350 | Karen Artis-bacote | Nurse Practitioner | 3835 Susan Dr, Florence, SC 29501 | 2016-11-17 |
| 1992251581 | Higher Ground Christian Counseling Service, LLC | Counselor | 1801 D West Evans Street, Florence, SC 29501 | 2016-09-01 |
| 1952752818 | Jack Carter Shackelford | Chiropractor | 311 West Palmetto Street, Florence, SC 29501 | 2016-06-22 |
| 1750743506 | Profection Therapy LLC | Clinic/Center | 315d North Beltline Dr., Florence, SC 29501 | 2016-03-22 |
| 1386002467 | Bergelt Optometric LLC | Optometrist | 2672 David Mcleod Blvd, Florence, SC 29501 | 2016-02-04 |
| 1437531993 | Sherika Tarshall Stuckey | Nurse Practitioner | 720 Coventry Lane, Apt C, Florence, SC 29501 | 2015-06-22 |
| 1245610062 | Christopher Tyree | Podiatrist | 709 W Evans St, Florence, SC 29501 | 2015-06-06 |
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| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1154399715 | Syed Rafeeq Ahmed | Internal Medicine | 541 W College Street, Suite 3400, Florence, AL 35630 | 2006-03-09 |
| 1346232246 | Hany S Shenouda | Internal Medicine | 101 S Ravenel St Ste 300, Florence, SC 29506-2621 | 2005-08-17 |
| 1750749628 | The Florence Endocrine Clinic A Professional Limited Liability Company | Internal Medicine | 153 Ana Dr, Florence, AL 35630-1731 | 2016-02-05 |
| 1912392127 | Mcleod Physician Associates II | Internal Medicine | 101 S Ravenel St, Suite 300, Florence, SC 29506-2618 | 2015-04-03 |
| 1346588852 | Ecm Health Group LLC | Internal Medicine | 541 W College St, Florence, AL 35630-5323 | 2013-01-18 |
| 1881989580 | Hopehealth, Inc. | Internal Medicine | 360 N Irby St, Florence, SC 29501-2808 | 2011-06-10 |
| 1841445244 | Carolinas Medical Alliance Inc | Internal Medicine | 1594 Freedom Blvd, Suite 102, Florence, SC 29505-6046 | 2008-11-26 |
| 1508045170 | Endocrinology & Diabetes Clinic | Internal Medicine | 541 W College St, Suite3400, Florence, AL 35630-5323 | 2007-10-30 |
| 1871708990 | Peter William Butler | Internal Medicine | 15 Straw Ave, Suite 116, Brown Area, Florence, MA 01062-1491 | 2007-05-11 |
| 1538198080 | Meenakshi A Pande | Internal Medicine | 1594 Freedom Blvd, Suite 102 B, Florence, SC 29501 | 2006-06-30 |
| Find all providers in FLORENCE | ||||
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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.