MARC L. CULLEN (NPI# 1659371326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659371326 |
Entity Type | Individual |
Full Name | MARC L. CULLEN |
Credential | MD |
Practice Address |
Childrens Hospital of Michigan 3901 Beaubien Blvd Detroit MI 48201 |
Practice Telephone | 3138313220 |
Practice Fax Number | 3138313908 |
Mailing Telephone | 3138313220 |
Enumeration Date | 2005-07-26 |
Last Update Date | 2008-03-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
4301047728 | MI | Allopathic & Osteopathic Physicians |
Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
4301047728 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 4115615 | 05 | |
MI | 5202214 | 05 | |
GLHP | 147948 | 01 | |
OH | PARAMOUNT | 04672 | 01 |
CHAMPUS-CHAMPUS | MC047728 | 01 | |
OH | ANTHEM | 000000521507 | 01 |
OH | BCMH | 2515273 | 01 |
MI | 1816457 | 05 | |
OH | 2515273 | 05 | |
OH | AETNA | 4507190 | 01 |
HEALTH PLAN OF MI | 8161 | 01 | |
COMMERCIAL-COMMERCIAL NUMBER | MC047728 | 01 |
Street Address |
CHILDRENS HOSPITAL OF MICHIGAN 3901 BEAUBIEN BLVD |
City | DETROIT |
State | MI |
Zip Code | 48201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760003222 | Shivani Prashant Wadnerkar | Student in an Organized Health Care Education/Training Program | Childrens Hospital of Michigan, 3901 Beaubien Street, Detroit, MI 48201 | 2020-05-06 |
1164463600 | Rudolph P. Valentini | Pediatrics | Childrens Hospital of Michigan, 3901 Beaubien Blvd - Nephrology, Detroit, MI 48201 | 2006-06-08 |
1790722353 | Tej K. Mattoo | Pediatrics | Childrens Hospital of Michigan, 3901 Beaubien Blvd - Nephrology, Detroit, MI 48201 | 2006-06-01 |
1295772788 | Jeffrey W. Taub | Pediatrics | Childrens Hospital of Michigan, 3901 Beaubien Blvd - Cardiology, Detroit, MI 48201 | 2006-06-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
Find all providers in zip 48201 |
Taxonomy Code | 2086S0120X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Pediatric Surgery |
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336147461 | Joseph Lawrence Lelli | Surgery | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2005-07-12 |
1346514254 | Masih Abdul Kader | Surgery | 3901 Beaubien St, Detroit, MI 48201-2119 | 2012-02-24 |
1730324096 | Lydia Joy Donoghue | Surgery | 3901 Beaubien St, Dept of Pediatric Surgery, Detroit, MI 48201-2119 | 2008-12-15 |
1194920041 | Justin D Klein | Surgery | 3901 Beaubien St, Carls Building 2nd Floor, Detroit, MI 48201-2119 | 2007-06-20 |
1598713414 | St John Hospital Corporation | Surgery | 22101 Moross Rd, Detroit, MI 48236-2148 | 2006-05-04 |
1124015565 | Christina Mubarak Shanti | Surgery | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2005-09-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235365081 | Elliot Carr Pennington | Surgery | 330 Barclay Ave Ne Ste 202, Grand Rapids, MI 49503-2525 | 2009-06-08 |
1346444270 | Pavan Brahmamdam | Surgery | 3535 W 13 Mile Rd # 307, Medical Office Building, Royal Oak, MI 48073-6770 | 2007-06-13 |
1700908423 | Susan Hershberg Adelman | Surgery | 29820 Woodland Dr, Southfield, MI 48034-1339 | 2007-04-04 |
1891742128 | Ajith K Kadakol | Surgery | 1701 South Blvd E Ste B75, Rochester Hills, MI 48307-6122 | 2006-05-30 |
1912322009 | Lakeshore Surgical Consultants, Plc | Surgery | 5400 Fort St, Suite 200, Trenton, MI 48183-4632 | 2014-02-26 |
1205197639 | Marcus P Haw | Surgery | 100 Michigan St Ne, 10th Floor, Mc 248, Grand Rapids, MI 49503-2560 | 2012-06-01 |
1114159415 | Daniel Joseph Watkins | Surgery | 330 Barclay Ave Ne, Suite 202, Grand Rapids, MI 49503-2556 | 2009-08-20 |
1366597544 | Covenant Medical Center, Inc. | Surgery | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2007-01-25 |
1679622765 | Robert Robert Connors | Surgery | 330 Barclay Ave Ne, Suite 202, Grand Rapids, MI 49503-2556 | 2007-01-09 |
1326197625 | James Michael Decou | Surgery | 330 Barclay Ave Ne, Suite 202, Grand Rapids, MI 49503-2556 | 2007-01-09 |
Find all providers with the same taxonomy |
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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.