MARC L. CULLEN


Address: Childrens Hospital of Michigan, 3901 Beaubien Blvd, Detroit, MI 48201
Phone: 3138313220

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

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

Office Location

Street Address CHILDRENS HOSPITAL OF MICHIGAN
3901 BEAUBIEN BLVD
City DETROIT
State MI
Zip Code 48201

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 2086S0120X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Pediatric Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City DETROIT
Zip Code 48201

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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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