SARAH J. MCCULLOUGH (NPI# 1659393734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659393734 |
| Entity Type | Individual |
| Full Name | SARAH J. MCCULLOUGH |
| Credential | M.D. |
| Practice Address |
3000 32nd Avenue South Fargo ND 58103-6132 |
| Mailing Address |
Po Box 997 Bismarck ND 58502-0997 |
| Practice Telephone | 7013648000 |
| Mailing Telephone | 7015307000 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2018-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 9204 | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1454344 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 900 E Broadway Ave, Bismarck, ND 585014520 | 7015307000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619405859 | Sarah Claire Mccullough | Family Medicine | Unit 7095, Apo, AE 09824-7095 | 2017-06-01 |
| 1689296063 | Sarah Elizabeth Mccullough | Student in an Organized Health Care Education/Training Program | 759 Chestnut St, Springfield, MA 01199-0001 | 2020-05-08 |
| 1609346758 | Sarah Rachel Mccullough | Massage Therapist | 3700 Martin Way E Ste 108, Olympia, WA 98506-5052 | 2018-12-03 |
| 1558796342 | Sarah M. Mccullough | Nurse Anesthetist, Certified Registered | 110 29th Ave N, Ste 202, Nashville, TN 37203-1401 | 2013-09-11 |
| 1275897639 | Sarah Lindsey Mccullough | Registered Nurse | 701 Park Ave, Minneapolis, MN 55415-1623 | 2012-06-30 |
| 1609169044 | Sarah Bounds Mccullough | Internal Medicine | 3851 Roger Brooke Drive, Mche-qd (creds), Fort Sam Houston, TX 78234-6200 | 2011-05-18 |
| Street Address |
3000 32ND AVENUE SOUTH |
| City | FARGO |
| State | ND |
| Zip Code | 58103-6132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841245743 | Larry Steven Sidaway | Internal Medicine | 3000 32nd Avenue South, Essentia Health 32nd Avenue Clinic, Fargo, ND 58103-6132 | 2006-05-23 |
| 1912359431 | Nikolai Tolkachev | Hospitalist | 3000 32nd Avenue South, Fargo, ND 58103 | 2016-07-08 |
| 1083053995 | Kristina K Rauser-foltz | Pediatrics | 3000 32nd Avenue South, Fargo, ND 58103 | 2013-06-24 |
| 1992728752 | Thomas R Magill | Emergency Medicine | 3000 32nd Avenue South, Fargo, ND 58103-6132 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720408131 | Stephane Robert Leo Blanchard | Emergency Medicine | 1720 University Dr S # 825, Fargo, ND 58103 | 2014-04-24 |
| 1992745970 | Barbara Meyer O'neal | Emergency Medicine | 900 42nd St S, Fargo, ND 58103-2119 | 2006-06-07 |
| 1871540435 | Brian Jefferson Dawson | Emergency Medicine | 3345 39th St S Ste 2, Fargo, ND 58104 | 2006-05-28 |
| 1346780228 | Colin James Johnson | Emergency Medicine | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2017-02-27 |
| 1083078281 | Todd Duppong | Emergency Medicine | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2016-04-13 |
| 1457791352 | Elizabeth Roeber | Emergency Medicine | 801 Broadway N, Fargo, ND 58102-3641 | 2013-06-25 |
| 1396011045 | Joshua Alan Honeyman | Emergency Medicine | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2012-03-27 |
| 1699062240 | Matthew Gerde | Emergency Medicine | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2011-07-05 |
| 1992094387 | Aaron Stinton | Emergency Medicine | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2011-04-06 |
| 1699094748 | Jeremy Forrest Brudevold | Emergency Medicine | 801 Broadway N, Fargo, ND 58102-3641 | 2010-05-27 |
| Find all providers in FARGO | ||||
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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.