DR. EDITH M CULLEN


Address: 2310 California Rd, Elkhart, IN 46514-1228
Phone: 5742644163

DR. EDITH M CULLEN (NPI# 1720073521) 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) 1720073521
Entity Type Individual
Full Name DR. EDITH M CULLEN
Credential M.D.
Practice Address 2310 California Rd
Elkhart
IN 46514-1228
Practice Telephone 5742644163
Practice Fax Number 5742629650
Mailing Telephone 5742644163
Mailing Fax Number 5742629650
Enumeration Date 2005-09-19
Last Update Date 2013-10-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QS0010X Family Medicine
Specialization: Sports Medicine
01061215A IN Allopathic & Osteopathic Physicians
N 208D00000X General Practice 01061215A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 201092890 05

Office Location

Street Address 2310 CALIFORNIA RD
City ELKHART
State IN
Zip Code 46514-1228

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194334631 Candie Books Nurse Practitioner 2310 California Rd, Elkhart, IN 46514-1228 2020-07-30
1255949962 Magdalena Graber-yoder Nowicki Occupational Therapist 2310 California Rd, Elkhart, IN 46514-1228 2020-07-20
1326419037 Lauren Nicole Horvath Occupational Therapist 2310 California Rd, Suite A, Elkhart, IN 46514-1228 2015-10-08
1023418811 Jessica Kase Physical Therapist 2310 California Rd, Elkhart, IN 46514-1228 2014-08-28
1639445786 Jessica Marie Eichorst Specialist/Technologist 2310 California Rd, Elkhart, IN 46514-1228 2012-03-22
1730465964 Deborah Sue Maiden Nurse Practitioner 2310 California Rd, Elkhart, IN 46514-1228 2011-11-02
1578869863 Julie Ann Rheinheimer Registered Nurse 2310 California Rd, Suite A, Elkhart, IN 46514-1228 2011-02-03
1679894547 Ryan P. Foreman Family Medicine 2310 California Rd, Elkhart, IN 46514-1228 2010-06-15
1871723296 Christopher J. Lingle Physical Therapist 2310 California Rd, Elkhart, IN 46514-1228 2009-07-20
1053540906 Julia K. Pagano Podiatrist 2310 California Rd, Elkhart, IN 46514-1228 2009-07-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891333522 Adam Collier Nurse Anesthetist, Certified Registered 600 Elkhart Boulvard, Elkhart, IN 46514 2019-12-12
1861034688 Heart City Health Center, Inc. Obstetrics & Gynecology 1545 Cassopolis Street, Elkhart, IN 46514 2019-10-14
1982263398 Fresenius Medical Care North Elkhart, LLC Clinic/Center 801 W Bristol St, Elkhart, IN 46514 2019-06-10
1487118220 Hellenic Senior Living of Elkhart, LLC Assisted Living Facility 2528 Bypass Road, Elkhart, IN 46514 2019-01-25
1922595792 Anna Cornelia Smith Nutritionist 51803 Tall Pines Dr, Elkhart, IN 46514 2018-04-17
1114438496 Erika Lynn Farrell Counselor 3120 Suite B Windsor Court, Elkhart, IN 46514 2017-10-13
1740728948 Michael Scheretie Nurse Anesthetist, Certified Registered 52866 Wildflower Ln, Elkhart, IN 46514 2017-02-08
1821355876 Marcy Lynn Adams Nurse Practitioner 1104 W Bristol St, Elkhart, IN 46514 2012-04-16
1053694265 Paul A. Price Pharmacist 1400 Cassopolis St., Elkhart, IN 46514 2011-09-23
1528362647 Beacon Medical Group, Inc. Internal Medicine 500 Arcade Ave., Suite 400, Elkhart, IN 46514 2011-01-04
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Taxonomy Information

Taxonomy Code 207QS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sports Medicine

Taxonomy Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023029741 Jason J Hix Family Medicine 2310 California Road, Elkhart, IN 46514-1228 2006-08-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962061135 Central Indiana Orthopedics, PC Family Medicine 14300 E 138th Bldg B, Fishers, IN 46037-0087 2019-06-11
1104326909 Orthopaedic Associates, Inc. Family Medicine 4011 Gateway Blvd Ste 100, Newburgh, IN 47630-8947 2018-02-19
1700231313 Heather Saffel Family Medicine 111 W Jefferson Blvd Ste 100, South Bend, IN 46601-1993 2016-05-02
1922477686 Orthopaedic Associates, Inc. Family Medicine 5828 Pearl Dr, Evansville, IN 47712-8116 2015-09-23
1295137925 Ball State University Family Medicine Hp 260, Muncie, IN 47306-0001 2014-09-25
1992118822 Zachary Conner Ritchie Family Medicine 301 Satori Pkwy Ste 120, Avon, IN 46123-6407 2014-06-09
1740692078 Joel Jaeger Family Medicine 275 W Bassett Rd Ste 3, Shelbyville, IN 46176-8575 2014-05-21
1457652992 Martha Ann Taylor Family Medicine 105 Hendron Hills Dr, Vincennes, IN 47591-3638 2010-11-16
1649598707 Rajih Y Haddawi Family Medicine 2631 S Atlee St, Bloomington, IN 47401-4536 2010-05-12
1538300561 Michael Robert Messmer Family Medicine 3221 Beacon Parkway, Granger, IN 46530 2009-03-21
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Competitor

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City ELKHART
Zip Code 46514

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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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