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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 201092890 | 05 |
Street Address |
2310 CALIFORNIA RD |
City | ELKHART |
State | IN |
Zip Code | 46514-1228 |
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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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 |
Find all providers in zip 46514 |
Taxonomy Code | 207QS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Sports Medicine |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023029741 | Jason J Hix | Family Medicine | 2310 California Road, Elkhart, IN 46514-1228 | 2006-08-10 |
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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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.