KELLY D MCCULLOUGH (NPI# 1841256260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841256260 |
| Entity Type | Individual |
| Full Name | KELLY D MCCULLOUGH |
| Credential | M.D. |
| Practice Address |
2979 Squalicum Pkwy Suite 301 Bellingham WA 98225-1811 |
| Practice Telephone | 3607341420 |
| Practice Fax Number | 3607566666 |
| Mailing Telephone | 3607341420 |
| Mailing Fax Number | 3607566666 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2009-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD00040121 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8426272 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063802981 | Kelly Mccullough | Specialist/Technologist | 954 N County Road 250 W, Brazil, IN 47834-7495 | 2015-01-30 |
| 1285627273 | Kelly Mccullough | Nurse Practitioner | 7227 Land O Lakes Blvd, Land O Lakes, FL 34638-2826 | 2005-08-25 |
| 1417333873 | Kelly Mccullough | Counselor | 715 W Court St, Pasco, WA 99301-4153 | 2015-08-07 |
| 1942698014 | Kelly Dean Mccullough | Counselor | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7369 | 2014-12-24 |
| 1639515307 | Kelly Mccullough | Counselor | 3665 Kearny Villa Rd Ste 101, San Diego, CA 92123 | 2013-05-21 |
| 1932403300 | Kelly Jo Mccullough | Dietitian, Registered | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2010-12-29 |
| 1497088025 | Kelly Loren Mccullough | Physician Assistant | 9104 Babcock Blvd, Suite 2120, Pittsburgh, PA 15237-5818 | 2009-09-15 |
| Street Address |
2979 SQUALICUM PKWY SUITE 301 |
| City | BELLINGHAM |
| State | WA |
| Zip Code | 98225-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346246790 | Spencer W Hinds | Internal Medicine | 2979 Squalicum Pkwy, Suite 101, Bellingham, WA 98225-1811 | 2005-06-21 |
| 1013514488 | David Flarry | Nurse Practitioner | 2979 Squalicum Pkwy, Bellingham, WA 98225-1811 | 2020-10-07 |
| 1760029631 | Mary Sara Schweigert | Nurse Practitioner | 2979 Squalicum Pkwy, Bellingham, WA 98225-1811 | 2019-12-10 |
| 1275032518 | Margaret Marie Dimpfl | Pharmacist | 2979 Squalicum Pkwy, Bellingham, WA 98225-1811 | 2018-02-01 |
| 1871003764 | Angela Austine Armstrong | Pharmacist | 2979 Squalicum Pkwy, Bellingham, WA 98225 | 2017-10-05 |
| 1689123622 | Kay Gentry | Nurse Practitioner | 2979 Squalicum Pkwy, Suite 301, Bellingham, WA 98225-1811 | 2016-10-03 |
| 1326433228 | Robert Franklin Lane | Pharmacist | 2979 Squalicum Pkwy, Suite 101, Bellingham, WA 98225-1811 | 2015-03-30 |
| 1639575848 | Annemarie L Pelton | Physician Assistant | 2979 Squalicum Pkwy, Bellingham, WA 98225-1811 | 2014-11-16 |
| 1942612460 | Paul Behrens | Pharmacist | 2979 Squalicum Pkwy, Suite 101, Bellingham, WA 98225-1811 | 2014-06-02 |
| 1740603562 | Michelle Pearson | Pharmacist | 2979 Squalicum Pkwy, Suite 101, Bellingham, WA 98225-1811 | 2014-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578183729 | Family Care Network Pllc | Clinic/Center | 3548 Meridian St, Suite #101-b, Bellingham, WA 98225 | 2020-04-17 |
| 1770129264 | Ariella K Ross | Massage Therapist | 2701 Northwest Avenue, Bellingham, WA 98225 | 2019-11-20 |
| 1467006205 | Family Care Network, Pllc | Family Medicine | 805 W. Orchard Drive, Suite 6, Bellingham, WA 98225 | 2019-07-30 |
| 1487110375 | Rhonda Beth Steel | Massage Therapist | Fairhaven Harbor, 1310 9th Street Penthouse No. 504, Fairhaven/bellingham, WA 98225 | 2019-02-15 |
| 1366915316 | Alexander Knight Acupuncture Inc | Acupuncturist | 12 Bellwether Way, Suite 201, Bellingham, WA 98225 | 2019-01-02 |
| 1902372998 | Northwest Telepsychiatry, Pllc | Psychiatry & Neurology | 114 W. Magnolia St., Suite 505, Bellingham, WA 98225 | 2018-10-17 |
| 1639650336 | Jennifer Sue Cogen | Massage Therapist | 2701 Northwest Ave. (ohana Pacific, Inc.), Bellingham, WA 98225 | 2018-08-22 |
| 1013414036 | Tamara C Dee | Social Worker | 1313 E Maple St Ste 229, Bellingham, WA 98225 | 2018-04-06 |
| 1417468596 | Samantha Grace Smith | Counselor | 920 Harris Avenue, 202-e, Bellingham, WA 98225 | 2017-10-17 |
| 1710406731 | Shalom Maria Shreve | Counselor | 1133 Railroad Ave., Suite 100, Bellingham, WA 98225 | 2017-09-11 |
| Find all providers in zip 98225 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316351430 | Mohammed M. Aboelsoud | Internal Medicine | 4545 Cordata Pkwy Ste 1b, Bellingham, WA 98226-7264 | 2014-06-17 |
| 1821591157 | June E Parker | Internal Medicine | 4545 Cordata Pkwy Ste 1b, Bellingham, WA 98226 | 2018-03-13 |
| 1548469281 | Wenhuan Steve Ho | Internal Medicine | 4545 Cordata Pkwy, Suite 1a, Bellingham, WA 98226-7123 | 2007-07-12 |
| 1093847949 | Todd N Witte | Internal Medicine | 2979 Squalicum Pkwy, Suite 301, Bellingham, WA 98225-1811 | 2007-03-09 |
| 1548301120 | Benjamin Siemanowski | Internal Medicine | 2979 Squalicum Pkwy, Suite 301, Bellingham, WA 98225-1811 | 2007-02-08 |
| 1033278411 | Northwest Gastroenterology Professional LLC | Internal Medicine | 2979 Squalicum Pkwy, Suite #301, Bellingham, WA 98225-1811 | 2006-12-08 |
| 1982610937 | Gregory William Munson | Internal Medicine | 2979 Squalicum Pkwy, Suite 301, Bellingham, WA 98225-1811 | 2006-07-31 |
| 1255398285 | Alan G.y. Chang | Internal Medicine | 2979 Squalicum Pkwy, Suite 301, Bellingham, WA 98225-1811 | 2006-04-26 |
| 1598722423 | Stephen P Woods | Internal Medicine | 2979 Squalicum Pkwy, Suite 301, Bellingham, WA 98225-1811 | 2006-04-26 |
| 1639135007 | Christoph R Reitz | Internal Medicine | 2979 Squalicum Pkwy, Suite 301, Bellingham, WA 98225-1811 | 2006-04-25 |
| Find all providers in BELLINGHAM | ||||
| City | BELLINGHAM |
| Zip Code | 98225 |
Please comment or provide details below to improve the information on KELLY D MCCULLOUGH.
| 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.