DR. RICKY WAYNE MCCULLOUGH (NPI# 1841325370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841325370 |
| Entity Type | Individual |
| Full Name | DR. RICKY WAYNE MCCULLOUGH |
| Credential | M.D. |
| Practice Address |
48 Moosup Valley Rd Foster RI 02825-1236 |
| Practice Telephone | 4013976203 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2008-10-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | #52697 | MA | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | MD06257 | RI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245469519 | Ricky Justin Mccullough | Internal Medicine | 1103 Plaza Ave, Eastman, GA 31023-6788 | 2009-07-08 |
| Street Address |
48 MOOSUP VALLEY RD |
| City | FOSTER |
| State | RI |
| Zip Code | 02825-1236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003292921 | Wendy Mumford | Social Worker | 189 Putnam Pike, Foster, RI 02825 | 2015-08-03 |
| 1932267606 | Jerald Ivan Kupperberg | Pediatrics | 54 Howard Hill Road, Foster, RI 02825 | 2006-12-05 |
| 1073644084 | Edmond Stanley Zuromski | Psychologist | 54 Plainfield Pike, Foster, RI 02825-0007 | 2007-03-08 |
| 1952519019 | Lawrence Howard Luppi | Orthopaedic Surgery | 193 Franklin Rd, Foster, RI 02825-1121 | 2007-05-20 |
| 1356667174 | Potterville Fire Department Inc | Ambulance | 953 Tunk Hill Rd, Foster, RI 02825-1162 | 2010-04-19 |
| 1972869428 | Jerald I Kupperberg Md,inc. | Pediatrics | 54 Howard Hill Rd, Foster, RI 02825-1220 | 2012-04-10 |
| 1306322763 | Carol M Mauro | Social Worker | 181 Howard Hill Rd, Foster, RI 02825-1226 | 2018-07-18 |
| 1700135175 | Mary Joanne Chretien | Speech-Language Pathologist | 2 Tray Hollow Rd, Foster, RI 02825-1281 | 2012-08-31 |
| 1093777849 | Nancy Ann Puth | Chiropractor | 96a Foster Center Rd, Foster, RI 02825-1327 | 2006-04-05 |
| 1013046762 | Carol Niederer | Speech-Language Pathologist | 105 S Killingly Rd, Foster, RI 02825-1351 | 2007-03-05 |
| Find all providers in zip 02825 | ||||
| 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 |
|---|---|---|---|---|
| 1962827808 | John Sullivan | Emergency Medicine | 92 Wood Cove Dr, Coventry, RI 02816-6614 | 2014-03-02 |
| 1720383011 | Michael Robert Malanga | Emergency Medicine | 63 Hunters Run, North Providence, RI 02904-3052 | 2011-01-18 |
| 1972833580 | Richard William Altreuter | Emergency Medicine | 43 Nichols Rd, Kingston, RI 02881-1803 | 2010-01-04 |
| 1588808901 | Remigiusz Robert Drozd | Emergency Medicine | 755 Westminster St #204, Providence, RI 02903 | 2009-04-29 |
| 1770765976 | Thom R Meredith | Emergency Medicine | 140 Meshanticut Valley Pkwy, Cranston, RI 02920-3964 | 2007-11-29 |
| 1700094992 | Shadi Kiriaki | Emergency Medicine | 92 Darlingdale Ave, Pawtucket, RI 02861-1906 | 2007-05-19 |
| 1710037833 | Paul J Mainella | Emergency Medicine | 20 Linden Rd, Barrington, RI 02806-3822 | 2007-01-11 |
| 1518029834 | Eugene Mckee | Emergency Medicine | 7260 Post Rd, North Kingstown, RI 02852-3211 | 2006-12-14 |
| 1972685170 | Daniela Turacova | Emergency Medicine | 525 Taunton Ave, Suite 100, East Providence, RI 02914-1603 | 2006-10-19 |
| 1205842341 | Nadah Bano Zafar | Emergency Medicine | 10 Orms St, Suite 105, Providence, RI 02904-2228 | 2006-07-31 |
| Find all providers with the same taxonomy | ||||
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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.