KATHLEEN I MCCULLOUGH


Address: 133 Brookline Ave, Boston, MA 02215-3904
Phone: 6174216050

KATHLEEN I MCCULLOUGH (NPI# 1932117744) 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) 1932117744
Entity Type Individual
Full Name KATHLEEN I MCCULLOUGH
Credential MD
Practice Address 133 Brookline Ave
Boston
MA 02215-3904
Mailing Address 147 Milk St
Provider Enrollment 9th Floor
Boston
MA 02109-4806
Practice Telephone 6174216050
Practice Fax Number 6174216083
Mailing Telephone 6174212508
Mailing Fax Number 6174213487
Enumeration Date 2006-08-04
Last Update Date 2011-05-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
79413 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA NEIGHBORHOOD HEALTH PLAN 0015272 01
MA HARVARD PILGRIM PV338 01
MA CIGNA 7592074-002 01
MA 6173497 05
MA BLUE CROSS J02837 01
MA TUFTS HEALTH PLAN 045698 01

Other Providers KATHLEEN MCCULLOUGH

NPI Name Taxonomy Address Enumeration
1407822968 Kathleen Ann Mccullough Registered Nurse Rr 11 Box 923, Jacksonville, TX 75766-9882 2006-02-24
1659921419 Kathleen Mccullough Behavior Technician 2 Padre Pkwy Ste 101, Rohnert Park, CA 94928-2114 2019-09-13
1508106709 Kathleen B Mccullough Nurse Practitioner 1000 South Ave, Rochester, NY 14620-2733 2013-02-25
1518202068 Kathleen Mccullough Physician Assistant 1025 Morehead Medical Dr, Ste 300, Charlotte, NC 28204-2963 2012-12-10
1093095234 Kathleen Ann Mccullough Social Worker 1115 W Chestnut St, Brockton, MA 02301-7501 2011-08-19
1013154426 Kathleen Marie Mccullough Licensed Practical Nurse 650 Joel Dr, Fort Campbell, KY 42223-5318 2009-01-08
1316081011 Kathleen A Mccullough Pediatrics 1375 E 20th Ave, Denver, CO 80205-5423 2007-02-16

Office Location

Street Address 133 BROOKLINE AVE
City BOSTON
State MA
Zip Code 02215-3904

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720084833 Claire Tine Cronin Surgery 133 Brookline Ave, Boston, MA 02215-3904 2005-06-23
1750992921 Jessica Yang Clinical Nurse Specialist 133 Brookline Ave, Boston, MA 02215-3904 2020-08-12
1386266104 Mhg Physician Services - California General Practice 133 Brookline Ave, Boston, MA 02215-3904 2020-05-14
1164051520 Mhg Physician Services - Oregon LLC General Practice 133 Brookline Ave, Boston, MA 02215-3904 2020-04-07
1629604889 Jessica Lareau Counselor 133 Brookline Ave, Boston, MA 02215-3904 2020-03-19
1922651199 Rachel Lang Caso Social Worker 133 Brookline Ave, Boston, MA 02215-3904 2019-07-17
1134698244 Ewan D Mcnicol Pharmacist 133 Brookline Ave, Boston, MA 02215-3904 2018-11-19
1518433531 Mhg Physician Services - Massachusetts Pllc General Practice 133 Brookline Ave, Boston, MA 02215-3904 2018-10-17
1477038867 Chantal C. Coughlin Nurse Practitioner 133 Brookline Ave, Boston, MA 02215-3904 2018-10-01
1376027227 Mhg Clinical Services LLC General Practice 133 Brookline Ave, Boston, MA 02215-3904 2018-09-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336746775 Lee T Gernon-lakin Physician Assistant 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 2020-10-08
1821695933 Matthew John Needham Student in an Organized Health Care Education/Training Program 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 2020-10-02
1114533866 Cdg Back Bay LLC Clinic/Center 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 2020-09-18
1619595105 Natasha Larocque Radiology 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 2020-07-10
1538783089 Yutsz Cherng Counselor 870r Commonwealth Avenue, Boston, MA 02215 2020-06-01
1306495924 Anthony Rosellini Psychologist 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 2019-09-06
1427605278 Liana Zucco Student in an Organized Health Care Education/Training Program Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 2019-08-26
1831759430 Brian William Hayes Radiology 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 2019-06-17
1396304358 Elizabeth Hai Yen Du Student in an Organized Health Care Education/Training Program Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 2019-06-12
1922665439 Corey Shaphard Miller Student in an Organized Health Care Education/Training Program 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 2019-05-21
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386165470 Malik Bilal Ahmed Internal Medicine 800 Washington Street Mailbox #315, Boston, MA 02111 2017-06-29
1760867667 Chi Hong Chau Internal Medicine 400 Brookline Ave Apt 15a, Boston, MA 02215-5406 2015-07-21
1972916039 Adam T Phillips Internal Medicine 185 Pilgrim Rd Fl Baker4, Boston, MA 02215 2014-06-06
1760809818 Subhasree Panchangam Internal Medicine 830 Harrison Ave Bldg 3500, Boston, MA 02118-2905 2014-03-26
1124463609 Gaurav Gulati Internal Medicine 800 Washington St # 315, Boston, MA 02111-1552 2013-05-09
1255600300 Steward Medical Group, Inc Internal Medicine 500 Boylston St, Boston, MA 02116-3740 2011-12-19
1942586334 Nina Ghosh Internal Medicine 75 Peterborough St, Suite 401, Boston, MA 02215-4311 2011-10-29
1841515509 Chris Wei-sen Pan Internal Medicine 1597 Washington St, Apt 503, Boston, MA 02118-1915 2010-04-06
1730349853 Gerald J. Doyle, M.d., P.C. Internal Medicine 3 Hawthorne Pl, Boston, MA 02114-2334 2008-06-12
1639369713 Aram V Chobanian Internal Medicine Boston Univ. School of Med., 715 Albany Street, Boston, MA 02118 2007-07-26
Find all providers in BOSTON

Competitor

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City BOSTON
Zip Code 02215

Improve Information

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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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