CHRISTOPHER S. MCCULLOUGH (NPI# 1952496382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952496382 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER S. MCCULLOUGH |
| Credential | M.D. |
| Practice Address |
541 Sunset Ln 103 Culpeper VA 22701-3979 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 5408252600 |
| Practice Fax Number | 5408254026 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2012-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204F00000X | Transplant Surgery | 21536 | WV | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 0101049764 | VA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | MD434540 | PA | Allopathic & Osteopathic Physicians |
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
0101049764 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM BCBS | 1952496382 | 01 |
| VA | 1952496382 | 05 | |
| WV | 0125796000 | 05 |
| Street Address |
541 SUNSET LN 103 |
| City | CULPEPER |
| State | VA |
| Zip Code | 22701-3979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649251521 | James Denton | Surgery | 541 Sunset Ln, Ste 103, Culpeper, VA 22701-3979 | 2005-11-08 |
| 1407412851 | Kimberly L Sargent | Registered Nurse | 541 Sunset Ln, Culpeper, VA 22701-3979 | 2019-05-10 |
| 1861820904 | Med Spa of Virginia, Inc. | Phlebology | 541 Sunset Ln, Suite 302, Culpeper, VA 22701-3979 | 2013-10-29 |
| 1073817839 | Elena G. Saykaly | Physician Assistant | 541 Sunset Ln, Suite 103, Culpeper, VA 22701-3979 | 2011-01-07 |
| 1659532661 | Misty R Shoemaker | Obstetrics & Gynecology | 541 Sunset Ln, # 301, Culpeper, VA 22701-3979 | 2008-06-23 |
| 1942468350 | Lin M. Riccio | Surgery | 541 Sunset Ln, Ste 303, Culpeper, VA 22701-3979 | 2008-06-02 |
| 1164693917 | Iris T Amarante | Obstetrics & Gynecology | 541 Sunset Ln, Culpeper, VA 22701-3979 | 2008-03-20 |
| 1851576383 | Culpeper Specialist Physicians, LLC | Specialist | 541 Sunset Ln, Suite 102, Culpeper, VA 22701-3979 | 2008-01-03 |
| 1003020264 | Sara A. Hennessy | Surgery | 541 Sunset Ln, Suite 303, Culpeper, VA 22701-3979 | 2007-05-09 |
| 1316953839 | Karl Martin Beier | Obstetrics & Gynecology | 541 Sunset Ln, Suite 302, Culpeper, VA 22701-3979 | 2006-08-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720621907 | Warzetta Delphina Carter | Technician | 1415 Orange Rd., Culpeper, VA 22701 | 2019-10-21 |
| 1043747983 | Jeremy L. Mccullough | Physical Therapist | 15331 Creativity Dr # 960, Culpeper, VA 22701 | 2017-05-22 |
| 1013366921 | Angel Wings Family Services LLC. | Home Health | 133 East Davis Street Suite 330, Culpeper, VA 22701 | 2016-06-10 |
| 1598114654 | Aa Lightfoot Transportation | Non-emergency Medical Transport (VAN) | 13908 Eggbornsville Rd, Culpeper, VA 22701 | 2016-06-09 |
| 1780087437 | Healing Hands Therapeutic Massage, LLC. | Massage Therapist | 530 Sunset Lane, Culpeper, VA 22701 | 2014-10-08 |
| 1053694893 | Sharon Darling | Pharmacist | 309 Southgate Sc, Culpeper, VA 22701 | 2011-09-27 |
| 1821371196 | Cathy Annette Crain | Pharmacist | 309 Southgate, Safeway Pharmacy, Culpeper, VA 22701 | 2011-09-23 |
| 1447572698 | Jordan Lee Nougaret | Specialist/Technologist | 132 Standpipe Road, Culpeper, VA 22701 | 2010-02-15 |
| 1194957324 | Giant Food Stores, LLC | Pharmacy | 15371 Montanus Drive, Culpeper, VA 22701 | 2009-08-21 |
| 1093959611 | Samantha Jane Reynolds | Physician Assistant | 1100 Sunset Lane 1211-a, Culpeper, VA 22701 | 2009-04-27 |
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| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500754 | Juan Carlos Torres | Surgery | 4100 David Ln, Alexandria, VA 22311-1113 | 2020-08-29 |
| 1770132409 | Hiba Ezzeddine | Surgery | Vcuhs Dept of Acute Care Surgery Fellowship, 980454, 1250 E. Marshall Street, Richmond, VA 23298-0454 | 2019-09-05 |
| 1669943890 | Taylor Erin D'etcheverry | Surgery | 20560 Southport Landing Pl, Smithfield, VA 23430-8116 | 2018-12-16 |
| 1780997080 | Dustin Donley | Surgery | 7101 Jahnke Rd Bldg Suite260, Richmond, VA 23225-4017 | 2010-07-15 |
| 1417936493 | Joseph Charles Babrowicz Jr. | Surgery | 3299 Woodburn Rd Ste 230, Annandale, VA 22003-7319 | 2006-01-10 |
| 1114366028 | Charles Kevin Grigsby | Surgery | 825 Fairfax Ave Ste 610, Norfolk, VA 23507-1912 | 2013-06-25 |
| 1831487479 | Asanthi Marian Ratnasekera | Surgery | 1250 E Marshall St, Pob 980257, Richmond, VA 23298-0257 | 2011-07-18 |
| 1255621900 | Michael T Martyak | Surgery | 825 Fairfax Ave Ste 610, Norfolk, VA 23507-1914 | 2011-04-14 |
| 1104116235 | John Patrick Davis | Surgery | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2011-04-11 |
| 1952625576 | Jacob R Gillen | Surgery | 1906 Belleview Ave Se, Roanoke, VA 24014 | 2010-03-25 |
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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.