Kathleen M Cullen (NPI# 1588676985, PAC ID# 0749279354) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1588676985 |
| PAC ID by PECOS | 0749279354 |
| Professional Enrollment ID | I20040510000406 |
| Full Name | Kathleen M Cullen |
| Organization Legal Name | HARBOR MEDICAL GROUP LLC |
| Address |
809 E Marion Ave Punta Gorda FL 33950-3819 |
| Phone Number | 9416393131 |
| Gender | F |
| Credential | PA |
| Graduation Year | 1989 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5092078881 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100236 | FAWCETT MEMORIAL HOSPITAL |
| 100077 | BAYFRONT HEALTH PORT CHARLOTTE |
| Address | Phone | Organization |
|---|---|---|
| 21298 Olean Blvd, Port Charlotte, FL 33952-6705 | 9416291181 | HARBOR MEDICAL GROUP LLC |
| 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 | 9417664122 | HARBOR MEDICAL GROUP LLC |
| 809 E Marion Ave, Punta Gorda, FL 33950-3819 | 9416393131 | HARBOR MEDICAL GROUP LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 91% |
| Organization Legal Name | HARBOR MEDICAL GROUP LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sreeja Gopidasan | Nurse Practitioner | Harbor Medical Group LLC | 809 E Marion Ave, Punta Gorda, FL 33950-3819 |
| John A Dempsey | Nurse Practitioner | Harbor Medical Group LLC | 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 |
| Fides B Delart | Nurse Practitioner | Harbor Medical Group LLC | 809 E Marion Ave, Punta Gorda, FL 33950-3819 |
| Seema Joshi | Nurse Practitioner | Harbor Medical Group LLC | 809 E Marion Ave, Punta Gorda, FL 33950-3819 |
| Glodene S Roberts | Nurse Practitioner | Harbor Medical Group LLC | 809 E Marion Ave, Punta Gorda, FL 33950-3819 |
| Street Address |
809 E MARION AVE |
| City | PUNTA GORDA |
| State | FL |
| Zip | 33950-3819 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stuart N Greenberg | Internal Medicine | 809 E Marion Ave, Punta Gorda, FL 33950-3819 | |
| Chandra R Parsley | Nurse Practitioner | Florida Em-i Medical Services, Pa | 809 E Marion Ave, Punta Gorda, FL 33950-3819 |
| Lawrence R Bachle | Emergency Medicine | 809 E Marion Ave, Punta Gorda, FL 33950-3819 | |
| Raymond J Perez | Diagnostic Radiology | Tampa Bay Radiology Associates Pa | 809 E Marion Ave, Punta Gorda, FL 33950-3819 |
| Gordon Wang | Family Medicine | 809 E Marion Ave, Punta Gorda, FL 33950-3819 | |
| Asif Kamal | Internal Medicine | 809 E Marion Ave, Punta Gorda, FL 33950-3819 | |
| Sreeja Gopidasan | Nurse Practitioner | Harbor Medical Group LLC | 809 E Marion Ave, Punta Gorda, FL 33950-3819 |
| Anthony Pollizzi | Anesthesiology | Peace River Anesthesiology Associates Pa | 809 E Marion Ave, Punta Gorda, FL 33950-3819 |
| Carrie Ingram | Nurse Practitioner | Punta Gorda Hma Physician Management LLC | 809 E Marion Ave, Punta Gorda, FL 33950-3819 |
| James P Forensky | Anesthesiology | Peace River Anesthesiology Associates Pa | 809 E Marion Ave, Punta Gorda, FL 33950-3819 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd B Lang | Optometry | Todd B Lang Od Pa | 314 N Tamiami Tr, Suite 112, Punta Gorda, FL 33950 |
| Anne K Wharton | Nurse Practitioner | 450 Shreve St, Punta Gorda, FL 33950-3325 | |
| Joyce A Grace Leichliter | Chiropractic | 119 Taylor St, Punta Gorda, FL 33950-3654 | |
| Khaled A Temraz | Physical Therapy | 522 E Marion Ave, Punta Gorda, FL 33950-3803 | |
| Timothy A Janz | Internal Medicine | 522 E Marion Ave, Suite 201, Punta Gorda, FL 33950-3803 | |
| Kathleen M Auld | Physical Therapy | Kamipractics Inc | 522 E Marion Ave, Punta Gorda, FL 33950-3803 |
| Paul M Popper | Cardiovascular Disease (cardiology) | Paul M Popper Md Pa | 809 E Marion St, Punta Gorda, FL 33950-3819 |
| Gregory P Arthmann | Psychiatry | Punta Gorda Hma Physician Management LLC | 809 E Marion Ave, Punta Gorda, FL 33950-3819 |
| Girish D Patel | Internal Medicine | 809 E Marion Ave, Punta Gorda, FL 33950-3819 | |
| Erin D Rose | Nurse Practitioner | Florida Em-i Medical Services, Pa | 809 E Marion Ave, Punta Gorda, FL 33950-3819 |
| Find all physicians in zip 33950 | |||
| City | PUNTA GORDA |
| Zip Code | 33950 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PUNTA GORDA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kathleen M Cullen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.