Russell Wade Mccullough (NPI# 1346223468, PAC ID# 1052386851) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1346223468 |
| PAC ID by PECOS | 1052386851 |
| Professional Enrollment ID | I20040826000360 |
| Full Name | Russell Wade Mccullough |
| Organization Legal Name | DIGESTIVE HEALTH SPECIALISTS LLC |
| Address |
110 Ne Saint Lukes Blvd Suite 530 Lees Summit MO 64086-6000 |
| Phone Number | 8165543838 |
| Gender | M |
| Credential | DO |
| Medical School | KANSAS CITY COLLEGE OF MEDICINE AND SURGERY |
| Graduation Year | 1998 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 9739494832 |
| Number of Group Practice Members | 53 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260216 | SAINT LUKE'S EAST HOSPITAL |
| 260190 | LEE'S SUMMIT MEDICAL CENTER |
| 170133 | SAINT LUKE'S CUSHING HOSPITAL |
| 260138 | ST LUKES HOSPITAL OF KANSAS CITY |
| 260097 | WESTERN MISSOURI MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 110 Ne Saint Lukes Blvd, Suite 530, Lees Summit, MO 64086-6000 | 8165543838 | DIGESTIVE HEALTH SPECIALISTS LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | DIGESTIVE HEALTH SPECIALISTS LLC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel W Schowengerdt | Gastroenterology | Digestive Health Specialists LLC | 5330 N Oak Trafficway, Suite 102, Kansas, MO 64118-4600 |
| Scott Ernest Mcguire | Gastroenterology | Digestive Health Specialists LLC | 1011 E St Maartens Dr, Saint Joseph, MO 64503-2993 |
| Jacqueline Sheehan | Certified Registered Nurse Anesthetist (crna) | Digestive Health Specialists LLC | 3800 S Whitney Ave, 100 Endoscopy Center, Independence, MO 64055-6739 |
| Benjamin R Alsop | Gastroenterology | Digestive Health Specialists LLC | 3800 S Whitney Ave, Independence, MO 64055-6739 |
| Darlene Clarice Miller | Certified Registered Nurse Anesthetist (crna) | Digestive Health Specialists LLC | 3800 S Whitney Ave, 100 Endoscopy Center, Independence, MO 64055-6739 |
| Kristi L Ott | Nurse Practitioner | Digestive Health Specialists LLC | 3800 S Whitney Ave, Suite 200, Independence, MO 64055-6739 |
| Amy A Waller | Nurse Practitioner | Digestive Health Specialists LLC | 3800 S Whitney Ave, Independence, MO 64055-6739 |
| Denise A Wilson | Certified Registered Nurse Anesthetist (crna) | Digestive Health Specialists LLC | 110 Ne Saint Lukes Blvd, Suite 530, Lees Summit, MO 64086-6000 |
| Andrea L Gray | Nurse Practitioner | Digestive Health Specialists LLC | 3800 S Whitney Ave, Independence, MO 64055-6739 |
| Donald J Clement | Gastroenterology | Digestive Health Specialists LLC | 5330 N Oak Trafficway, Suite 100, Kansas, MO 64118-4600 |
| Street Address |
110 NE SAINT LUKES BLVD SUITE 530 |
| City | LEES SUMMIT |
| State | MO |
| Zip | 64086-6000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edgar Friedrich Prasthofer | Hematology/oncology | Saint Lukes Physician Group Inc | 110 Ne Saint Lukes Blvd, Suite 500, Lees Summit, MO 64086-6000 |
| Denise A Wilson | Certified Registered Nurse Anesthetist (crna) | Digestive Health Specialists LLC | 110 Ne Saint Lukes Blvd, Suite 530, Lees Summit, MO 64086-6000 |
| Todd W Kilgore | Gastroenterology | Digestive Health Specialists LLC | 110 Ne Saint Lukes Blvd, Suite 530, Lees Summit, MO 64086-6000 |
| Christopher R Bartalos | Gastroenterology | Digestive Health Specialists LLC | 110 Ne Saint Lukes Blvd, Suite 530, Lees Summit, MO 64086-6000 |
| Frank J Totta | Gastroenterology | Digestive Health Specialists LLC | 110 Ne Saint Lukes Blvd, Suite 530, Lees Summit, MO 64086-6000 |
| Mary Lynne D Lucido | Internal Medicine | Digestive Health Specialists LLC | 110 Ne Saint Lukes Blvd, Suite 530, Lees Summit, MO 64086-6000 |
| Jude C Redman | Nurse Practitioner | Saint Lukes Physician Group Inc | 110 Ne Saint Lukes Blvd, Suite 300, Lees Summit, MO 64086-6000 |
| Mary M Murphy | Certified Registered Nurse Anesthetist | Digestive Health Specialists LLC | 110 Ne Saint Lukes Blvd, Lees Summit, MO 64086-6000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen J Haas | Neurology | Kansas City Neurology Associates LLC | 2000 Se Blue Pkwy, Lee's Summit, MO 64086-1029 |
| Kathryn A Hedges | Neurology | Kansas City Neurology Associates LLC | 2000 Se Blue Pkwy, Lee's Summit, MO 64086-1029 |
| Laura A Flowers | Qualified Audiologist | Hearing and Balance Specialists of Kansas City LLC | 458 Ne 291 Hwy, Lees Summit, MO 64086-2501 |
| Samuel N Bittel | Qualified Audiologist | Hearing and Balance Specialists of Kansas City LLC | 458 Ne 291 Hwy, Lees Summit, MO 64086-2501 |
| Elaine B Lake | Qualified Audiologist | Hearing and Balance Specialists of Kansas City LLC | 458 Ne 291 Hwy, Lees Summit, MO 64086-2501 |
| Tara L Sallee | Registered Dietitian Or Nutrition Professional | Hy Vee Inc | 301 Ne Rice Rd, Lees Summit, MO 64086-2979 |
| Laura J Nennig | Optometry | Jackson County Eye Clinic Inc. | 221 Nw Mcnary Court, Lees Summit, MO 64086-4011 |
| Katherine Helen West | Optometry | Jackson County Eye Clinic Inc. | 221 Nw Mcnary Court, Lees Summit, MO 64086-4011 |
| Miriam L Anderson | Optometry | Jackson County Eye Clinic Inc. | 221 Nw Mcnary Court, Lees Summit, MO 64086-4011 |
| Christy A Mcclain | Physical Therapy | Arc Physical Therapy Plus Lp | 1174 Ne Douglas St, Lees Summit, MO 64086-4602 |
| Find all physicians in zip 64086 | |||
| City | LEES SUMMIT |
| Zip Code | 64086 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | LEES SUMMIT + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Russell Wade Mccullough.
| 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.