Edward T Cullom Iii (NPI# 1710997135, PAC ID# 2961495304) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1710997135 |
| PAC ID by PECOS | 2961495304 |
| Professional Enrollment ID | I20040403000133 |
| Full Name | Edward T Cullom Iii |
| Address |
1040 River Oaks Dr Suite 201 Flowood MS 39232-9534 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | NEUROSURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250138 | MERIT HEALTH RIVER OAKS |
| 250102 | MISSISSIPPI BAPTIST MEDICAL CENTER |
| 250069 | RUSH FOUNDATION HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1040 River Oaks Dr, Suite 201, Flowood, MS 39232-9534 |
| Street Address |
1040 RIVER OAKS DR SUITE 201 |
| City | FLOWOOD |
| State | MS |
| Zip | 39232-9534 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annette K Low | Internal Medicine | Flowood River Oaks Hma Medical Group, LLC | 1040 River Oaks Dr, Suite 304, Flowood, MS 39232-9530 |
| Joyce D Wade-hamme | Pulmonary Disease | 1040 River Oaks Dr, Suite 103, Flowood, MS 39232-9531 | |
| Fidel F Sendra | Thoracic Surgery | River Oaks Management Company LLC | 1040 River Oaks Dr, Suite 100, Flowood, MS 39232-9531 |
| Janice E Gunn | Nurse Practitioner | 1040 River Oaks Dr, Suite 302, Jackson, MS 39232-9530 | |
| Richard L Yelverton Sr. | General Surgery | 1040 River Oaks Dr, Suite 102, Flowood, MS 39232-9539 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James K Hensarling | Rheumatology | 4436 Mangum Dr A, Flowood, MS 39232-2113 | |
| Charles Bradley Edmondson | Physical Therapy | Agilitas Usa Inc | 330 Ridge Way, Results Physiotherapy, Flowood, MS 39232-3306 |
| Cortni Cooper | Physical Therapy | Agilitas Usa Inc | 330 Ridge Way, Results Physiotherapy, Flowood, MS 39232-3306 |
| Latoya Green | Physical Therapy | Agilitas Usa Inc | 330 Ridge Way, Flowood, MS 39232-3306 |
| Leah Calder | Physician Assistant | Belle Meade Medical LLC | 108 Belle Meade Pt, Flowood, MS 39232-3308 |
| Miriam J Shatley | Dermatology | Belle Meade Medical LLC | 108 Belle Meade Pt, Flowood, MS 39232-3308 |
| Anna C Asher | Dermatology | Belle Meade Medical LLC | 108 Belle Meade Pt, Flowood, MS 39232-3308 |
| Audra Lewis | Nurse Practitioner | Ms Phs LLC | 232 Market St, Flowood, MS 39232-3339 |
| Okshoon Scott | Nurse Practitioner | Segue Health of Mississippi LLC | 232 Market St, Flowood, MS 39232-3339 |
| Denise Gossett | Nurse Practitioner | Segue Health of Mississippi LLC | 232 Market St, Flowood, MS 39232-3339 |
| Find all physicians in zip 39232 | |||
| City | FLOWOOD |
| Zip Code | 39232 |
| Specialty | NEUROSURGERY |
| City + Specialty | FLOWOOD + NEUROSURGERY |
Please comment or provide details below to improve the information on Edward T Cullom Iii.
| 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.