Edward Mccullough


Address: 435 42nd Ave S, St Petersburg, FL 33705-4504

Edward Mccullough (NPI# 1962754531, PAC ID# 8527210301) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1962754531
PAC ID by PECOS 8527210301
Professional Enrollment ID I20121129000439
Full Name Edward Mccullough
Address 435 42nd Ave S
St Petersburg
FL 33705-4504
Gender M
Graduation Year 2012
Primary Specialty NURSE PRACTITIONER
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
435 42nd Ave S, St Petersburg, FL 33705-4504

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 435 42ND AVE S
City ST PETERSBURG
State FL
Zip 33705-4504

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Scott C Strader Psychologist, Clinical 926 16th St N, St. Petersburg, FL 33705-1121
Cynthia J Mcneave Nurse Practitioner Tampa Bay Surgical Group LLP 995 16th St N, St Petersburg, FL 33705-1210
Khalilah Weston Interventional Pain Management 995 16th St N, Khalilah Weston Md, St Petersburg, FL 33705-1210
Mindi D Giglio General Surgery Tampa Bay Surgical Group LLP 995 16th St N, St Petersburg, FL 33705-1210
Larry R Williams Vascular Surgery Tampa Bay Surgical Group LLP 995 16th St N, St Petersburg, FL 33705-1210
Kathleen J Oshrine Nurse Practitioner Pediatrix Medical Group of Florida Inc 840 Dr Martin Luther King Jr St N, Suite 100, St Petersburg, FL 33705-1214
Daniel E Mckenna Cardiovascular Disease (cardiology) Pediatrix Medical Group of Florida Inc 840 Dr Martin Luther King Jr St N, Suite 100, St Petersburg, FL 33705-1214
Stephanie A Kurtz Cardiovascular Disease (cardiology) Pediatrix Medical Group of Florida Inc 840 Dr Martin Luther King Jr St N, Suite 100, St Petersburg, FL 33705-1214
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Competitor

Search similar physicians

City ST PETERSBURG
Zip Code 33705
Specialty NURSE PRACTITIONER
City + Specialty ST PETERSBURG + NURSE PRACTITIONER

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Dataset Information

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.

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