Active NPI
Cynthia Denise Culler-Johnson, MD
- Internal Medicine Physician
- Plymouth, MI
National Provider Identifier
1023074648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301065736
- Practice address
- 990 W Ann Arbor TRL
Suite 208
Plymouth, MI 48170-6204 - Phone
- (734) 455-1200
- Fax
- (734) 455-5219
- NPI assigned
- Apr 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301065736 | MI | Primary |
Addresses
Primary practice location
990 W Ann Arbor TRL
Suite 208
Plymouth, MI 48170-6204
Mailing address
24 Frank Lloyd Wright Dr
P.O. Box 0446, Lobby J
Ann Arbor, MI 48105-9484
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baystate Medical Practices, Inc | Internal Medicine | Past | Accepting new patients |
| Mercy Inpatient Medical Associates Inc. | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Springfield, MA
- NPI 1548205909
Internal Medicine
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1407845282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321228800000",
"number": "1023074648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 FRANK LLOYD WRIGHT DR",
"address_2": "P.O. BOX 0446, LOBBY J",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 W ANN ARBOR TRL",
"address_2": "SUITE 208",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481706204",
"telephone_number": "734-455-1200",
"fax_number": "734-455-5219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLER-JOHNSON",
"first_name": "CYNTHIA",
"middle_name": "DENISE",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-22",
"last_updated": "2011-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301065736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.