Organization Active NPI

Gerald W. McCullough, M.D., Inc.

  • Surgery Physician
  • Norman, OK
National Provider Identifier
1033242995
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
6711 Issued in OK
Legal business name
GERALD W. MCCULLOUGH, M.D., INC.
Practice address
900 N Porter Ave Ste 107
Norman, OK 73071-6426
Phone
(405) 329-2442
Fax
(405) 329-5149
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gerald William McCullough, M.D., F.A.C.S.
Title
President
Phone
(405) 329-2442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 6711 OK Primary

Addresses

Primary practice location

900 N Porter Ave Ste 107
Norman, OK 73071-6426

Mailing address

900 N Porter Ave Ste 107
Norman, OK 73071-6426
Phone (405) 329-2442

National Provider Directory

National Provider Directory

Locations

900 N Porter Ave
Ste 107
Norman, OK 73071
Phone (405) 329-2442

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033242995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N PORTER AVE STE 107",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716426",
            "telephone_number": "405-329-2442",
            "fax_number": "405-329-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N PORTER AVE STE 107",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716426",
            "telephone_number": "405-329-2442",
            "fax_number": "405-329-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD W. MCCULLOUGH, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-329-2442",
        "authorized_official_credential": "M.D., F.A.C.S."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OK",
            "license": "6711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.