David H. McCullough, M.D. & Associates, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

035958 Issued in CT

Legal business name

DAVID H. MCCULLOUGH, M.D. & ASSOCIATES, LLC

Practice address

33 King St
Stratford, CT 06615-5849

Phone

(203) 385-1166

Fax

(203) 381-0608

NPI assigned

Nov 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. David Hurd McCullough, M.D.

Title

Sole Member LLC

Phone

(203) 385-1166

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1083916910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 KING ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066155849",
            "telephone_number": "203-385-1166",
            "fax_number": "203-381-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 KING ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066155849",
            "telephone_number": "203-385-1166",
            "fax_number": "203-381-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID H. MCCULLOUGH, M.D. & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HURD",
        "authorized_official_title_or_position": "SOLE MEMBER LLC",
        "authorized_official_telephone_number": "203-385-1166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "035958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001359589",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meredith D'Agostino, CCC-SLP
• Christopher Patrick D'Amato, APRN
• Frank Dalena, D.M.D
• Elizabeth Rose Damon, LPC, R-DMT
• Maria Dates
• David M. Pagar, D.D.S., P.C.
• David Zucker MD LLC
• Hillary Davis
• Melinda Davis, PA-C, MPAS
• Shaday Nakai Davis

• Ophthalmology Physician in Stratford, CT
• Providers in Stratford, CT by specialty
• Ophthalmology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.