Individual provider Active NPI

James M McCullough, M.D.

  • Pulmonary Disease Physician
  • Metairie, LA
National Provider Identifier
1104803766
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
04502R Issued in LA
Practice address
4228 Houma Blvd Ste 140
Metairie, LA 70006-3019
Phone
(504) 455-2333
NPI assigned
Dec 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 04502R LA Primary

Addresses

Primary practice location

4228 Houma Blvd Ste 140
Metairie, LA 70006-3019

Mailing address

4228 Houma Blvd Ste 140
Metairie, LA 70006-3019
Phone (504) 455-2333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040726000006 LA Practitioner - Pulmonary Disease 0446230890 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04502RLAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Jefferson Physicians Group LLC CurrentSince Sep 26, 2021 Accepting new patients
James M. McCullough Pulmonary Disease PastSince Jul 1, 1966 Accepting new patients

Locations

4224 Houma Blvd
Ste 520
Metairie, LA 70006
Phone (504) 885-4003

4300 Houma Blvd
Ste 202
Metairie, LA 70006
Phone (504) 503-6791

4228 Houma Blvd
Ste 140
Metairie, LA 70006
Phone (504) 455-2333

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

4300 Houma Blvd
Metairie, LA 70006
Phone (504) 454-1724

4224 Houma Blvd
Ste 140
Metairie, LA 70006
Phone (504) 454-7721

1100 Poydras St
Ste 2500
New Orleans, LA 70163
Phone (504) 527-9953

Interoperability endpoints

  • Direct secure messaging: james.mccullough@direct.ejgh.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1135555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1104803766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD STE 140",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700063019",
            "telephone_number": "504-455-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD STE 140",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700063019",
            "telephone_number": "504-455-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-26",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "LA",
            "license": "04502R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.